Managing Incidental Findings on Thoracic CT: Mediastinal and Cardiovascular Findings. A White Paper of the ACR Incidental Findings Committee

被引：120

作者：

Munden, Reginald F. ^{[1
]}

Carter, Brett W. ^{[2
]}

Chiles, Caroline ^{[3
]}

MacMahon, Heber ^{[4
]}

Black, William C. ^{[5
,6
]}

Ko, Jane P. ^{[7
]}

McAdams, H. Page ^{[8
]}

Rossi, Santiago E. ^{[9
]}

Leung, Ann N. ^{[10
]}

Boiselle, Phillip M. ^{[11
]}

Kent, Michael S. ^{[12
]}

Brown, Kathleen ^{[13
]}

Dyer, Debra S. ^{[14
]}

Hartman, Thomas E. ^{[15
]}

Goodman, Eric M. ^{[16
]}

Naidich, David P. ^{[17
]}

Kazerooni, Ella A. ^{[18
]}

Berland, Lincoln L. ^{[19
]}

Pandharipande, Pith V. ^{[20
]}

机构：

[1] Wake Forest Sch Med, Dept Radiol, Med Ctr Blvd, Winston Salem, NC 27157 USA

[2] Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA

[3] Wake Forest Univ, Hlth Sci Ctr, Winston Salem, NC 27109 USA

[4] Univ Chicago, Chicago, IL 60637 USA

[5] Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA

[6] Geisel Sch Med Dartmouth, Lebanon, NH USA

[7] NYU Langone Hlth, New York, NY USA

[8] Duke Univ, Durham, NC USA

[9] Ctr Rossi, Buenos Aires, DF, Argentina

[10] Stanford Univ, Med Ctr, Stanford, CA 94305 USA

[11] Florida Atlantic Univ, Charles E Schmidt Coll Med, Boca Raton, FL 33431 USA

[12] Beth Israel Deaconess Med Ctr, Div Thorac Surg & Intervent Pulmonol, Boston, MA 02215 USA

[13] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[14] Natl Jewish Hlth, Denver, CO USA

[15] Mayo Clin, Rochester, MN USA

[16] Hofstra Northwell, Donald & Barbara Zucker Sch Med, Manhasset, NY USA

[17] NYU Langone Med Ctr, New York, NY USA

[18] Univ Michigan, Sch Med, Ann Arbor, MI USA

[19] Univ Alabama Birmingham, Birmingham, AL USA

[20] Massachusetts Gen Hosp, Boston, MA 02114 USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2018年 / 15卷 / 08期

关键词：

Mediastinal lymph nodes; coronary artery calcification; incidental finding; mediastinum; cardiovascular; CORONARY-ARTERY CALCIUM; BEAM COMPUTED-TOMOGRAPHY; LYMPH-NODE ENLARGEMENT; CHEST CT; PULMONARY-ARTERY; PERICARDIAL-EFFUSION; STUMP THROMBOSIS; LUNG-CANCER; ONCOLOGY PATIENTS; AORTIC-ANEURYSMS;

D O I：

10.1016/j.jacr.2018.04.029

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 incidentally detected mediastinal and cardiovascular findings found on CT. The Chest Subcommittee was composed of thoracic radiologists who developed the provided guidance. These recommendations represent a combination of current published evidence and expert opinion and were finalized by informal iterative consensus. The recommendations address the most commonly encountered mediastinal and cardiovascular incidental findings and are not intended to be a comprehensive review of all incidental findings associated with these compartments. Our goal is to improve the quality of care by providing guidance on how to manage incidentally detected thoracic findings.

引用

页码：1087 / 1096

页数：10

共 81 条

[1] Sex Difference in Normal Thymic Appearance in Adults 20-30 Years of Age [J].

Ackman, Jeanne B. ;

Kovacina, Bojan ;

Carter, Brett W. ;

Wu, Carol C. ;

Sharma, Amita ;

Shepard, Jo-Anne O. ;

Halpern, Elkan F. .

RADIOLOGY, 2013, 268 (01) :245-253

[2] MRI of the Thymus [J].

Ackman, Jeanne B. ;

Wu, Carol C. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2011, 197 (01) :W15-W20

[3] QUANTIFICATION OF CORONARY-ARTERY CALCIUM USING ULTRAFAST COMPUTED-TOMOGRAPHY [J].

AGATSTON, AS ;

JANOWITZ, WR ;

HILDNER, FJ ;

ZUSMER, NR ;

VIAMONTE, M ;

DETRANO, R .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1990, 15 (04) :827-832

[4]

[Anonymous], 2002, ANN THORAC SURG

[5] Anterior mediastinal masses in the Framingham Heart Study: Prevalence and CT image characteristics [J].

Araki, Tetsuro ;

Nishino, Mizuki ;

Gao, Wei ;

Dupuis, Josee ;

Washko, George R. ;

Hunninghake, Gary M. ;

Murakami, Takamichi ;

O'Connor, George T. ;

Hatabu, Hiroto .

EUROPEAN JOURNAL OF RADIOLOGY OPEN, 2015, 2 :26-31

[6] Pericardial Effusion After Cardiac Surgery: Risk Factors, Patient Profiles, and Contemporary Management [J].

Ashikhmina, Elena A. ;

Schaff, Hartzell V. ;

Sinak, Lawrence J. ;

Li, Zhuo ;

Dearani, Joseph A. ;

Suri, Rakesh M. ;

Park, Soon J. ;

Orszulak, Thomas A. ;

Sundt, Thoralf M., III .

ANNALS OF THORACIC SURGERY, 2010, 89 (01) :112-118

[7]

Ashley E.A., 2004, Cardiology explained

[8] Thoracic lymph node enlargement in usual interstitial pneumonitis and nonspecific-interstitial pneumonitis - Prevalence, correlation with disease activity and temporal evolution [J].

Attili, Anil K. ;

Kazerooni, Ella A. ;

Gross, Barry H. ;

Flaherty, Kevin R. ;

Martinez, Fernando J. .

JOURNAL OF THORACIC IMAGING, 2006, 21 (04) :288-292

[9] Post-Lobectomy Pulmonary Artery Stump Thrombosis: How Dangerous Is It? [J].

Barbetakis, Nikolaos ;

Asteriou, Christos ;

Kleontas, Athanassios .

ANNALS OF THORACIC SURGERY, 2011, 91 (03) :E44-E44

[10]

Benveniste MFK, 2011, RADIOGRAPHICS, V31, P1863, DOI 10.1148/Radiographics.31.7.3171863

← 1 2 3 4 5 6 7 8 9 →