ACR Appropriateness Criteria® Incidentally Detected Indeterminate Pulmonary Nodule.
J Am Coll Radiol
; 20(11S): S455-S470, 2023 11.
Article
em En
| MEDLINE
| ID: mdl-38040464
ABSTRACT
Incidental pulmonary nodules are common. Although the majority are benign, most are indeterminate for malignancy when first encountered making their management challenging. CT remains the primary imaging modality to first characterize and follow-up incidental lung nodules. This document reviews available literature on various imaging modalities and summarizes management of indeterminate pulmonary nodules detected incidentally. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
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Base de dados:
MEDLINE
Assunto principal:
Sociedades Médicas
/
Nódulos Pulmonares Múltiplos
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article