{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:18:29Z","timestamp":1791919109844,"version":"4.3.4"},"reference-count":23,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["journals.elsevierhealth.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nuclear Cardiology"],"published-print":{"date-parts":[[2014,2]]},"DOI":"10.1007\/s12350-013-9819-7","type":"journal-article","created":{"date-parts":[[2014,1,2]],"date-time":"2014-01-02T11:35:06Z","timestamp":1388662506000},"page":"29-37","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Calcium score, coronary artery disease extent and severity, and clinical outcomes among low Framingham risk patients with low vs high lifetime risk: Results from the CONFIRM registry"],"prefix":"10.1016","volume":"21","author":[{"given":"Edward","family":"Hulten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd C.","family":"Villines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael K.","family":"Cheezum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S.","family":"Berman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Dunning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Achenbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouaz","family":"Al-Mallah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Budoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Cademartiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy Q.","family":"Callister","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyuk-Jae","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor Y.","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavitha","family":"Chinnaiyan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J.W.","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo C.","family":"Cury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augustin","family":"Delago","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudrun","family":"Feuchtner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Hadamitzky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Hausleiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp A.","family":"Kaufmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Jin","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathon","family":"Leipsic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fay Y.","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Maffei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Plank","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert L.","family":"Raff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslee J.","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James K.","family":"Min","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1007\/s12350-013-9819-7_bib1","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1161\/01.CIR.97.18.1837","article-title":"Prediction of coronary heart disease using risk factor categories","volume":"97","author":"Wilson","year":"1998","journal-title":"Circulation"},{"key":"10.1007\/s12350-013-9819-7_bib2","doi-asserted-by":"crossref","first-page":"3143","DOI":"10.1161\/circ.106.25.3143","article-title":"Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel iii) final report","volume":"106","year":"2002","journal-title":"Circulation"},{"key":"10.1007\/s12350-013-9819-7_bib3","doi-asserted-by":"crossref","first-page":"e50","DOI":"10.1016\/j.jacc.2010.09.001","article-title":"ACCF\/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: A report of the american college of cardiology foundation\/american heart association task force on practice guidelines","volume":"56","author":"Greenland","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"10.1007\/s12350-013-9819-7_bib4","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1161\/CIRCULATIONAHA.105.548206","article-title":"Prediction of lifetime risk for cardiovascular disease by risk factor burden at 50-years of age","volume":"113","author":"Lloyd-Jones","year":"2006","journal-title":"Circulation"},{"key":"10.1007\/s12350-013-9819-7_bib5","doi-asserted-by":"crossref","first-page":"3078","DOI":"10.1161\/CIRCULATIONAHA.108.816694","article-title":"Predicting the 30-year risk of cardiovascular disease: The framingham heart study","volume":"119","author":"Pencina","year":"2009","journal-title":"Circulation"},{"key":"10.1007\/s12350-013-9819-7_bib6","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1056\/NEJMoa0904130","article-title":"Childhood obesity, other cardiovascular risk factors, and premature death","volume":"362","author":"Franks","year":"2010","journal-title":"N Engl J Med"},{"key":"10.1007\/s12350-013-9819-7_bib7","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1056\/NEJMoa1012848","article-title":"Lifetime risks of cardiovascular disease","volume":"366","author":"Berry","year":"2012","journal-title":"N Engl J Med"},{"key":"10.1007\/s12350-013-9819-7_bib8","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1161\/CIRCULATIONAHA.108.800235","volume":"119","author":"Berry","year":"2009","journal-title":"Circulation"},{"key":"10.1007\/s12350-013-9819-7_bib9","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jcct.2011.01.007","article-title":"Rationale and design of the confirm (coronary CT angiography evaluation for clinical outcomes: An international multicenter) registry","volume":"5","author":"Min","year":"2011","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1007\/s12350-013-9819-7_bib10","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jcct.2009.03.004","article-title":"SCCT