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The purpose of this study is to evaluate the sensitivity of computed tomographic colonography (CTC) in detecting colorectal polyps and cancers in 1,500 subjects at increased risk of colorectal cancer (CRC), using optical colonoscopy as the reference standard.
The investigators will evaluate the sensitivity of CTC in detecting colorectal polyps and cancers (at least 6 mm in diameter) in 1,500 subjects at increased risk of colorectal cancer (CRC), using optical colonoscopy as the reference standard. The primary endpoint will be sensitivity in the detection of colorectal polyps and cancers that are at least 6 mm in diameter. The secondary endpoints will include specificity and predictive values in the detection of colorectal polyps and cancers.
This clinical study will also evaluate the differences of the detection accuracies between human readings with and without computer-aided detection (CAD) that automatically detects colonic lesions in CTC images and presents the detected lesions to the readers. This clinical study will also compare performance between radiologists and gastroenterologists in detecting colorectal lesions in CTC images.
All the CTC images and their interpretations, optical colonoscopy reports and images, and pathology reports of resected colorectal lesion will be prospectively collected from 12 Japanese hospitals participating in the trial. All patients' information will be completely anonymized at each site before any analysis of the data takes place.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CT colonography and optical colonoscopy | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CT colonography and optical colonoscopy | Device | All patients will undergo CT colonography and optical colonoscopy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| sensitivity in the detection of colorectal polyps and cancers in CTC | 1.5 years |
| Measure | Description | Time Frame |
|---|---|---|
| specificity and predictive values in the detection of colorectal polyps and cancers in CTC. | 1.5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Koichi Nagata, MD, PhD | Japanese CTC Society | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Japanese CTC Society, 3D imaging Laboratory, Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27779195 | Result | Nagata K, Endo S, Honda T, Yasuda T, Hirayama M, Takahashi S, Kato T, Horita S, Furuya K, Kasai K, Matsumoto H, Kimura Y, Utano K, Sugimoto H, Kato H, Yamada R, Yamamichi J, Shimamoto T, Ryu Y, Matsui O, Kondo H, Doi A, Abe T, Yamano HO, Takeuchi K, Hanai H, Saida Y, Fukuda K, Nappi J, Yoshida H. Accuracy of CT Colonography for Detection of Polypoid and Nonpolypoid Neoplasia by Gastroenterologists and Radiologists: A Nationwide Multicenter Study in Japan. Am J Gastroenterol. 2017 Jan;112(1):163-171. doi: 10.1038/ajg.2016.478. Epub 2016 Oct 25. |
| Label | URL |
|---|---|
| Original Contributions | View source |
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| ID | Term |
|---|---|
| D003111 | Colonic Polyps |
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D007417 | Intestinal Polyps |
| D011127 | Polyps |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D023881 | Colonography, Computed Tomographic |
| ID | Term |
|---|---|
| D014057 | Tomography, X-Ray Computed |
| D007090 | Image Interpretation, Computer-Assisted |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
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| Otarukyokai Hospital |
| Otaru |
| Hokkaido |
| 047-8510 |
| Japan |
| Tonan Hospital | Sapporo | Hokkaido | 060-0001 | Japan |
| Hokkaido Social Insurance Hospital | Sapporo | Hokkaido | 062-8618 | Japan |
| Hokkaido Gastroenterology Hospital | Sapporo | Hokkaido | 065-0041 | Japan |
| Kanazawa University Hospital | Kanazawa | Ishikawa-ken | 920-8641 | Japan |
| Showa University Northern Yokohama Hospital | Yokohama | Kanagawa | 224-8503 | Japan |
| Kamigoto Hospital | KamigotÅ | Nagasaki | 857-4404 | Japan |
| Kawasaki Medical School | Kurashiki | Okayama-ken | 701-0192 | Japan |
| Hamamatsu South Hospital | Hamamatsu | Shizuoka | 430-0846 | Japan |
| Jichi Medical University Hospital | Shimono | Tochigi | 329-0498 | Japan |
| Tokyo Women's Medical University Medical Center East | Arakawa-ku | Tokyo | 116-8567 | Japan |
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D003933 | Diagnosis |
| D011856 | Radiographic Image Enhancement |
| D007089 | Image Enhancement |
| D010781 | Photography |
| D011859 | Radiography |
| D014056 | Tomography, X-Ray |
| D003938 | Diagnostic Techniques, Digestive System |