{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:05:17Z","timestamp":1778717117840,"version":"3.51.4"},"reference-count":61,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gastrointestinal Endoscopy Clinics of North America"],"published-print":{"date-parts":[[2010,4]]},"DOI":"10.1016\/j.giec.2010.02.003","type":"journal-article","created":{"date-parts":[[2010,5,7]],"date-time":"2010-05-07T06:22:32Z","timestamp":1273213352000},"page":"279-291","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":54,"title":["CT Colonography: Perforation Rates and Potential Radiation Risks"],"prefix":"10.1016","volume":"20","author":[{"given":"A.","family":"Berrington de Gonzalez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwang Pyo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy","family":"Yee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.giec.2010.02.003_bib1","first-page":"130","volume":"58","author":"Levin","year":"2008","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"10.1016\/j.giec.2010.02.003_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.amepre.2009.03.009","article-title":"Trends in colorectal cancer test use in the medicare population, 1998\u20132005","volume":"37","author":"Schenck","year":"2009","journal-title":"Am J Prev Med"},{"issue":"9","key":"10.1016\/j.giec.2010.02.003_bib3","doi-asserted-by":"crossref","first-page":"627","DOI":"10.7326\/0003-4819-149-9-200811040-00243","article-title":"Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement","volume":"149","author":"U.S. Preventive Services Task Force","year":"2008","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.giec.2010.02.003_bib5","unstructured":"Yee J. Extra-colonic findings on CT colonography. Gastrointest Endosc, in press."},{"key":"10.1016\/j.giec.2010.02.003_bib6","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1007\/s10350-004-0572-5","article-title":"Actual colonic perforation in virtual colonoscopy: report of a case","volume":"47","author":"Kamar","year":"2004","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.giec.2010.02.003_bib7","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1007\/s10350-004-0541-z","article-title":"Perforated colon secondary to virtual colonoscopy: report of a case","volume":"47","author":"Coady-Fariborzian","year":"2004","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.giec.2010.02.003_bib8","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1111\/j.1572-0241.2005.00310.x","article-title":"Colonic perforation after Computed Tomographic Colonography in a patient with fibrostenosing Crohn's disease","volume":"101","author":"Triester","year":"2006","journal-title":"Am J Gastroenterol"},{"issue":"2","key":"10.1016\/j.giec.2010.02.003_bib9","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1148\/radiol.2392051101","article-title":"Potentially adverse events at CT colonography in symptomatic patients: national survey of the United Kingdom","volume":"239","author":"Burling","year":"2006","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib10","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1148\/radiol.2392050287","article-title":"Colonic perforation at CT colonography: assessment of risk in a multicenter large cohort","volume":"239","author":"Sosna","year":"2006","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib11","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1148\/radiol.2392052002","article-title":"Incidence of colonic perforation at CT colonography: review of existing data and implications for screening of asymptomatic adults","volume":"239","author":"Pickhardt","year":"2006","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib12","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1053\/j.sult.2006.01.005","article-title":"Perforation of the colon and rectum\u2014a newly recognized complication of CT colonography","volume":"27","author":"Sosna","year":"2006","journal-title":"Semin Ultrasound CT MR"},{"key":"10.1016\/j.giec.2010.02.003_bib13","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.1007\/s10350-007-0309-3","article-title":"Sigmoid colon perforation at CT colonography secondary to a possible obstructive mechanism: report of a case","volume":"50","author":"Belo-Oliveira","year":"2007","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.giec.2010.02.003_bib14","series-title":"Margulis and Burhenne's alimentary tract radiology","first-page":"692","article-title":"Normal anatomy and techniques of examination of the colon: barium, CT and MRI","author":"Stevenson","year":"1994"},{"key":"10.1016\/j.giec.2010.02.003_bib15","doi-asserted-by":"crossref","first-page":"119","DOI":"10.2214\/AJR.04.1649","article-title":"Colonic