横断面影像学偶然发现的当前管理综述：使用哪些指南、如何遵循这些指南以及管理和医疗法律方面的考虑。

General Review on the Current Management of Incidental Findings on Cross-Sectional Imaging: What Guidelines to Use, How to Follow Them, and Management and Medical-Legal Considerations.

机构信息

Department of Radiology, McMaster University, 1280 Main St W, Hamilton, ON L8S 4L8, Canada.

出版信息

Radiol Clin North Am. 2021 Jul;59(4):501-509. doi: 10.1016/j.rcl.2021.03.002.

DOI:10.1016/j.rcl.2021.03.002

Abstract

"Incidentalomas" are a common part of daily practice for radiologists, and knowledge of appropriate management guidelines is important in ensuring that no potentially clinically relevant findings are missed or are lost to follow-up in asymptomatic patients. Incidental findings of the brain, spine, thyroid, lungs, breasts, liver, adrenals, spleen, pancreas, kidneys, bowel, and ovaries are discussed, including where to find guidelines for management recommendations, how to follow them, and medical-legal considerations.

摘要

“偶然发现的病变”是放射科医生日常工作中的常见部分，了解适当的管理指南对于确保不会错过任何潜在的临床相关发现，以及对于无症状患者不会错失或遗漏随访非常重要。本文讨论了脑、脊柱、甲状腺、肺、乳腺、肝、肾上腺、脾、胰腺、肾、肠和卵巢等部位偶然发现的病变，包括在哪里可以找到管理建议的指南、如何遵循这些指南以及医学法律方面的考虑。