Patel Maitray D, Ascher Susan M, Horrow Mindy M, Pickhardt Perry J, Poder Liina, Goldman Mindy, Berland Lincoln L, Pandharipande Pari V, Maturen Katherine E
Department of Radiology, Mayo Clinic Alix School of Medicine, Phoenix, Arizona.
Department of Radiology, Georgetown University Medical Center, Washington, DC.
J Am Coll Radiol. 2020 Feb;17(2):248-254. doi: 10.1016/j.jacr.2019.10.008. Epub 2019 Nov 30.
The ACR Incidental Findings Committee (IFC) presents recommendations for managing adnexal masses incidentally detected on CT and MRI. These recommendations represent an update of those provided in our previous JACR 2013 white paper. The Adnexal Subcommittee, which included six radiologists with subspecialty expertise in abdominal imaging or ultrasound and one gynecologist, developed this algorithm. The recommendations draw from published evidence and expert opinion and were finalized by iterative consensus. Algorithm branches successively categorize adnexal masses based on patient characteristics (eg, pre- versus postmenopausal) and imaging features. They terminate with 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 adnexal masses.
美国放射学会偶然发现委员会（IFC）提出了关于处理CT和MRI检查时偶然发现的附件包块的建议。这些建议是对我们之前在2013年《美国放射学会杂志》白皮书里所提供建议的更新。附件小组委员会由六位在腹部成像或超声方面具有亚专业专长的放射科医生和一位妇科医生组成，制定了此算法。这些建议借鉴了已发表的证据和专家意见，并通过反复协商达成共识而最终确定。算法分支根据患者特征（如绝经前与绝经后）和影像学特征对附件包块进行连续分类。它们以管理建议作为终结。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处理偶然发现的附件包块的指导来提高医疗质量。
