Department of Internal Medicine, Krankenhaus Märkisch Oderland GmbH, Strausberg/Wriezen, Germany; Brandenburg Institute for Clinical Ultrasound (BICUS) at Medical University Brandenburg "Theodor Fontane", Neuruppin, Germany.
Ultrasound Section, Division of Surgery, Department of Gastroenterology, Herlev Hospital, University of Copenhagen, Herlev, Denmark.
Ultrasound Med Biol. 2022 Dec;48(12):2355-2378. doi: 10.1016/j.ultrasmedbio.2022.06.016. Epub 2022 Sep 1.
The World Federation of Ultrasound in Medicine and Biology (WFUMB) is addressing the issue of incidental findings with a series of position papers to give advice on characterization and management. The biliary system (gallbladder and biliary tree) is the third most frequent site for incidental findings. This first part of the position paper on incidental findings of the biliary system is related to general aspects, gallbladder polyps and other incidental findings of the gallbladder wall. Available evidence on prevalence, diagnostic work-up, malignancy risk, follow-up and treatment is summarized with a special focus on ultrasound techniques. Multiparametric ultrasound features of gallbladder polyps and other incidentally detected gallbladder wall pathologies are described, and their inclusion in assessment of malignancy risk and decision- making on further management is suggested.
世界医学超声联合会（WFUMB）正在通过一系列立场文件来解决偶然发现的问题，为其特征描述和管理提供建议。胆道系统（胆囊和胆道）是偶然发现的第三大常见部位。本胆道系统偶然发现立场文件的第一部分与一般方面、胆囊息肉和胆囊壁的其他偶然发现有关。本文总结了有关患病率、诊断检查、恶性风险、随访和治疗的现有证据，特别关注超声技术。描述了胆囊息肉和其他偶然发现的胆囊壁病变的多参数超声特征，并建议将其纳入恶性风险评估和进一步管理决策中。
