{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:43:30Z","timestamp":1791600210097,"version":"4.3.4"},"reference-count":51,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2007,2,1]],"date-time":"2007-02-01T00:00:00Z","timestamp":1170288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2007,2,1]],"date-time":"2007-02-01T00:00:00Z","timestamp":1170288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["cghjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Gastroenterology and Hepatology"],"published-print":{"date-parts":[[2007,2]]},"DOI":"10.1016\/j.cgh.2006.11.003","type":"journal-article","created":{"date-parts":[[2007,2,13]],"date-time":"2007-02-13T07:07:54Z","timestamp":1171350474000},"page":"237-244","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":51,"title":["The Management of Small Polyps Found by Virtual Colonoscopy: Results of a Decision Analysis"],"prefix":"10.1016","volume":"5","author":[{"given":"Chin","family":"Hur","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel C.","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E.","family":"Schoen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Scott","family":"Gazelle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.cgh.2006.11.003_bib1","doi-asserted-by":"crossref","first-page":"1496","DOI":"10.1056\/NEJM199911113412003","article-title":"A comparison of virtual and conventional colonoscopy for the detection of colorectal polyps","volume":"341","author":"Fenlon","year":"1999","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cgh.2006.11.003_bib2","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1056\/NEJMoa031618","article-title":"Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults","volume":"349","author":"Pickhardt","year":"2003","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cgh.2006.11.003_bib3","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1001\/jama.291.14.1713","article-title":"Computed tomographic colonography (virtual colonoscopy): a multicenter comparison with standard colonoscopy for detection of colorectal neoplasia","volume":"291","author":"Cotton","year":"2004","journal-title":"JAMA"},{"key":"10.1016\/j.cgh.2006.11.003_bib4","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1053\/j.gastro.2004.07.003","article-title":"AGA future trends report: CT colonography","volume":"127","author":"van Dam","year":"2004","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib5","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/S0140-6736(05)17784-8","article-title":"Analysis of air contrast barium enema, computed tomographic colonography, and colonoscopy: prospective comparison","volume":"365","author":"Rockey","year":"2005","journal-title":"Lancet"},{"key":"10.1016\/j.cgh.2006.11.003_bib6","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1111\/j.1572-0241.2001.03639.x","article-title":"Differing attitudes toward virtual and conventional colonoscopy for colorectal cancer screening: surveys among primary care physicians and potential patients","volume":"96","author":"Angtuaco","year":"2001","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2006.11.003_bib7","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1053\/j.gastro.2004.07.018","article-title":"An analysis of the potential impact of computed tomographic colonography (virtual colonoscopy) on colonoscopy demand","volume":"127","author":"Hur","year":"2004","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib8","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.cgh.2005.12.025","article-title":"Small and diminutive polyps: implications for colorectal cancer screening with computed tomography colonography","volume":"4","author":"Schoenfeld","year":"2006","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.cgh.2006.11.003_bib9","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1148\/radiol.2361041926","article-title":"CT colonography reporting and data system: a consensus proposal","volume":"236","author":"Zalis","year":"2005","journal-title":"Radiology"},{"key":"10.1016\/j.cgh.2006.11.003_bib10","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1177\/0272989X8300300403","article-title":"The Markov process in medical prognosis","volume":"3","author":"Beck","year":"1983","journal-title":"Med Decis Making"},{"key":"10.1016\/j.cgh.2006.11.003_bib11","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1177\/0272989X9301300409","article-title":"Markov models in medical decision making: a practical guide","volume":"13","author":"Sonnenberg","year":"1993","journal-title":"Med Decis Making"},{"key":"10.1016\/j.cgh.2006.11.003_bib12","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1053\/gast.2003.50044","article-title":"Colorectal cancer screening and surveillance: clinical guidelines and rationale\u2014update based on new evidence","volume":"124","author":"Winawer","year":"2003","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib13","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1001\/jama.289.10.1288","article-title":"Colorectal cancer screening: scientific review","volume":"289","author":"Walsh","year":"2003","journal-title":"JAMA"},{"key":"10.1016\/j.cgh.2006.11.003_bib14","doi-asserted-by":"crossref","first-page":"635","DOI":"10.7326\/0003-4819-142-8-200504190-00013","article-title":"Meta-analysis: computed tomographic colonography","volume":"142","author":"Mulhall","year":"2005","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.cgh.2006.11.003_bib15","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S0016-5085(97)70214-2","article-title":"Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies","volume":"112","author":"Rex","year":"1997","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib16","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S0016-5107(91)70668-8","article-title":"Prospective blinded trial of the colonoscopic miss-rate of large colorectal polyps","volume":"37","author":"Hixson","year":"1991","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.cgh.2006.11.003_bib17","doi-asserted-by":"crossref","first-page":"352","DOI":"10.7326\/0003-4819-141-5-200409070-00009","article-title":"Location of adenomas missed by optical colonoscopy","volume":"141","author":"Pickhardt","year":"2004","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.cgh.2006.11.003_bib18","series-title":"DevCan: Probability of Developing or Dying of Cancer Software, Version 6.0","year":"2005"},{"key":"10.1016\/j.cgh.2006.11.003_bib19","unstructured":"Ries LAG, Kosary CL, Hankey BF, et al. SEER cancer statistics review, 1973-1993. Bethesda, MD: National Cancer Institute. Available: http:\/\/seer.cancer.gov\/csr\/1973_1993\/."