Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee

被引：216

作者：

Mayo-Smith, William W. ^{[1
]}

Song, Julie H. ^{[2
]}

Boland, Giles L. ^{[1
]}

Francis, Isaac R. ^{[3
]}

Israel, Gary M. ^{[4
]}

Mazzaglia, Peter J. ^{[5
]}

Berland, Lincoln L. ^{[6
]}

Pandharipande, Pari V. ^{[7
]}

机构：

[1] Brigham & Womens Hosp, Dept Radiol, One Brigham Circle,BC-3-010C-11,1620 Tremont St, Boston, MA 02115 USA

[2] Brown Univ, Warren Alpert Sch Med, Dept Radiol, Providence, RI 02912 USA

[3] Univ Michigan, Dept Radiol, Ann Arbor, MI 48109 USA

[4] Yale Univ, Sch Med, Dept Radiol & Biomed Imaging, New Haven, CT USA

[5] Brown Univ, Dept Surg, Warren Alpert Sch Med, Providence, RI 02912 USA

[6] Univ Alabama Birmingham, Dept Radiol, Birmingham, AL USA

[7] Massachusetts Gen Hosp, Dept Radiol, Boston, MA USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2017年 / 14卷 / 08期

关键词：

Adrenal nodule; incidental findings; incidentaloma;

D O I：

10.1016/j.jacr.2017.05.001

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The ACR Incidental Findings Committee presents recommendations for managing adrenal masses that are incidentally detected on CT or MRI. These recommendations represent an update to the adrenal component of the JACR 2010 white paper on managing incidental findings in the adrenal glands, kidneys, liver, and pancreas. The Adrenal Subcommittee, constituted by abdominal radiologists and an endocrine surgeon, developed this algorithm. The algorithm draws from published evidence coupled with expert subspecialist opinion and was finalized by a process of iterative consensus. Algorithm branches categorize incidental adrenal masses on the basis of patient characteristics and imaging features. For each specified combination, the algorithm concludes with characterization of benignity or indolence (sufficient to discontinue follow-up) and/or a subsequent management recommendation. The algorithm addresses many, but not all, possible pathologies and clinical scenarios. Our goal is to improve the quality of patient care by providing guidance on how to manage incidentally detected adrenal masses.

引用

页码：1038 / 1044

页数：7