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With the recent publication of international computed tomography (CT) colonography standards, which aim to improve quality of examinations, this review informs radiologists about the significance of flat polyps (adenomas and hyperplastic polyps) in colorectal cancer pathways. We describe flat polyp classification systems and propose how flat polyps should be reported to ensure patient management strategies are based on polyp morphology as well as size. Indeed, consistency when describing flat polyps is of increasing importance given the strengthening links between CT colonography and endoscopy.

Original publication




Journal article


Clin Radiol

Publication Date





958 - 966


Adenomatous Polyps, Colonic Polyps, Colonography, Computed Tomographic, Colonoscopy, Colorectal Neoplasms, Humans, Practice Guidelines as Topic, Radiology