Imaging Institute, Cleveland Clinic, Cleveland, Ohio.
Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
J Am Coll Radiol. 2018 Feb;15(2):264-273. doi: 10.1016/j.jacr.2017.04.028. Epub 2017 Jun 23.
The ACR Incidental Findings Committee (IFC) presents recommendations for renal masses that are incidentally detected on CT. These recommendations represent an update from the renal component of the JACR 2010 white paper on managing incidental findings in the adrenal glands, kidneys, liver, and pancreas. The Renal Subcommittee, consisting of six abdominal radiologists and one urologist, developed this algorithm. The recommendations draw from published evidence and expert opinion and were finalized by informal iterative consensus. Each flowchart within the algorithm describes imaging features that identify when there is a need for additional imaging, surveillance, or referral for management. Our goal is to improve quality of care by providing guidance for managing incidentally detected renal masses.
ACR 偶然发现委员会（IFC）提出了关于 CT 偶然发现肾肿块的建议。这些建议是对 JACR 2010 年关于肾上腺、肾脏、肝脏和胰腺偶然发现管理的白皮书的肾脏部分的更新。由六名腹部放射科医生和一名泌尿科医生组成的肾脏小组委员会制定了该算法。这些建议来源于已发表的证据和专家意见，并通过非正式的迭代共识最终确定。算法中的每个流程图都描述了可以确定是否需要额外的成像、监测或转诊管理的影像学特征。我们的目标是通过为管理偶然发现的肾肿块提供指导，提高医疗质量。
