Management of Incidental Lung Nodules: Current Strategy and

Radiol. Clin. North Am. · May 2018

Review

Management of Incidental Lung Nodules: Current Strategy and Rationale.

Incidentally detected lung nodules are increasingly common in routine diagnostic computed tomography (CT) imaging. Formal management recommendations for incidental nodules, such as those outlined by the Fleischner Society, must therefore reflect a balance of malignancy risk and the clinical context in which nodules are discovered. Nodule size, attenuation, morphology, and location all influence the likelihood of malignancy and, thus, the necessity and timing of follow-up according to current Fleischner recommendations. As technological advancements in CT imaging continue, there may be greater reliance on advanced computerized analysis of lung nodule features to help determine the risk of clinically significant disease.

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- Jeffrey B Alpert and Jane P Ko.
- Department of Radiology, Thoracic Imaging, NYU Langone Health, 660 First Avenue, 7th Floor, New York, NY 10016, USA. Electronic address: jeffrey.alpert@nyumc.org.
- Radiol. Clin. North Am. 2018 May 1; 56 (3): 339-351.
AbstractIncidentally detected lung nodules are increasingly common in routine diagnostic computed tomography (CT) imaging. Formal management recommendations for incidental nodules, such as those outlined by the Fleischner Society, must therefore reflect a balance of malignancy risk and the clinical context in which nodules are discovered. Nodule size, attenuation, morphology, and location all influence the likelihood of malignancy and, thus, the necessity and timing of follow-up according to current Fleischner recommendations. As technological advancements in CT imaging continue, there may be greater reliance on advanced computerized analysis of lung nodule features to help determine the risk of clinically significant disease.Copyright © 2018 Elsevier Inc. All rights reserved.

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Management of Incidental Lung Nodules: Current Strategy and Rationale.

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