Updated Fleischner Society Guidelines for Managing Incidental Pulmonary Nodules: Common Questions and Challenging Scenarios
Updated Fleischner Society Guidelines for Managing Incidental Pulmonary Nodules: Common Questions and Challenging Scenarios
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Fleischner学会管理偶发肺结节的最新指南：常见问题和诊断方案
DOI：
10.1148/rg.2018180017
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发表时间：
2018-09-01
期刊：
影响因子：
5.5
通讯作者：
Chung, Jonathan H.
中科院分区：
文献类型：
--
作者：
Bueno, Juliana;Landeras, Luis;Chung, Jonathan H.
Fleischner Society于2017年发布的管理偶发肺结节的新指南反映了对肺癌风险因素和生物学特征的更好理解。更新后的指南中强调的具体主题包括随访的新阈值大小、结节形态特征的重要性、准确的结节测量、亚固体成分的识别、了解结节形态的间隔生长或变化以及患者风险因素的知识。更新后的指南使个人在决策过程中具有更大的灵活性，并鼓励肺结节的个性化管理。这些因素可能会给放射科医生带来新的挑战，他们以前只使用结节大小来提出管理建议。作者描述了八种情况，说明了将新指南应用于肺结节管理时可能遇到的挑战。(C)RSNA，2018
The new guidelines for managing incidental pulmonary nodules published by the Fleischner Society in 2017 reflect an improved understanding of the risk factors and biologic features of lung cancer. Specific topics emphasized in the updated guidelines include a new threshold size for follow-up, the importance of the morphologic features of nodules, accurate nodule measurements, recognition of subsolid components, understanding interval growth or change in nodule morphology, and knowledge of patient risk factors. The updated guidelines enable greater personal flexibility in the decision-making process and encourage individualized management of pulmonary nodules. These factors may introduce new challenges for radiologists, who previously used solely nodule size to make management recommendations. The authors describe eight scenarios that illustrate the challenges potentially encountered when applying the new guidelines to pulmonary nodule management. (C) RSNA, 2018