Economical Impact

Hara et al. (Hara et al. 2000) reported that the additional and recommended work-up added $28 to the examination cost per patient. If all highly important lesions would be further investigated, the added costs would be $36 per patient.

Gluecker (Gluecker et al. 2003) reported an added costs of $34 to the average cost.

Given the fact that in truly screening patient populations the total number of highly suspected findings is expected to be lower, as shown by Pickhard (Pickhard et al. 2003), both authors conclude that the added costs are more than acceptable.

Fig. 10.4a,b. Fifty-five-year-old women referred for screening CTC. Low dose (10 mAs) unenhanced CT scan with 3 mm slice thickness reconstructed with a 1.5 mm reconstruction interval clearly shows the presence of biliary cyst: a the cyst is extremely difficult to detect on 0.6 mm slice thickness with a 0.3 mm reconstruction interval; b this case illustrates the use of thicker slice thickness to reduce noise and increase lesion conspicuity

Fig. 10.4a,b. Fifty-five-year-old women referred for screening CTC. Low dose (10 mAs) unenhanced CT scan with 3 mm slice thickness reconstructed with a 1.5 mm reconstruction interval clearly shows the presence of biliary cyst: a the cyst is extremely difficult to detect on 0.6 mm slice thickness with a 0.3 mm reconstruction interval; b this case illustrates the use of thicker slice thickness to reduce noise and increase lesion conspicuity

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