在肺癌查CT上偶然检测到上腺节
Aparna Singh1, Mark M Hammer1, Suzanne C Byrne1
1Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Journal of the American College of Radiology : JACR
|March 5, 2025
概括
在肺癌查 (LCS) CT中遵守美国放射学学院 (ACR) 关于偶然上腺病变的指南是不理想的. 发生了不必要的和错过的后续推,生物化学测试很少被建议.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 偶然的上腺病变经常在肺癌查 (LCS) CT 扫描中检测到.
- 这些病变的管理应遵循既定的指导方针,例如美国放射学学院 (ACR) 的指导方针.
- 遵守这些指导方针可以确保适当的患者护理和资源利用.
研究的目的:
- 评估遵守ACR建议,以管理在LCSCT检查期间发现的偶然上腺病变.
- 为了确定后续成像和生化测试建议和性能中的差异.
主要方法:
- 从2015年1月到2023年8月的LCSCT考试的回顾性分析.
- 包括CTs与肺-RADS"S"修饰器用于上腺病变.
- 根据ACR指南对推与执行后续成像和生物化学测试的评估.
主要成果:
- 在191名上腺节块患者中,只有64%需要按照ACR进行随访的患者获得了建议.
- 根据ACR,16%不需要随访的患者仍然接受了建议.
- 生物化学测试仅在2%的患者中被推,尽管根据ACR指导方针,96%的患者有必要进行生物化学测试.
- 没有诊断出恶性病变.
结论:
- 在LCSCTs上对偶然上腺病变的ACR建议的遵守率低于最佳.
- 观察到不必要的和缺失的后续建议.
- 生物化学测试建议显著缺失,突出了管理方面的重大差距.
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