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Grand Rounds 03/13/13 @ BID-Needham - Bettina Siewert, MD  

Managing Incidental Findings on Body CT
Last Updated: Aug 12, 2014 URL: http://bidmc.libguides.com/Siewert Print Guide RSS Updates
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Speaker: Date: Topic

Bettina Siewert, MD

Mar 13, 2013

Managing Incidental Findings on Body CT

      

    Obtaining the Powerpoint Presentation

    Contact Lauren Oliva at loliva@bidneedham.org

        

      Responsibility for Content

      The main points and articles links were sent by the Medical Library and the CME Committee.

      Diane E. Young, Information Specialist

      dyoung3@bidmc.harvard.edu

       

          

        Take-Away Points of the Lecture

        1.  Incidental findings less than 1 cm in size rarely need further evaluation.

        2.  Follow-up differs depending upon patient's risk at having a significant lesion and life expectancy.

         

            

          Links To Articles Cited in the Presentation

          1.  Berland LL et al: Managing incidental findings on abdominal CT: white paper of the ACR incidental findings committee. J Am Coll Radiol 2010 Oct;7(10):754-73. SEE PDF ATTACHED AT END OF LIST.

           

          2.  Lumbreras B et al: Incidental findings in imaging diagnostic tests: a systematic review. Br J Radiol 2010 Apr;83(988):276-89.

           http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3473456/pdf/bjr-83-276.pdf

           

          3.  Wilhelm SM et al: Evaluation and management of incidental thyroid nodules in patients with another primary malignancy. Surgery 2007 Oct;142(4):581-6. SEE PDF ATTACHED AT END OF LIST.

           

          4.  Frates MC et al: Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement. Radiology 2005 Dec;

          237(3):794-800.   http://radiology.rsna.org/content/237/3/794.full.pdf+html

           

          5.  MacMahon H et al: Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 2005 Nov;237(2):395-400.   http://radiology.rsna.org/content/237/2/395.full.pdf+html

           

          6.  Jones EC et al: The frequency and significance of small (less than or equal to 15mm) hepatic lesions detected by CT. AJR Am J Roentgenol 1992 Mar;158(3):535-9.   http://www.ajronline.org.ezp-prod1.hul.harvard.edu/doi/pdf/10.2214/ajr.158.3.1738990

           

          7.  Schwartz LH et al: Prevalence and importance of small hepatic lesions found at CT in patients with cancer. Radiology 1999 Jan;210(1):71-74.

          http://radiology.rsna.org/content/210/1/71.full.pdf+html

           

          8.  Mueller GC et al: Effectiveness of MR imaging in characterizing small hepatic lesions: routine versus expert interpretation. AJR Am J Roentgenol 2003 Mar;180(3):673-80.    http://www.ajronline.org.ezp-prod1.hul.harvard.edu/doi/pdf/10.2214/ajr.180.3.1800673

           

          9.  Tanno S et al: Natural history of branch duct intraductal papillary-mucinous neoplasms of the pancreas without mural nodules: long-term follow-up results. Gut 2008 Mar;57(3):339-43.     http://gut.bmj.com/content/57/3/339.full.pdf+html

           

          10.  Dewhurst CE & Mortele KJ: Cystic tumors of the pancreas: imaging and management. Radiol Clin North Am 2012 May;50(3):467-86.  SEE PDF ATTACHED AT END OF LIST.

           

          11.  Song JH et al: The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol 2008 May;190(5):1163-8.   http://www.ajronline.org.ezp-prod1.hul.harvard.edu/doi/pdf/10.2214/AJR.07.2799

           

          12.  Boland GW et al: Incidental adrenal lesions: principles, techniques, and algorithms for imaging characterization. Radiology 2008 Dec;249(3):756-75.

          http://radiology.rsna.org/content/249/3/756.full.pdf+html

           

          13.  Israel GM et al: Evaluation of cystic renal masses: comparison of CT and MR imaging by using the Bosniak classification system. Radiology 2004 May;231(2):365-71.   http://radiology.rsna.org/content/231/2/365.full.pdf+html

           

          14.  Iyer VR & Lee SI: MRI, CT, and PET/CT for ovarian cancer detection and adnexal lesion characterization. AJR Am J Roentgenol 2010 Feb;194(2):311-21.

          http://www.ajronline.org.ezp-prod1.hul.harvard.edu/doi/pdf/10.2214/AJR.09.3522

           

          15.  Koh DM et al: Cross-sectional imaging of nodal metastases in the abdomen and pelvis. Abdom Imaging 2006 Nov-Dec;31(6):632-43.

          http://download.springer.com.ezp-prod1.hul.harvard.edu/static/pdf/260/art%253A10.1007%252Fs00261-006-9022-2.pdf?auth66=1364656392_4d9db5a5e8fc5756feec2e32adcf1afb&ext=.pdf

              

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