Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017
Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017
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DOI：
10.1148/radiol.2017161659
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发表时间：
2017-07-01
期刊：
影响因子：
19.7
通讯作者：
Bankier, Alexander A.
中科院分区：
文献类型：
--
作者：
MacMahon, Heber;Naidich, David P.;Bankier, Alexander A.
Fleischner Society的实心结节管理指南于2005年发布，并于2013年发布了单独的亚周期结节指南。此后，新信息已获得。因此，已修改了指南，以反映当前对结节管理的思维。修订后的准则结合了几项实质性变化，这些变化反映了当前对小结节管理的思维。常规随访的最小阈值大小已增加，现在建议的随访时间间隔为一个范围，而不是确切的时间段，以使放射科医生，临床医生和患者更大的酌处权以适应个人风险因素和偏好。在一个简化的表中，已经将固体和上色结节的指南合并在一起，并且已经为多个结节提供了具体建议。这些准则代表了弗莱斯纳社会的共识，因此，它们结合了胸部放射科医生，肺科医生，外科医生，病理学家和其他专家的多学科国际群体的观点。 Fleischner Society发布的先前指南的变化是基于新数据和累积经验。 （c）RSNA，2017年
The Fleischner Society Guidelines for management of solid nodules were published in 2005, and separate guidelines for subsolid nodules were issued in 2013. Since then, new information has become available; therefore, the guidelines have been revised to reflect current thinking on nodule management. The revised guidelines incorporate several substantive changes that reflect current thinking on the management of small nodules. The minimum threshold size for routine follow-up has been increased, and recommended follow-up intervals are now given as a range rather than as a precise time period to give radiologists, clinicians, and patients greater discretion to accommodate individual risk factors and preferences. The guidelines for solid and subsolid nodules have been combined in one simplified table, and specific recommendations have been included for multiple nodules. These guidelines represent the consensus of the Fleischner Society, and as such, they incorporate the opinions of a multidisciplinary international group of thoracic radiologists, pulmonologists, surgeons, pathologists, and other specialists. Changes from the previous guidelines issued by the Fleischner Society are based on new data and accumulated experience. (C) RSNA, 2017