2017 NICE诊断指南：结肠镜检查期间应用虚拟色素内镜评估大肠息肉（DG.28）.pdfVIP

Virtual chromoendoscopVirtual chromoendoscopy to assessy to assess colorectal polyps during colonoscopcolorectal polyps during colonoscopyy Diagnostics guidance Published: 10 May 2017 nice.org.uk/guidance/dg28 © NICE 2017. All rights reserved. Virtual chromoendoscopy to assess colorectal polyps during colonoscopy (DG28) YYour responsibilityour responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer. Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties. © NICE 2017. All rights reserved. Page 2 of 40 Virtual chromoendoscopy to assess colorectal polyps during colonoscopy (DG28) ContentsContents 1 Recommendation 4 2 Clinical need and practice 5 The problem addressed 5 The condition 6 The diagnostic and care pathways 6 3 The diagnostic tests 10 The interventions 10 The comparator 11 4 Evidence 12 Clinical effectiveness 12 Cost effectiveness 16 5 Committee discussion 27 Clinical