Management of incidental adrenal nodules: a survey of abdominal radiologists conducted by the Society of Abdominal Radiology Disease-Focused Panel on Adrenal Neoplasms.


Journal

Abdominal radiology (New York)
ISSN: 2366-0058
Titre abrégé: Abdom Radiol (NY)
Pays: United States
ID NLM: 101674571

Informations de publication

Date de publication:
04 2022
Historique:
received: 28 12 2021
accepted: 01 02 2022
revised: 01 02 2022
pubmed: 13 2 2022
medline: 6 4 2022
entrez: 12 2 2022
Statut: ppublish

Résumé

Adrenal incidentalomas are common findings discovered at abdominal CT and MRI, yet the most appropriate management remains controversial and guidelines vary. The Society of Abdominal Radiology (SAR) Disease-Focused Panel on Adrenal Neoplasms sought to determine the practice patterns of abdominal radiologists regarding the interpretation and management of adrenal incidentalomas. An electronic survey consisting of eleven multiple choice questions about adrenal incidentalomas was developed and distributed to the email list of current and past SAR members. The response rate was 11.8% (423/3581) and most respondents were academic radiologists (80.6%). The 2017 American College of Radiology White Paper was the most used guideline, yet the management of indeterminate adrenal incidentalomas was highly variable with no single management option reaching a majority. Hormonal evaluation and endocrinology consultation was most often rarely or never recommended. The results of the survey indicate wide variability in the interpretation of imaging findings and management recommendations for incidental adrenal nodules among surveyed radiologists. Further standardization of adrenal incidentaloma guidelines and education of radiologists is needed.

Identifiants

pubmed: 35150313
doi: 10.1007/s00261-022-03439-y
pii: 10.1007/s00261-022-03439-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1360-1368

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Michael T Corwin (MT)

Department of Radiology, University of California, Davis Medical Center, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA. mtcorwin@ucdavis.edu.

Nicola Schieda (N)

Department of Radiology, University of Ottawa, 501 Smyth Road, Box 232, Ottawa, ON, K1H 8L6, Canada.

Erick M Remer (EM)

Imaging Institute and Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, A2144195, USA.
ACR Appropriateness Criteria Gaps and Harmonization Committee, 1891 Preston White Dr, Reston, VA, 20191, USA.

Elaine M Caoili (EM)

Department of Radiology, Michigan Medicine, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.

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