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胸部 CT 检查偶然发现的肺部结节:当前的报告和管理。

Incidental Lung Nodules on Cross-sectional Imaging: Current Reporting and Management.

机构信息

Department of Radiology, NYU Grossman School of Medicine, NYU Langone Health, Center for Biomedical Imaging, 660 First Avenue, New York, NY 10016, USA.

Department of Radiology, NYU Grossman School of Medicine, NYU Langone Health, Center for Biomedical Imaging, 660 First Avenue, New York, NY 10016, USA.

出版信息

Radiol Clin North Am. 2021 Jul;59(4):535-549. doi: 10.1016/j.rcl.2021.03.005.

DOI:10.1016/j.rcl.2021.03.005
PMID:34053604
Abstract

Pulmonary nodules are the most common incidental finding in the chest, particularly on computed tomographs that include a portion or all of the chest, and may be encountered more frequently with increasing utilization of cross-sectional imaging. Established guidelines address the reporting and management of incidental pulmonary nodules, both solid and subsolid, synthesizing nodule and patient features to distinguish benign nodules from those of potential clinical consequence. Standard nodule assessment is essential for the accurate reporting of nodule size, attenuation, and morphology, all features with varying risk implications and thus management recommendations.

摘要

肺结节是胸部最常见的偶然发现,尤其是在包括胸部一部分或全部的计算机断层扫描(CT)中,随着横断面成像的广泛应用,肺结节的检出率可能会越来越高。已有的指南涵盖了偶然发现的肺结节的报告和管理,包括实性和部分实性结节,通过综合结节和患者特征来区分良性结节和具有潜在临床意义的结节。标准的结节评估对于准确报告结节的大小、衰减和形态至关重要,这些特征具有不同的风险意义,因此也有不同的管理建议。

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