guidelines for performance of coronary computed tomographic angiography: A report of the society of cardiovascular computed tomography guidelines committee","volume":"3","author":"Abbara","year":"2009","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1007\/s12350-013-9819-7_bib11","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.jcct.2009.01.001","article-title":"SCCT guidelines for the interpretation and reporting of coronary computed tomographic angiography","volume":"3","author":"Raff","year":"2009","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"10.1007\/s12350-013-9819-7_bib12","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1016\/j.jacc.2007.03.067","article-title":"Prognostic value of multidetector coronary computed tomographic angiography for prediction of all-cause mortality","volume":"50","author":"Min","year":"2007","journal-title":"J Am Coll Cardiol"},{"key":"10.1007\/s12350-013-9819-7_bib13","doi-asserted-by":"crossref","first-page":"235","DOI":"10.2214\/AJR.08.1056","article-title":"Traditional clinical risk assessment tools do not accurately predict coronary atherosclerotic plaque burden: A CT angiography study","volume":"192","author":"Johnson","year":"2009","journal-title":"AJR"},{"key":"10.1007\/s12350-013-9819-7_bib14","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/0735-1097(90)90282-T","article-title":"Quantification of coronary artery calcium using ultrafast computed tomography","volume":"15","author":"Agatston","year":"1990","journal-title":"J Am Coll Cardiol"},{"key":"10.1007\/s12350-013-9819-7_bib15","first-page":"404","article-title":"Prognostic value of coronary computed tomographic angiography for prediction of cardiac events in patients with suspected coronary artery disease","volume":"2","author":"Hadamitzky","year":"2009","journal-title":"JACC"},{"key":"10.1007\/s12350-013-9819-7_bib16","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.1016\/j.amjcard.2012.07.018","article-title":"Multi-ethnic study of atherosclerosis arterial age vs Framingham 10-year or lifetime cardiovascular risk","volume":"110","author":"Villines","year":"2012","journal-title":"Am J Cardiol"},{"key":"10.1007\/s12350-013-9819-7_bib17","doi-asserted-by":"crossref","first-page":"1795","DOI":"10.1001\/jama.2012.14312","article-title":"Lifetime risk and years lived free of total cardiovascular disease","volume":"308","author":"Wilkins","year":"2012","journal-title":"JAMA"},{"key":"10.1007\/s12350-013-9819-7_bib18","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1016\/S0735-1097(03)00193-1","article-title":"The metabolic syndrome, diabetes, and subclinical atherosclerosis assessed by coronary calcium","volume":"41","author":"Wong","year":"2003","journal-title":"J Am Coll Cardiol"},{"key":"10.1007\/s12350-013-9819-7_bib19","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.jacc.2008.02.086","article-title":"Coronary computed tomography angiography as a screening tool for the detection of occult coronary artery disease in asymptomatic individuals","volume":"52","author":"Choi","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"10.1007\/s12350-013-9819-7_bib20","first-page":"e525","volume":"122","author":"Taylor","year":"2010","journal-title":"Circulation"},{"key":"10.1007\/s12350-013-9819-7_bib21","first-page":"574","article-title":"Changes in preventive medical therapies and CV risk factors after ct angiography","volume":"6","author":"Cheezum","year":"2013","journal-title":"JACC"},{"key":"10.1007\/s12350-013-9819-7_bib22","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1001\/archinternmed.2011.204","article-title":"Impact of coronary computed tomographic angiography results on patient and physician behavior in a low-risk population","volume":"171","author":"McEvoy","year":"2011","journal-title":"Arch Intern Med"},{"key":"10.1007\/s12350-013-9819-7_bib23","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.amjcard.2012.10.028","volume":"111","author":"Hulten","year":"2013","journal-title":"Am J Cardiol"}],"container-title":["Journal of Nuclear Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s12350-013-9819-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s12350-013-9819-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S107135812307229X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S107135812307229X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s12350-013-9819-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:54:40Z","timestamp":1761026080000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S107135812307229X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,2]]}},"alternative-id":["S107135812307229X"],"URL":"https:\/\/doi.org\/10.1007\/s12350-013-9819-7","relation":{},"ISSN":["1071-3581"],"issn-type":[{"value":"1071-3581","type":"print"}],"subject":[],"published":{"date-parts":[[2014,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Calcium score, coronary artery disease extent and severity, and clinical outcomes among low Framingham risk patients with low vs high lifetime risk: Results from the CONFIRM registry","name":"articletitle","label":"Article Title"},{"value":"Journal of Nuclear Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1007\/s12350-013-9819-7","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 American Society of Nuclear Cardiology. Published by ELSEVIER INC. All rights reserved. Published by Mosby, Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}