perforation at CT colonography in a patient without known colonic disease","volume":"186","author":"Young","year":"2006","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.giec.2010.02.003_bib16","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1007\/s00261-008-9399-1","article-title":"Colonic perforation during screening CT colonography using automated CO2 insufflation in an asymptomatic adult","volume":"33","author":"Bassett","year":"2008","journal-title":"Abdom Imaging"},{"key":"10.1016\/j.giec.2010.02.003_bib17","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1097\/00004836-199212000-00018","article-title":"Colonoscopy: a prospective report of complications","volume":"15","author":"Waye","year":"1992","journal-title":"J Clin Gastroenterol"},{"key":"10.1016\/j.giec.2010.02.003_bib18","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.giec.2010.02.003_bib19","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1067\/mge.2001.114422","article-title":"Prospective evaluation of complications in outpatient GI endoscopy: a survey among German gastroenterologists","volume":"53","author":"Sieg","year":"2001","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2010.02.003_bib20","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1177\/000313480106700906","article-title":"Actual colonoscopy: what are the risks of perforation?","volume":"67","author":"Tran","year":"2001","journal-title":"Am J Surg"},{"key":"10.1016\/j.giec.2010.02.003_bib21","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1067\/S0016-5107(03)01890-X","article-title":"Perforation during colonoscopy in endoscopic ambulatory surgical centers","volume":"58","author":"Korman","year":"2003","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2010.02.003_bib22","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1093\/jnci\/95.3.230","article-title":"Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study","volume":"95","author":"Gatto","year":"2003","journal-title":"J Natl Cancer Inst"},{"key":"10.1016\/j.giec.2010.02.003_bib23","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1136\/gut.2003.016436","article-title":"A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow?","volume":"53","author":"Bowles","year":"2004","journal-title":"Gut"},{"key":"10.1016\/j.giec.2010.02.003_bib24","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1148\/radiology.144.2.7089276","article-title":"Perforation of the colon above the peritoneal reflection during the barium enema examination","volume":"144","author":"Han","year":"1982","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib25","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/S0009-9260(97)80108-0","article-title":"Complications of barium enema examinations: a survey of consultant radiologists 1992\u20131994","volume":"52","author":"Blakeborough","year":"1997","journal-title":"Clin Radiol"},{"key":"10.1016\/j.giec.2010.02.003_bib26","first-page":"123","article-title":"Recognition and prevention of barium enema complications","volume":"20","author":"Williams","year":"1992","journal-title":"Curr Probl Diagn Radiol"},{"key":"10.1016\/j.giec.2010.02.003_bib27","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/S0009-9260(97)80309-1","article-title":"Retention balloon catheters and barium enemas: attitudes, current practice, and relative safety in the UK","volume":"52","author":"Blakeborough","year":"1997","journal-title":"Clin Radiol"},{"issue":"22","key":"10.1016\/j.giec.2010.02.003_bib28","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1001\/archinternmed.2009.440","article-title":"Projected cancer risks from computed tomographic scans performed in the United States in 2007","volume":"169","author":"Berrington de Gonzalez","year":"2009","journal-title":"Arch Int Med"},{"issue":"1","key":"10.1016\/j.giec.2010.02.003_bib29","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1148\/radiol.2511081296","article-title":"Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults","volume":"251","author":"Sodickson","year":"2009","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib30","series-title":"Health risks from exposure to low levels of ionizing radiation: BEIR VII","author":"Committee to assess health risks from exposure to low levels of ionizing radiation","year":"2005"},{"key":"10.1016\/j.giec.2010.02.003_bib31","series-title":"The 2007 recommendations of the International Commission on Radiological Protection","author":"ICRP","year":"2007"},{"key":"10.1016\/j.giec.2010.02.003_bib32","series-title":"Radiation exposure in computed