2018ACR适宜性标准_结直肠癌筛查.pdf

APPROPRIATE USE CRITERIA ACR Appropriateness Criteria Colorectal Cancer Screening a b Expert Panel on Gastrointestinal Imaging: Courtney Moreno, MD , David H. Kim, MD , Twyla B. Bartel, DO, MBAc d e f , Brooks D. Cash, MD , Kevin J. Chang, MD , Barry W. Feig, MD , g h i Kathryn J. Fowler, MD , Evelyn M. Garcia, MD , Avinash R. Kambadakone, MD , Drew L. Lambert, MD j k l m , Angela D. Levy, MD , Daniele Marin, MD , Christine M. Peterson, MD , Christopher D. Scheirey, MDn o p q , Martin P. Smith, MD , Stefanie Weinstein, MD , Laura R. Carucci, MD Abstract This review summarizes the relevant literature regarding colorectal screening with imaging. For individuals at average or moderate risk for colorectal cancer, CT colonography is usually appropriate for colorectal cancer screening. After positive results on a fecal occult blood test or immunohistochemical test, CT colonography is usually appropriate for colorectal cancer detection. For individuals at high risk for colorectal cancer (eg, hereditary nonpolyposis colorectal cancer, ulcerative colitis, or Crohn colitis), optical colonoscopy