rss
Gut 58:1242-1249 doi:10.1136/gut.2009.176867
  • Colorectal cancer

Using CT colonography as a triage technique after a positive faecal occult blood test in colorectal cancer screening

Table 4

Per patient sensitivity, specificity, positive and negative predictive values for CT colonography (CTC) per lesion size category

Both FOBT I-FOBT 50 ng/ml I-FOBT 100 ng/ml G-FOBT
% Ratio (95% CI) % Ratio (95% CI) % Ratio (95% CI) % Ratio (95% CI)
Lesions ⩾10 mm*
Sensitivity 82 116/142 (74 to 89) 80 88/110 (72 to 88) 81 69/85 (74 to 89) 88 28/32 (81 to 94)
Specificity 86 138/160 (80 to 93) 86 119/138 (79 to 93) 88 58/66 (81 to 94) 86 19/22 (80 to 93)
PPV 84 116/138 (77 to 91) 82 88/107 (75 to 90) 90 69/77 (84 to 96) 90 28/31 (85 to 96)
NPV 84 138/164 (77 to 91) 84 119/141 (77 to 92) 78 58/74 (70 to 86) 83 19/23 (75 to 90)
Lesions ⩾6 mm†
Sensitivity 91 192/211 (85 to 91) 90 157/174 (84 to 96) 90 100/111 (84 to 96) 94 34/36 (90 to 99)
Specificity 69 63/91 (60 to 89) 72 53/74 (63 to 80) 68 27/40 (57 to 77) 56 10/18 (46 to 65)
PPV 87 119/220 (80 to 93) 88 157/178 (82 to 95) 88 100/113 (82 to 95) 81 34/42 (73 to 89)
NPV 77 63/82 (69 to 85) 76 53/70 (67 to 84) 71 27/38 (62 to 80) 83 10/12 (76 to 91)
  • *Detection of lesions ⩾10 mm at colonoscopy using a CTC size cut-off of ⩾10 mm. †Detection of lesions ⩾6 mm at colonoscopy using a CTC size cut-off of ⩾6 mm.

  • FOBT, faecal occult blood test; G-FOBT, guaiac FOBT; I-FOBT, immunochemical FOBT; NPV, negative predictive value; PPV, positive predictive value.

This Article

Latest from Gut Education

Latest from Gut Education

Register for free content


Free sample
This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of Gut.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.