},{"key":"10.1016\/j.cgh.2006.11.003_bib20","doi-asserted-by":"crossref","first-page":"1954","DOI":"10.1001\/jama.284.15.1954","article-title":"Cost-effectiveness of screening for colorectal cancer in the general population","volume":"284","author":"Frazier","year":"2000","journal-title":"JAMA"},{"key":"10.1016\/j.cgh.2006.11.003_bib21","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1053\/j.gastro.2005.07.059","article-title":"Projected national impact of colorectal cancer screening on clinical and economic outcomes and health services demand","volume":"129","author":"Ladabaum","year":"2005","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib22","doi-asserted-by":"crossref","first-page":"1866","DOI":"10.1038\/sj.bjc.6601007","article-title":"A case-cohort study for the disease natural history of adenoma-carcinoma and de novo carcinoma and surveillance of colon and rectum after polypectomy: implication for efficacy of colonoscopy","volume":"88","author":"Chen","year":"2003","journal-title":"Br J Cancer"},{"key":"10.1016\/j.cgh.2006.11.003_bib23","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/BF02616606","article-title":"Polyps of the colon and rectum: incidence and distribution","volume":"4","author":"Blatt","year":"1961","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.cgh.2006.11.003_bib24","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1007\/BF02630528","article-title":"Incidence and distribution of adenomatous polyps of the colon and rectum based on 1,000 autopsy examinations","volume":"19","author":"Arminski","year":"1964","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.cgh.2006.11.003_bib25","first-page":"969","article-title":"A prospective study of the prevalence of colonic neoplasms in asymptomatic patients with an age-related risk","volume":"85","author":"Johnson","year":"1990","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2006.11.003_bib26","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1002\/1097-0142(19820215)49:4<819::AID-CNCR2820490435>3.0.CO;2-D","article-title":"The prevalence of polyps of the large intestine in Oslo: an autopsy study","volume":"49","author":"Vatn","year":"1982","journal-title":"Cancer"},{"key":"10.1016\/j.cgh.2006.11.003_bib27","first-page":"941","article-title":"Prevalence and malignant potential of colorectal polyps in asymptomatic, average-risk men","volume":"86","author":"DiSario","year":"1991","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2006.11.003_bib28","doi-asserted-by":"crossref","first-page":"2839","DOI":"10.1002\/1097-0142(197812)42:6<2839::AID-CNCR2820420645>3.0.CO;2-Y","article-title":"Polyps of the large intestine in Northern Norway","volume":"42","author":"Eide","year":"1978","journal-title":"Cancer"},{"key":"10.1016\/j.cgh.2006.11.003_bib29","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1136\/gut.23.10.835","article-title":"Polyps and cancer of the large bowel: a necropsy study in Liverpool","volume":"23","author":"Williams","year":"1982","journal-title":"Gut"},{"key":"10.1016\/j.cgh.2006.11.003_bib30","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1002\/1097-0142(197905)43:5<1847::AID-CNCR2820430538>3.0.CO;2-L","article-title":"Adenomatous lesions of the large bowel: an autopsy survey","volume":"43","author":"Rickert","year":"1979","journal-title":"Cancer"},{"key":"10.1016\/j.cgh.2006.11.003_bib31","unstructured":"Ries LAG, Eisner MP, Kosary CL, et al. SEER cancer statistics review, 1975-2002. Bethesda, MD: National Cancer Institute. Available: http:\/\/seer.cancer.gov\/csr\/1975_2002\/."},{"key":"10.1016\/j.cgh.2006.11.003_bib32","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.cgh.2005.12.021","article-title":"Prevalence of clinically important histology in small adenomas","volume":"4","author":"Butterly","year":"2006","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.cgh.2006.11.003_bib33","doi-asserted-by":"crossref","first-page":"2268","DOI":"10.1111\/j.1572-0241.1999.01304.x","article-title":"Is virtual colonoscopy a cost-effective option to screen for colorectal cancer?","volume":"94","author":"Sonnenberg","year":"1999","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2006.11.003_bib34","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/S1542-3565(04)00247-2","article-title":"Colorectal neoplasia screening with virtual colonoscopy: when, at what cost, and with what national impact?","volume":"2","author":"Ladabaum","year":"2004","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.cgh.2006.11.003_bib35","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1056\/NEJM200007203430302","article-title":"Risk of advanced proximal neoplasms in asymptomatic adults according to the distal colorectal findings","volume":"343","author":"Imperiale","year":"2000","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cgh.2006.11.003_bib36","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.1056\/NEJMoa042990","article-title":"Colonoscopic screening of average-risk women for colorectal