Standardizing the Reporting of Incidental, Non-Lung Cancer (Category S) Findings Identified on Lung Cancer Screening Low-Dose CT Imaging

被引:15
|
作者
Tanoue, Lynn T. [1 ]
Sather, Polly [1 ]
Cortopassi, Isabel [4 ]
Dicks, Demetrius [5 ]
Curtis, Anne [2 ]
Michaud, Gaetane [6 ]
Bader, Anna [2 ]
Gange, Christopher, Jr. [2 ]
Detterbeck, Frank [3 ]
Killam, Jonathan [7 ]
机构
[1] Yale Sch Med, Dept Internal Med, New Haven, CT 06510 USA
[2] Yale Sch Med, Dept Radiol & Biomed Imaging, New Haven, CT USA
[3] Yale Sch Med, Dept Surg, New Haven, CT USA
[4] Mayo Clin, Jacksonville, FL 32224 USA
[5] Quantum Radiol, Marietta, GA USA
[6] Univ S Florida, Tampa, FL 33620 USA
[7] North Shore Univ Hosp, Manhasset, NY USA
关键词
incidental findings; low-dose chest CT imaging; lung cancer screening; Lung-RADS; structured reporting; CORONARY-ARTERY CALCIUM; COMPUTED-TOMOGRAPHY; WHITE PAPER; TASK-FORCE; AMERICAN ASSOCIATION; THYROID-NODULES; CHEST GUIDELINE; ADRENAL MASSES; MANAGEMENT; PREVALENCE;
D O I
10.1016/j.chest.2021.12.662
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Lung cancer screening is slowly but steadily entering the realm of preventive health maintenance. Standardization of reporting of positive findings identified on screening low-dose CT (LDCT) scans, specifically lung nodules, is a key element of high-quality lung cancer screening. The American College of Radiology developed the Lung CT Screening Reporting and Data System (Lung-RADS) system for this purpose. In addition to detailed categorization of lung nodules, Lung-RADS identifies category S for other incidental findings identified on screening LDCT scans. In contrast to the highly structured reporting for nodules, category S findings are reported at the discretion of individual readers, with the potential for high variability of reporting. Incidental findings on lung cancer screening studies are common, may trigger unwarranted evaluation with potential harm and cost, and may precipitate patient distress. In response to these concerns, our multidisciplinary lung cancer screening program developed a structured system for standardized reporting of category S findings based on recommendations of the American College of Radiology and relevant specialty societies.
引用
收藏
页码:1697 / 1706
页数:10
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