根据ACR适当性标准®,偶然检测到不确定的肺结节
, Maria D Martin1, Travis S Henry2
1University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Journal of the American College of Radiology : JACR
|December 1, 2023
概括
管理偶然的肺结节是具有挑战性的,因为大多数是不确定的. 本综述总结了当前的文献和指导方针,用于这些常见的肺部发现的特征和后续行动.
科学领域:
- 放射学 放射学是指放射学
- 肺部病理学 肺部病理学
- 医疗成像医学成像
背景情况:
- 经常检测到偶然的肺结节.
- 大多数结节都是良性的,但对恶性瘤是不确定的,这给管理带来了挑战.
- 计算机断层扫描 (CT) 是表征和随访的主要成像工具.
研究的目的:
- 审查偶发性肺结节的成像方法.
- 总结不确定的肺结节的管理策略.
- 为临床实践提供基于证据的指南.
主要方法:
- 对同行评审文献的系统审查.
- 美国放射学学院适当性标准的分析.
- 建议评估,开发和评价 (GRADE) 方法的分级的应用.
- 在临床场景中使用RAND/UCLA适宜性方法.
主要成果:
- CT是特征和监测偶然肺结节的基石.
- 准则为管理不确定的节点提供了一个框架.
- 在文献有限的情况下,专家意见补充了证据.
结论:
- 偶发性肺结节的有效管理依赖于适当的成像和遵循指导方针.
- 多学科的专家审查确保了基于证据的强有力的建议.
- 标准化的方法提高了临床指南的可靠性.
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