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Updated: Jul 16, 2026

A 3D Digital Model for the Diagnosis and Treatment of Pulmonary Nodules
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[Expert Consensus on Precision Management of Pulmonary Nodules (2026 Version)].

Juan Zhou1, Yudong Zhang2, Qinghua Zhou3

  • 1Comprehensive Diagnosis and Treatment Integration Ward for Tumors, Shanghai Pulmonary Hospital Affiliated to Tongji University, Shanghai 200082, China.

Zhongguo Fei AI Za Zhi = Chinese Journal of Lung Cancer
|July 15, 2026
PubMed
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This expert consensus offers precise management strategies for pulmonary nodules, improving lung cancer survival rates. It guides differentiated screening, AI-assisted diagnosis, and individualized treatment, reducing unnecessary interventions for better patient quality of life.

Area of Science:

  • Pulmonology
  • Oncology
  • Radiology
  • Thoracic Surgery

Background:

  • Increased pulmonary nodule detection due to advanced imaging technology.
  • Limitations of traditional "one-size-fits-all" nodule management.
  • Need for precise diagnosis and treatment strategies.

Purpose of the Study:

  • Provide scientific and practical decision-making references for clinical controversies in pulmonary nodule management.
  • Address areas less covered or with differing opinions in existing guidelines.
  • Establish an expert consensus on precise nodule management.

Main Methods:

  • Initiated by Shanghai Pulmonary Hospital experts from multiple disciplines.
  • Utilized the GRADE method for evidence assessment.
Keywords:
Expert consensusFollow-up strategyLow-dose spiral computed tomographyLung neoplasmsPrecise managementScreening

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Last Updated: Jul 16, 2026

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  • Conducted two rounds of Delphi questionnaire surveys to form recommendations.

    • Main Results:

    • Developed 18 recommendations for pulmonary nodule management.
    • Recommendations cover screening, AI-assisted diagnosis, molecular markers, and surgical strategies.
    • Focus on differentiated screening for special populations and management of multiple nodules.

    Conclusions:

    • The consensus provides supplementary guidance for precise pulmonary nodule management from screening to treatment.
    • Aims to improve long-term lung cancer patient survival rates.
    • Seeks to minimize unnecessary medical interventions and enhance patient quality of life.