neoplasia","volume":"352","author":"Schoenfeld","year":"2005","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cgh.2006.11.003_bib37","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1001\/jama.1996.03540150055031","article-title":"Recommendations of the panel on cost-effectiveness in health and medicine","volume":"276","author":"Weinstein","year":"1996","journal-title":"JAMA"},{"key":"10.1016\/j.cgh.2006.11.003_bib38","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1053\/j.gastro.2005.05.021","article-title":"Mass screening with CT colonography: should the radiation exposure be of concern?","volume":"129","author":"Brenner","year":"2005","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib39","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1053\/gast.2003.50158","article-title":"Extracolonic findings at CT colonography: evaluation of prevalence and cost in a screening population","volume":"124","author":"Gluecker","year":"2003","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib40","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.1111\/j.1572-0241.2005.00337.x","article-title":"Computed tomographic colonography: prevalence, nature, and clinical significance of extracolonic findings in a community screening program","volume":"100","author":"Chin","year":"2005","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2006.11.003_bib41","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1148\/radiology.219.3.r01jn40685","article-title":"Colorectal neoplasia: performance characteristics of CT colonography for detection in 300 patients","volume":"219","author":"Yee","year":"2001","journal-title":"Radiology"},{"key":"10.1016\/j.cgh.2006.11.003_bib42","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/S0016-5085(03)00885-0","article-title":"Virtual colonoscopy using oral contrast compared with colonoscopy for the detection of patients with colorectal polyps","volume":"125","author":"Pineau","year":"2003","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib43","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S0016-5085(03)00894-1","article-title":"Prospective blinded evaluation of computed tomographic colonography for screen detection of colorectal polyps","volume":"125","author":"Johnson","year":"2003","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib44","doi-asserted-by":"crossref","first-page":"2704","DOI":"10.1056\/NEJMoa033403","article-title":"Fecal DNA versus fecal occult blood for colorectal-cancer screening in an average-risk population","volume":"351","author":"Imperiale","year":"2004","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cgh.2006.11.003_bib45","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1046\/j.1445-5994.2003.00397.x","article-title":"Complication rates of colonoscopy in an Australian teaching hospital environment","volume":"33","author":"Viiala","year":"2003","journal-title":"Intern Med J"},{"key":"10.1016\/j.cgh.2006.11.003_bib46","doi-asserted-by":"crossref","first-page":"3418","DOI":"10.1111\/j.1572-0241.2000.03356.x","article-title":"Endoscopic perforation of the colon: lessons from a 10-year study","volume":"95","author":"Anderson","year":"2000","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2006.11.003_bib47","doi-asserted-by":"crossref","first-page":"1769","DOI":"10.1093\/jnci\/82.22.1769","article-title":"Prospective study of the frequency and size distribution of polyps missed by colonoscopy","volume":"82","author":"Hixson","year":"1990","journal-title":"J Natl Cancer Inst"},{"key":"10.1016\/j.cgh.2006.11.003_bib48","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1136\/gut.51.4.550","article-title":"Flat and depressed colorectal tumours in a southern Swedish population: a prospective chromoendoscopic and histopathological study","volume":"51","author":"Tsuda","year":"2002","journal-title":"Gut"},{"key":"10.1016\/j.cgh.2006.11.003_bib49","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/0016-5085(90)90827-N","article-title":"The National Polyp Study","volume":"98","author":"O\u2019Brien","year":"1990","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2006.11.003_bib50","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1097\/00000658-197912000-00001","article-title":"Morphology, anatomic distribution and cancer potential of colonic polyps","volume":"190","author":"Shinya","year":"1979","journal-title":"Ann Surg"},{"key":"10.1016\/j.cgh.2006.11.003_bib51","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00042737-200202000-00013","article-title":"High-grade dysplasia and invasive carcinoma in colorectal adenomas: a multivariate analysis of the impact of adenoma and patient characteristics","volume":"14","author":"Gschwantler","year":"2002","journal-title":"Eur J Gastroenterol Hepatol"}],"container-title":["Clinical Gastroenterology and Hepatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356506011475?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356506011475?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T04:58:56Z","timestamp":1761541136000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1542356506011475"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,2]]},"references-count":51,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,2]]}},"alternative-id":["S1542356506011475"],"URL":"https:\/\/doi.org\/10.1016\/j.cgh.2006.11.003","relation":{},"ISSN":["1542-3565"],"issn-type":[{"value":"1542-3565","type":"print"}],"subject":[],"published":{"date-parts":[[2007,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Management of Small Polyps Found by Virtual Colonoscopy: Results of a Decision Analysis","name":"articletitle","label":"Article Title"},{"value":"Clinical Gastroenterology and Hepatology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cgh.2006.11.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2007 AGA Institute. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}