CT Colonography Certification

Didactics and Mentored Case Review


Earn up to 23 CME

  • Registration: $2200
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Our curriculum addresses the following core competencies:

  • Proper patient selection by defining a set of patients for whom CTC is appropriate.
  • Implement radiation dose effectively by knowing CT parameters necessary to use as little radiation as possible.
  • Prior to exam, effectively administer proper patient preparation to maximize imaging data obtained.
  • Staff communication and proper directions for technologists in insufflation of the colon.
  • 3D visualization principles and identification of the functions necessary to interpret CTC regardless of vendor.
  • Identify and classify lesions as well as achieve 90% sensitivity and specificity for lesions >1 cm. The participant should also focus on achieving 80% sensitivity and specificity for lesions between 6 and 9 mm.
  • Beyond analysis of the lumen under CTC, participants should report extracolonic findings with 90% accuracy.

Questions? Contact the Concierge


  • 3D Lumen of the Colon

    Become a Certified CTC Interpreter and Earn CME

    MD Training @home's CT Colonography Certification course provides you with all of the necessary online tools and course materials to become a certified CTC interpreter. Our Unlimited Access Policy allows you to train at home or at the office, on your own time and at your own pace. While some participants have completed the course in a weekend, others choose to take advantage of unlimited access and spread their training out over several months.

    We offer you two methods to complete your interpretations:

    1. Review our mentored case library on your Mac or Windows computer's browser via a fully functional cloud based 3D workstation.

    2. Or... if you prefer to review the cases on your own 3D visualization workstation, we can provide you with an external hard drive containing the DICOM data of your selected cases.

    Regardless of which option you choose, you can still interface with our online reporting and self-assessment.

    Once review of the selected cases is complete you will enter your interpretations into our online reporting tool and then review key images and findings for the interpreted cases. A faculty member will then review your findings and provide feedback with advice on how to improve your interpretations, if needed. Upon course completion, we will present you with official documentation of your course completion and certification for the 50 mentored cases.

    Disclosures: All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.

Additional Course Information


Learning Objectives
1) Define a set of patients for whom VC is appropriate
2) Know CT parameters to use as little radiation as possible
3) Proper patient preparation
4) Ability to direct technologist in properly insufflating the colon
5) Operate the workstation to interpret VC
6) Achieve 90% sensitivity and specificity for lesions >1 cm
7) Achieve 80% sensitivity and specificity for lesions between 6 and 9 mm
8) Report extracolonic findings with 90% accuracy
Practice Gap
CT Colonography is increasing in acceptance and practice as a diagnostic tool. With the continued increase in acceptance and usage of CTC, there has been significant advancements in CT imaging to assist in the diagnosis of many abdominopelvic disorders--evaluation under CTC is no exception to this trend. As new advancements in CT imaging are presented, so are radiation considerations regarding safe yet optimal usage.

22 states in the U.S. have now passed legislation allowing for the reimbursement of CTC. There are also currently two bills in Congress proposed to amend Medicare to cover CTC as a screening procedure. These proposed changes will leave a significant shortage of physicians qualified to interpret CTC studies based on the increasing volume of studies being performed.
Needs Assessment Summary
MDT's CT Colonography Faculty believe that in this ever-changing medical environment where imaging is heavily scrutinized, access to educational resources by all physicians is vitally important to assure patient safety, reimbursement, credentialing and clinical proficiency.

Only about 1/2 of Americans at risk (age >50) are being screened for colorectal carcinoma. Even though Medicare covers colorectal cancer screening tests, just one in four eligible beneficiaries are currently being screened. Were everyone who should be screened to show up for optical colonoscopy, there would not be enough gastroenterologists to accommodate them. CTC is needed as an additional test to filter out the 90% of screening candidates who do not need optical colonoscopy. Furthermore, CTC is more acceptable to many patients than optical colonoscopy so that more patients will get screened once CTC is widely available. We need to train CTC readers to fill the coming demand.
About the Author
Arnold C. Friedman M.D. FACR
VA Medical Center - Fresno, CA
Chief of Radiology
Director of CT Colonography Program
Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of The University of Arizona College of Medicine - Tucson and MD Training @home. The University of Arizona College of Medicine – Tucson is accredited by the ACCME to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring materials activity for a maximum of 23 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current CME Approval Period: 10/15/2023 to 10/14/2025
Date of Last Review: 10/15/2023
Original Release Date: 03/10/2009

UA Continuing Medical Education
PO Box 245121
Tucson, AZ, 85724-5121
(520)626-7832
FAX (520)626-2427

uofacme@u.arizona.edu
www.ocme.arizona.edu
Method of Participation
The course consists of four online components: Didactics, Case Review, Mentoring and Self Assessment. Didactic material review, Mentoring and Self Assessment will be presented in an on-line format where participants will interact with the materials within MD Training @home's web-based eLearning environment. The case review portion of the course will be provided utilizing a 3D workstation solution deployed through the participant's web browser (Mac or Windows). The student will manipulate and evaluate images and animations relevant to the study of CT Colonography. The program requires no specialized connection or software and also supports all major browsers on PC and Mac platforms.
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