HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Strøm, E. Articles by Larsen, J. L. Search for Related Content PubMed PubMed Citation Articles by Strøm, E. Articles by Larsen, J. L.

Colon Cancer at Barium Enema Examination and Colonoscopy: A Study from the County of Hordaland, Norway¹

¹ From the Department of Radiology, University Hospital of Bergen, Haukeland Hospital, N-5021 Norway. Received December 22, 1997; revision requested March 10, 1998; revision received August 7; accepted October 26. Supported in part by the legacy of the Blix family. Address reprint requests to E.S.

PURPOSE: To evaluate the efficacy of barium enema examination as routinely performed in the detection of colon cancer in the inhabitants of a well-defined and circumscribed geographic region.

MATERIALS AND METHODS: The study comprised 571 patients with histopathologically verified colon cancer during 1990–1993 from the county of Hordaland. The barium enema examination results were reviewed retrospectively.

RESULTS: The correct diagnosis was reached in 351 cases (sensitivity, 90.9%) in 386 tumor locations on the basis of the results of 381 barium enema examinations. Cancer or an important precancerous lesion was overlooked in 26 cases (6.7%), and the examination was not feasible in nine cases (2.3%). The correct diagnosis was reached in 172 cases (sensitivity, 80.0%) in patients with 215 tumor locations on the basis of the results of 213 colonoscopies. Cancer or an important precancerous lesion was overlooked in 13 cases (6.0%). The examination was technically not successful (ie, the affected area was not reached with the scope) in 30 cases (13.9%).

CONCLUSION: Barium enema examination is valuable in the diagnosis of colon cancer and compares favorably with colonoscopy. The main reason for missed radiologic diagnosis is failure to observe important lesions visible on the radiographs.

Index terms: Barium enema examination, 75.1281, 75.1282 • Colon, neoplasms, 75.321 • Colon, radiography, 75.1281, 75.1282 • Colonoscopy, 75.129 • Efficacy study

This article has been cited by other articles:

				B. Levin, D. A. Lieberman, B. McFarland, R. A. Smith, D. Brooks, K. S. Andrews, C. Dash, F. M. Giardiello, S. Glick, T. R. Levin, et al. Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology CA Cancer J Clin, May 1, 2008; 58(3): 130 - 160. [Abstract] [Full Text] [PDF]

				A SLATER Alteration in bowel habit Imaging, December 1, 2006; 18(4): 208 - 217. [Abstract] [Full Text] [PDF]

				R E Morrell, A T Rogers, J C Jobling, and K E Shakespeare Barium enema: use of increased copper filtration to optimize dose and image quality Br. J. Radiol., February 1, 2004; 77(914): 116 - 122. [Abstract] [Full Text] [PDF]

				J. M. E. Walsh and J. P. Terdiman Colorectal Cancer Screening: Scientific Review JAMA, March 12, 2003; 289(10): 1288 - 1296. [Abstract] [Full Text] [PDF]

				M. Pignone, M. Rich, S. M. Teutsch, A. O. Berg, and K. N. Lohr Screening for Colorectal Cancer in Adults at Average Risk: A Summary of the Evidence for the U.S. Preventive Services Task Force Ann Intern Med, July 16, 2002; 137(2): 132 - 141. [Abstract] [Full Text] [PDF]

				G. W. Stevenson 1998 RSNA Annual Oration in Diagnostic Radiology : Colorectal Cancer Imaging: A Challenge for Radiologists Radiology, March 1, 2000; 214(3): 615 - 621. [Full Text]