tomography","author":"Nagel","year":"2002"},{"issue":"8","key":"10.1016\/j.giec.2010.02.003_bib33","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.1007\/s00330-003-1883-y","article-title":"Radiation exposure in multi-slice versus single-slice spiral CT: results of a nationwide survey","volume":"13","author":"Brix","year":"2003","journal-title":"Eur Radiol"},{"issue":"12","key":"10.1016\/j.giec.2010.02.003_bib34","doi-asserted-by":"crossref","first-page":"1570","DOI":"10.1055\/s-2002-35937","volume":"174","author":"Stamm","year":"2002","journal-title":"Rofo"},{"key":"10.1016\/j.giec.2010.02.003_bib35","series-title":"ImPACT CT patient dosimetry calculator\u2014version 0.99x","author":"Imaging Performance Assessment of Computed Tomography Group","year":"2006"},{"key":"10.1016\/j.giec.2010.02.003_bib36","series-title":"Part II: Organ doses from computed tomographic examinations in paediatric radiology. Tomographic anthropomorphic models","author":"Zankl","year":"1993"},{"key":"10.1016\/j.giec.2010.02.003_bib37","series-title":"Part VI: Organ doses from computed tomographic examinations. The calculation of dose from external photon exposures using reference human phantoms and Monte Carlo methods","author":"Zankl","year":"1991"},{"key":"10.1016\/j.giec.2010.02.003_bib38","series-title":"Survey of CT practice in the UK. Part 3: normalised organ doses calculated using Monte Carlo techniques (1991) NRPB R250","author":"Jones","year":"1991"},{"key":"10.1016\/j.giec.2010.02.003_bib39","series-title":"Survey of CT practice in the UK. Part 2: dosimetric aspects (1991) NRPB R249","author":"Shrimpton","year":"1991"},{"key":"10.1016\/j.giec.2010.02.003_bib40","series-title":"ACR practice guideline for the performance of computed tomography (CT) colonography in adults","author":"American College of Radiology","year":"2009"},{"key":"10.1016\/j.giec.2010.02.003_bib41","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.2214\/ajr.168.5.9129408","article-title":"Reducing data size and radiation dose for CT colonography","volume":"168","author":"Hara","year":"1997","journal-title":"Am J Roentgenol"},{"key":"10.1016\/j.giec.2010.02.003_bib42","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1148\/radiol.2241011126","article-title":"CT colonography at different radiation dose levels: feasibility of dose reduction","volume":"224","author":"van Gelder","year":"2002","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib43","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1148\/radiol.2242011382","article-title":"Colorectal neoplasms: prospective comparison of thin-section low-dose multi-detector row CT colonography and conventional colonoscopy for detection","volume":"224","author":"Macari","year":"2002","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib44","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1136\/gut.2008.156448","article-title":"Comparison of CT colonography, colonoscopy, sigmoidoscopy and fecal occult blood tests for the detection of advanced adenoma in an average risk population","volume":"58","author":"Graser","year":"2009","journal-title":"Gut"},{"key":"10.1016\/j.giec.2010.02.003_bib45","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1007\/s00330-002-1704-8","article-title":"Feasibility of ultra-low-dose multislice CT colonography for the detection of colorectal lesions: preliminary experience","volume":"13","author":"Iannaccone","year":"2003","journal-title":"Eur Radiol"},{"key":"10.1016\/j.giec.2010.02.003_bib46","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1148\/radiol.2293021399","article-title":"Detection of colorectal lesions: lower-dose multi-detector row helical CT colonography compared with conventional colonoscopy","volume":"229","author":"Iannaccone","year":"2003","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib47","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1148\/radiol.2373041747","article-title":"Colorectal polyps: detection with low-dose multi-detector row helical CT colonography versus two sequential colonoscopies","volume":"237","author":"Iannaccone","year":"2005","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib48","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1148\/radiol.2263010701","article-title":"Comparison of supine, prone and both supine and prone scans in CT colonography","volume":"226","author":"Yee","year":"2003","journal-title":"Radiology"},{"key":"10.1016\/j.giec.2010.02.003_bib49","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.2214\/ajr.183.5.1831355","article-title":"Feasibility of MDCT Colonography in ultra-low-dose technique in the detection of colorectal