Management of Incidental Adnexal Findings on CT and MRI: A White Paper of the ACR Incidental Findings Committee

被引：33

作者：

Patel, Maitray D. ^{[1
]}

Ascher, Susan M. ^{[2
]}

Horrow, Mindy M. ^{[3
]}

Pickhardt, Perry J. ^{[4
]}

Poder, Liina ^{[5
]}

Goldman, Mindy ^{[6
]}

Berland, Lincoln L. ^{[7
]}

Pandharipande, Pari, V ^{[8
]}

Maturen, Katherine E. ^{[9
,10
]}

机构：

[1] Mayo Clin, Alix Sch Med, Dept Radiol, Phoenix, AZ 85054 USA

[2] Georgetown Univ, Med Ctr, Dept Radiol, Washington, DC 20007 USA

[3] Albert Einstein Med Ctr, Dept Radiol, Philadelphia, PA 19141 USA

[4] Univ Wisconsin, Sch Med, Dept Radiol, Madison, WI USA

[5] Univ Calif San Francisco, Dept Radiol, San Francisco, CA USA

[6] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA USA

[7] Univ Alabama Birmingham, Dept Radiol, Birmingham, AL USA

[8] Massachusetts Gen Hosp, Dept Radiol, Inst Technol Assessment, Boston, MA USA

[9] Univ Michigan, Dept Radiol, Med Sch, Ann Arbor, MI 48109 USA

[10] Univ Michigan, Dept Obstet & Gynecol, Med Sch, Ann Arbor, MI 48109 USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2020年 / 17卷 / 02期

关键词：

Adnexal cyst; CT; incidental findings; MRI; ovarian cyst; OVARIAN CYSTS; COMPUTED-TOMOGRAPHY; UNENHANCED CT; MASSES; WOMEN; INDETERMINATE; PREVALENCE; ULTRASOUND; US;

D O I：

10.1016/j.jacr.2019.10.008

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

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.

引用

页码：248 / 254

页数：7

共 50 条

[1] Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 1: White Paper of the ACR Incidental Findings Committee II on Adnexal Findings
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Ascher, Susan M.
Paspulati, Raj Mohan
Shanbhogue, Alampady K.
Siegelman, Evan S.
Stein, Marjorie W.
Berland, Lincoln L.
[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2013, 10 (09) : 675 - 681
[2] Managing Incidental Findings on Abdominal CT: White Paper of the ACR Incidental Findings Committee
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[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2010, 7 (10) : 754 - 773
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[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2018, 15 (02) : 264 - 273
[5] Re: "Management of Incidental Liver Lesions on CT: A White Paper of the ACR Incidental Findings Committee"
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Harris, Robert D.
[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2018, 15 (07) : 941 - 941
[6] Management of Incidental Pituitary Findings on CT, MRI, and 18F-Fluorodeoxyglucose PET: A White Paper of the ACR Incidental Findings Committee
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[7] Management of Incidental Pancreatic Cysts: A White Paper of the ACR Incidental Findings Committee
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[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2017, 14 (07) : 911 - 923
[8] Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee
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[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2017, 14 (08) : 1038 - 1044
[9] Managing Incidental Findings on Thoracic CT: Lung Findings. A White Paper of the ACR Incidental Findings Committee
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[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2021, 18 (09) : 1267 - 1279
[10] Re: "Management of Incidental Pancreatic Cysts: A White Paper of the ACR Incidental Findings Committee"
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[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2018, 15 (04) : 591 - 591

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