Recommendations for the Management of Incidental Hepatobiliary Findings in Adults: Endorsement and Adaptation of the 2017 and 2013 ACR Incidental Findings Committee White Papers by the Canadian Association of Radiologists Incidental Findings Working Group

被引:28
作者
Bird, Jeffery R. [1 ]
Brahm, Gary L. [2 ]
Fung, Christopher [3 ]
Sebastian, Sunit [4 ]
Kirkpatrick, Iain D. C. [5 ]
机构
[1] Univ Saskatchewan, Dept Med Imaging, Saskatoon, SK, Canada
[2] Western Univ, Schulich Sch Med & Dent, Dept Med Imaging, London, ON, Canada
[3] Univ Alberta, Dept Radiol & Diagnost Imaging, Edmonton, AB, Canada
[4] Baylor Coll Med, Dept Radiol, Houston, TX 77030 USA
[5] Univ Manitoba, Dept Diagnost Radiol, Winnipeg, MB, Canada
来源
CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES | 2020年 / 71卷 / 04期
关键词
incidental findings; hepatic; biliary; hepatobiliary; management; CONTRAST-ENHANCED CT; HYPOATTENUATING HEPATIC-LESIONS; EXTRAHEPATIC BILE-DUCTS; FOCAL LIVER-LESIONS; DUAL-ENERGY CT; FOLLOW-UP; HEPATOCELLULAR-CARCINOMA; GALLBLADDER POLYPS; PORCELAIN GALLBLADDER; DIAGNOSTIC-ACCURACY;
D O I
10.1177/0846537120928349
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 Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2020 Canadian guidelines for the management of hepatobiliary incidental findings. Topics covered include initial assessment of hepatic steatosis and cirrhosis, the workup of incidental liver masses identified on ultrasound and computed tomography (with algorithms presented), incidental gallbladder findings (wall thickening, calcification, and polyps), and management of incidental biliary dilatation.
引用
收藏
页码:437 / 447
页数:11
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