Megibow Alec J, Baker Mark E, Morgan Desiree E, Kamel Ihab R, Sahani Dushyant V, Newman Elliot, Brugge William R, Berland Lincoln L, Pandharipande Pari V
Department of Radiology, NYU-Langone Medical Center, New York, New York.
Department of Radiology, Cleveland Clinic, Cleveland, Ohio.
J Am Coll Radiol. 2017 Jul;14(7):911-923. doi: 10.1016/j.jacr.2017.03.010. Epub 2017 May 19.
The ACR Incidental Findings Committee (IFC) presents recommendations for managing pancreatic cysts that are incidentally detected on CT or MRI. These recommendations represent an update from the pancreatic component of the JACR 2010 white paper on managing incidental findings in the adrenal glands, kidneys, liver, and pancreas. The Pancreas Subcommittee-which included abdominal radiologists, a gastroenterologist, and a pancreatic surgeon-developed this algorithm. The recommendations draw from published evidence and expert opinion, and were finalized by informal iterative consensus. Algorithm branches successively categorize pancreatic cysts based on patient characteristics and imaging features. They terminate with an ascertainment of benignity and/or indolence (sufficient to discontinue follow-up), or a management recommendation. The algorithm addresses most, but not all, pathologies and clinical scenarios. Our goal is to improve quality of care by providing guidance on how to manage incidentally detected pancreatic cysts.
美国放射学会偶然发现委员会（IFC）针对CT或MRI检查时偶然发现的胰腺囊肿提出了管理建议。这些建议是对《美国放射学会杂志》2010年关于肾上腺、肾脏、肝脏和胰腺偶然发现管理的白皮书胰腺部分内容的更新。胰腺小组委员会（成员包括腹部放射科医生、胃肠病学家和胰腺外科医生）制定了此算法。这些建议借鉴了已发表的证据和专家意见，并通过非正式的反复协商一致最终确定。算法分支根据患者特征和影像特征对胰腺囊肿进行连续分类。它们以确定囊肿的良性和/或惰性（足以停止随访）或提出管理建议而结束。该算法涵盖了大多数但并非所有的病理情况和临床场景。我们的目标是通过提供关于如何管理偶然发现的胰腺囊肿的指导来提高医疗质量。
