ACR appropriateness criteria colorectal cancer screening

Judy Yee, David H. Kim, Max P. Rosen, Tasneem Lalani, Laura R. Carucci, Brooks D. Cash, Barry W. Feig, Kathryn J. Fowler, Douglas S. Katz, Martin P. Smith, Vahid Yaghmai

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Colorectal cancer is the third leading cause of cancer deaths in the United States. Most colorectal cancers can be prevented by detecting and removing the precursor adenomatous polyp. Individual risk factors for the development of colorectal cancer will influence the particular choice of screening tool. CT colonography (CTC) is the primary imaging test for colorectal cancer screening in average-risk individuals, whereas the double-contrast barium enema (DCBE) is now considered to be a test that may be appropriate, particularly in settings where CTC is unavailable. Single-contrast barium enema has a lower performance profile and is indicated for screening only when CTC and DCBE are not available. CTC is also the preferred test for colon evaluation following an incomplete colonoscopy. Imaging tests including CTC and DCBE are not indicated for colorectal cancer screening in high-risk patients with polyposis syndromes or inflammatory bowel disease. This paper presents the updated colorectal cancer imaging test ratings and is the result of evidence-based consensus by the ACR Appropriateness Criteria Expert Panel on Gastrointestinal Imaging. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)543-551
Number of pages9
JournalJournal of the American College of Radiology
Issue number6
StatePublished - Jun 2014
Externally publishedYes


  • Appropriateness criteria
  • CT colonography
  • adenoma
  • barium enema
  • colorectal cancer
  • screening

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


Dive into the research topics of 'ACR appropriateness criteria colorectal cancer screening'. Together they form a unique fingerprint.

Cite this