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VIRTUAL COLONOSCOPY :
Even President Obama chooses the Virtual Colonoscopy instead of theconventional colonoscopy.
 
This test is no more "experimental" as some insurance companies claimedto justify non payment . Virtual Colonoscopy, when done right, is asaccurate , if not more, as conventional colonoscopy. To find out more ,click here and watch our videoclips.


Obama gets virtual colonoscopy, keeps presidential powersBy Eric Barnes
AuntMinnie.comstaff writer
March 1, 2010

As part of his first annual comprehensive physicalexam as chief executive, U.S. President Barack Obama underwent avirtual colonoscopy exam (also known as CT colonography or CTC) thatfound him free of colorectal polyps or cancer, chief White Housephysician and Navy Captain Dr. Jeffrey Kuhlman told reporters Sunday.

The virtual colon exam requires no sedation, which allowed the president to resume normal activities immediately followingthe scan at the National Naval Medical Center in Bethesda, MD.

The choice of VC rather than conventionalcolonoscopy stands in contrast to that of former President George W.Bush, who famously transferred presidential authority to Vice PresidentDick Cheney for two hours on July 21, 2007, to undergo opticalcolonoscopy under monitored anesthesia care.

During that procedure, Bush's physicians removedfive polyps, all smaller than 5 mm. These lesions, consideredclinically insignificant under the C-RADS criteria used to guidevirtual colonoscopy reporting, would have been too small to report hadthey been found at virtual colonoscopy.

Obama, who is 48 years old, was advised to returnin five years for another colon cancer screening exam, Kuhlman said ina statement released on Sunday.

"The fact that President Obama and his medicaladvisors chose for him to have CT colonography over conventionalcolonoscopy speaks to the safety and effectiveness of this exam," Dr.Perry Pickhardt, professor of radiology at the University of Wisconsinin Madison, commented in an e-mail to AuntMinnie.com.

Obama's CT images were acquired using 1.5-mmcollimation on a 64-detector-row scanner (Brilliance 64, PhilipsHealthcare, Andover, MA), primary 3D interpretation software (V3DColon, Viatronix, Stony Brook, NY), and automated CO2 insufflation(ProtoCO2l, Bracco Diagnostics, Princeton, NJ), healthcare personnelfamiliar with the case told AuntMinnie.com by telephone Monday morning.

The decision to go with virtual colonoscopy wasalso noteworthy in light of a decision last year by the U.S. Centersfor Medicare and Medicaid Services (CMS) to deny Medicare reimbursementfor the noninvasive exam.

"The lack of sedation and pain medication allowedthe president to maintain control and also avoid the potential forserious complications from colonoscopy," Pickhardt said. "This shouldserve as a model for his emphasis on preventive medicine -- CMS shouldalso take note of this decision."

In other exam results, the president still usesnicotine gum to avoid smoking, takes anti-inflammatory medication forchronic tendonitis in his left knee, and needs to modify his dietfurther to lower his cholesterol. However, the results show that Obamais otherwise in excellent health, his physicians concluded.

Related Reading is available uponregistration at AuntMinnie.com

Editorial: CMS unfairly held VC to higherstandard, February 5, 2010

VC CAD application does well alone and as readeraid, February 15, 2010

VC screening maintains performance in Medicarepopulation, November 9, 2009

MedCAC panel members question VC's effectiveness,November 20, 2008

Copyright © 2010 AuntMinnie.com

 

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