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关于ACR适当性标准® 肺结节和质量的放射管理:更新2025年

, Shenise Gilyard¹, Osmanuddin Ahmed²

¹Research Author, Emory University Hospital, Atlanta, Georgia.

Journal of the American College of Radiology : JACR

|February 21, 2026

概括

本指南提供了基于证据的建议,用于管理胸部成像中发现的肺结节和质量. 它强调组织采样可疑的结节和平衡诊断程序与潜在的风险.

科学领域:

肺部医学肺部医学
胸部成像胸部成像
在瘤学瘤学.

背景情况:

肺结节和质量是胸部成像中的常见发现.
肺癌造成的死亡率负担很大.
管理策略需要仔细考虑临床背景.

研究的目的:

为肺结节和质量管理提供基于证据的指导方针.
系统地评估各种临床场景的成像和程序选择.
为临床医生提供基于多学科专家共识的建议.

主要方法:

对同行评审文献的系统审查.
在缺乏文献的情况下,补充专家共识.
应用已建立的方法,如GRADE和RAND/UCLA适当性方法.

主要成果:

主要建议侧重于组织采样对扩大或可疑结节的作用.
重点是选择性地使用PET/CT进行表征和治疗规划.
均衡诊断产出与程序相关的风险 (如肺胸病,出血) 是至关重要的.

结论:

这些指导方针涉及稳定结节,扩大的结节,特定位置的发现,先前恶性瘤患者的结节和持续的地面玻璃不透明度.
建议指导适当使用成像 (CT,PET/CT) 和干预措施 (活检,切除,手术).
多学科专家审查确保了肺结节和质量的全面和当前的管理策略.

关键词:

的 AUC AUC 的 AUC.适宜性标准适宜性标准聚乙烯/聚乙烯/聚乙烯适当的使用标准.活组织活检肺癌是一种肺癌.肺部结节肺部结节肺部结节

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