Abstract
At a recent National Institutes of Health State-of-the-Science Conference on “Enhancing the Use and Quality of Colorectal Cancer Screening,” the final discussion period was dominated by an animated debate between optical colonoscopists and computed tomographic (CT) colonographers about the relative merits of their respective screening tests (optical colonoscopy and CT colonography). A similar exchange between gastroenterology and radiology specialty societies occurred in strongly worded letters to the White House after President Obama had CT colonography for colorectal cancer screening during his annual physical examination. Gastroenterologists claimed that optical colonoscopy is the “gold standard” test; radiologists claimed that Medicare unfairly excludes reimbursement for CT colonography as a screening test (1).
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