lesions: comparison with high-resolution video colonoscopy","volume":"183","author":"Cohnen","year":"2004","journal-title":"Am J Roentgenol"},{"key":"10.1016\/j.giec.2010.02.003_bib50","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1148\/radiol.2322031069","article-title":"CT Colonography: feasibility of substantial dose reduction- comparison of medium to very low doses in identical patients","volume":"232","author":"van Gelder","year":"2004","journal-title":"Radiology"},{"issue":"10","key":"10.1016\/j.giec.2010.02.003_bib51","doi-asserted-by":"crossref","first-page":"2222","DOI":"10.1007\/s00330-008-0994-x","article-title":"Radiation dose in CT colonography\u2013trends in time and differences between daily practice and screening protocols","volume":"18","author":"Liedenbaum","year":"2008","journal-title":"Eur Radiol"},{"issue":"1","key":"10.1016\/j.giec.2010.02.003_bib52","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1148\/radiol.2481071451","article-title":"Effective doses in radiology and diagnostic nuclear medicine: a catalog","volume":"248","author":"Mettler","year":"2008","journal-title":"Radiology"},{"issue":"1","key":"10.1016\/j.giec.2010.02.003_bib53","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1667\/RR0763.1","article-title":"Solid cancer incidence in atomic bomb survivors: 1958\u20131998","volume":"168","author":"Preston","year":"2007","journal-title":"Radiat Res"},{"issue":"4462","key":"10.1016\/j.giec.2010.02.003_bib54","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1126\/science.7403879","article-title":"Estimating cancer risks from low doses of ionizing radiation","volume":"209","author":"Land","year":"1980","journal-title":"Science"},{"issue":"12","key":"10.1016\/j.giec.2010.02.003_bib55","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1056\/NEJMoa0800996","article-title":"Accuracy of CT colonography for detection of large adenomas and cancers","volume":"359","author":"Johnson","year":"2008","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.giec.2010.02.003_bib56","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.giec.2010.02.003_bib57","series-title":"Health effects of exposure to low levels of ionizing radiation: BEIR V","author":"Committee on the Biological Effects of Ionizing Radiation (BEIR V), National Research Council","year":"1990"},{"key":"10.1016\/j.giec.2010.02.003_bib58","series-title":"Sources and effects of ionizing radiation","author":"United Nations Scientific Committee on the Effects of Atomic Radiation","year":"2006"},{"issue":"1","key":"10.1016\/j.giec.2010.02.003_bib59","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1148\/radiol.2491072148","article-title":"Unsuspected extracolonic findings at screening CT colonography: clinical and economic impact","volume":"249","author":"Pickhardt","year":"2008","journal-title":"Radiology"},{"issue":"2","key":"10.1016\/j.giec.2010.02.003_bib60","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1148\/radiol.2362040166","article-title":"Extracolonic abnormalities discovered incidentally at CT colonography in a male population","volume":"236","author":"Yee","year":"2005","journal-title":"Radiology"},{"issue":"4","key":"10.1016\/j.giec.2010.02.003_bib61","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"},{"issue":"1","key":"10.1016\/j.giec.2010.02.003_bib62","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s11606-008-0835-2","article-title":"Extracolonic findings at virtual colonoscopy: an important consideration in asymptomatic colorectal cancer screening","volume":"24","author":"Kimberly","year":"2009","journal-title":"J Gen Intern Med"}],"container-title":["Gastrointestinal Endoscopy Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052515710000048?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052515710000048?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T07:14:12Z","timestamp":1760944452000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1052515710000048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,4]]},"references-count":61,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["S1052515710000048"],"URL":"https:\/\/doi.org\/10.1016\/j.giec.2010.02.003","relation":{},"ISSN":["1052-5157"],"issn-type":[{"value":"1052-5157","type":"print"}],"subject":[],"published":{"date-parts":[[2010,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"CT Colonography: Perforation Rates and Potential Radiation Risks","name":"articletitle","label":"Article Title"},{"value":"Gastrointestinal Endoscopy Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.giec.2010.02.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}