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Updated: Sep 20, 2025
Author Spotlight: A 3D Digital Model for the Diagnosis and Treatment of Pulmonary Nodules
Published on: May 19, 2023
The ACR Learning Network Recommendations Follow-Up Improvement Collaborative: Ensuring Quality Surveillance of
Ben Wandtke1, Denes Szekeres2, Kandice Garcia Tomkins3
1University of Rochester Medical Center, Department of Imaging Sciences, Rochester, New York; Vice Chair of Quality and Safety, Department of Imaging Sciences, University of Rochester Medical Center, Rochester, New York.
This study improved incidental pulmonary nodule management by enhancing guideline adherence and follow-up imaging rates through a collaborative learning approach. Success relied on integrated interventions for better patient care.
Area of Science:
- Radiology
- Quality Improvement
- Pulmonary Medicine
Background:
- Incidental pulmonary nodules require standardized follow-up to ensure patient safety and optimal outcomes.
- The ACR Learning Network Recommendations Follow-Up Improvement Collaborative aimed to enhance care for these findings.
Purpose of the Study:
- To report findings from the initial cohorts of a collaborative focused on improving incidental pulmonary nodule follow-up.
- To assess improvements in Fleischner Society Guideline adherence and follow-up imaging completion rates.
Main Methods:
- A quality improvement initiative utilized the ACR ImPower Program, emphasizing shared learning across participating sites.
- Sites formed teams, set goals, benchmarked performance, identified barriers, and implemented tailored interventions.
Main Results:
- Seven diverse sites participated, showing variable success. Guideline adherence improved from 62.3% to 89.0%.
- Recommended follow-up imaging rates increased from 41.4% to 61.1% across all sites.
Conclusions:
- A longitudinal, shared learning model achieved notable improvements in managing incidental pulmonary nodules.
- Effective sites combined tracking systems and care coordination, suggesting a synergistic approach is superior.
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