CT Colonography

56552

for exclusion of colorectal neoplasia in symptomatic or high risk patients if:
(a) the patient has had an incomplete colonoscopy in the 3 months before the scan; and
(b) the date of incomplete colonoscopy is set out on the request for scan; and
High risk applies to asymptomatic people who fit into this category if they have:
• three or more first-degree or a combination of first-degree and second-degree relatives on the same side of the family  diagnosed with bowel cancer (suspected hereditary non-polyposis colorectal cancer or NPCC), or
• two or more first-degree or second-degree relatives on the same side of the family diagnosed with bowel cancer,
including any of the following high-risk features:
– multiple bowel cancers in the one person
– bowel cancer before the age of 50 years
– at least one relative with cancer of the endometrium, ovary, stomach, small bowel, ureter, biliary tract or brain
• at least one first-degree relative with a large number of adenomas throughout the large bowel (suspected familial adenomatis polyposis or FAP), or
• somebody in the family in whom the presence of a high-risk mutation in the adenomatis polyposis coli (APC) gene or one of the mismatch repair (MMR) genes has been identified.
For audit purposes, an incomplete colonoscopy is defined as one that is not completed for technical or medical reasons and must have been performed in the preceding 3 months.