Japanese National Computed Tomographic (CT) Colonography Trial

Japanese CT Colonography Society1,257 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

1,257

Conditions

Colonic Polyps Colonic Neoplasms

Interventions

CT colonography and optical colonoscopyDEVICE

All patients will undergo CT colonography and optical colonoscopy.

Eligibility

Sex: ALLMin age: 20 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Outpatients who are eligible for optical colonoscopy. * Aged 20 years or older. * Major functions of organs of the subjects are in a good condition. * Signed informed consent forms are obtained from the patients. Exclusion Criteria: * Known colorectal polyps or cancers at any site at the time of enrollment. * Patients with inflammatory bowel disease. * Fulfillment of clinical criteria for diagnosis of FAP or HNPCC (Amsterdam criteria). * Serious medical conditions that may increase the risk of optical colonoscopy or are so severe that screening would have no benefit. * Previous colorectal surgery. * Gastric or intestinal stenosis, abdominal adhesions, bowel obstruction or perforation, toxic megacolon. * Evidence of an increased risk in carrying out bowel preparation or CTC exams. * Possibility of pregnancy. * Optical colonoscopy or barium enema carried out within the last 3 years. * Patients with psychological conditions that contraindicate colonoscopy or that make them irrelevant to participate in the trial. * Iodine hypersensitivity. * Severe thyroid disease. * Claustrophobia. * Severe deafness. * Subjects whose eligibility for this clinical trial is not appropriate by other reasons.

Locations (12)

Japanese CTC Society, 3D imaging Laboratory, Massachusetts General Hospital

Boston, Massachusetts, United States

Otarukyokai Hospital

Otaru, Hokkaido, Japan

Tonan Hospital

Sapporo, Hokkaido, Japan

Outcomes

Primary Outcomes

sensitivity in the detection of colorectal polyps and cancers in CTC

Time frame: 1.5 years

Secondary Outcomes

specificity and predictive values in the detection of colorectal polyps and cancers in CTC.

Time frame: 1.5 years

Data from ClinicalTrials.gov

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