Lexicon for adrenal terms at CT and MRI: a consensus of the Society of Abdominal Radiology adrenal neoplasm disease-focused panel.
Adrenal incidentaloma
Adrenal nodule
CT
Lexicon
MRI
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:
03 2023
03 2023
Historique:
received:
06
10
2022
accepted:
27
10
2022
revised:
06
10
2022
pubmed:
17
12
2022
medline:
25
2
2023
entrez:
16
12
2022
Statut:
ppublish
Résumé
Substantial variation in imaging terms used to describe the adrenal gland and adrenal findings leads to ambiguity and uncertainty in radiology reports and subsequently their understanding by referring clinicians. The purpose of this study was to develop a standardized lexicon to describe adrenal imaging findings at CT and MRI. Fourteen members of the Society of Abdominal Radiology adrenal neoplasm disease-focused panel (SAR-DFP) including one endocrine surgeon participated to develop an adrenal lexicon using a modified Delphi process to reach consensus. Five radiologists prepared a preliminary list of 35 imaging terms that was sent to the full group as an online survey (19 general imaging terms, 9 specific to CT, and 7 specific to MRI). In the first round, members voted on terms to be included and proposed definitions; subsequent two rounds were used to achieve consensus on definitions (defined as ≥ 80% agreement). Consensus for inclusion was reached on 33/35 terms with two terms excluded (anterior limb and normal adrenal size measurements). Greater than 80% consensus was reached on the definitions for 15 terms following the first round, with subsequent consensus achieved for the definitions of the remaining 18 terms following two additional rounds. No included term had remaining disagreement. Expert consensus produced a standardized lexicon for reporting adrenal findings at CT and MRI. The use of this consensus lexicon should improve radiology report clarity, standardize clinical and research terminology, and reduce uncertainty for referring providers when adrenal findings are present.
Identifiants
pubmed: 36525050
doi: 10.1007/s00261-022-03729-5
pii: 10.1007/s00261-022-03729-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
952-975Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Glazer DI, Mayo-Smith WW (2020) Management of incidental adrenal masses: an update. Abdom Radiol (NY) 45:892–900
doi: 10.1007/s00261-019-02149-2
pubmed: 31359097
Song JH, Chaudhry FS, Mayo-Smith WW (2008) 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 190:1163–1168
doi: 10.2214/AJR.07.2799
pubmed: 18430826
Kahramangil B, Kose E, Remer EM, Reynolds JP, Stein R, Rini B, Siperstein A, Berber E (2022) A Modern Assessment of Cancer Risk in Adrenal Incidentalomas: Analysis of 2219 Patients. Ann Surg 275:e238–e244
doi: 10.1097/SLA.0000000000004048
pubmed: 32541223
Corwin MT, Badawy M, Caoili EM, et al (2022) Incidental Adrenal Nodules in Patients Without Known Malignancy: Prevalence of Malignancy and Utility of Washout CT for Characterization-A Multi-institutional Study. AJR Am J Roentgenol. https://doi.org/10.2214/AJR.22.27901
doi: 10.2214/AJR.22.27901
pubmed: 35920707
Shinagare AB, Lacson R, Boland GW, Wang A, Silverman SG, Mayo-Smith WW, Khorasani R (2019) Radiologist Preferences, Agreement, and Variability in Phrases Used to Convey Diagnostic Certainty in Radiology Reports. J Am Coll Radiol 16:458–464
doi: 10.1016/j.jacr.2018.09.052
pubmed: 30584042
Lacson R, Odigie E, Wang A, Kapoor N, Shinagare A, Boland G, Khorasani R (2019) Multivariate Analysis of Radiologists’ Usage of Phrases that Convey Diagnostic Certainty. Acad Radiol 26:1229–1234
doi: 10.1016/j.acra.2018.10.017
pubmed: 30503390
Reporting and Data Systems. https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems . Accessed 9 Mar 2022
Shinagare AB, Alper DP, Hashemi SR, Chai JL, Hammer MM, Boland GW, Khorasani R (2020) Early Adoption of a Certainty Scale to Improve Diagnostic Certainty Communication. J Am Coll Radiol 17:1276–1284
doi: 10.1016/j.jacr.2020.03.033
pubmed: 32387371
Panicek DM, Hricak H (2016) How Sure Are You, Doctor? A Standardized Lexicon to Describe the Radiologist’s Level of Certainty. AJR Am J Roentgenol 207:2–3
doi: 10.2214/AJR.15.15895
pubmed: 27065212
Wibmer A, Vargas HA, Sosa R, Zheng J, Moskowitz C, Hricak H (2014) Value of a Standardized Lexicon for Reporting Levels of Diagnostic Certainty in Prostate MRI. American Journal of Roentgenology 203:W651–W657
doi: 10.2214/AJR.14.12654
pubmed: 25415731
Glazer DI, Budiawan E, Burk KS, Shinagare AB, Lacson R, Boland GW, Khorasani R (2022) Adoption of a diagnostic certainty scale in abdominal imaging: 2-year experience at an academic institution. Abdom Radiol (NY) 47:1187–1195
doi: 10.1007/s00261-021-03391-3
pubmed: 34985634
Song JH, Grand DJ, Beland MD, Chang KJ, Machan JT, Mayo-Smith WW (2013) Morphologic features of 211 adrenal masses at initial contrast-enhanced CT: can we differentiate benign from malignant lesions using imaging features alone? AJR Am J Roentgenol 201:1248–1253
doi: 10.2214/AJR.12.10302
pubmed: 24261363
Mayo-Smith WW, Song JH, Boland GL, Francis IR, Israel GM, Mazzaglia PJ, Berland LL, Pandharipande PV (2017) Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol 14:1038–1044
doi: 10.1016/j.jacr.2017.05.001
pubmed: 28651988
Expert Panel on Urological Imaging, Mody RN, Remer EM, et al (2021) ACR Appropriateness Criteria® Adrenal Mass Evaluation: 2021 Update. J Am Coll Radiol 18:S251–S267
Taylor E (2020) We Agree, Don’t We? The Delphi Method for Health Environments Research. HERD 13:11–23
doi: 10.1177/1937586719887709
pubmed: 31887097
Eubank BH, Mohtadi NG, Lafave MR, Wiley JP, Bois AJ, Boorman RS, Sheps DM (2016) Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology. BMC Med Res Methodol 16:56
doi: 10.1186/s12874-016-0165-8
pubmed: 27206853
pmcid: 4875724
Berk L, Jorm AF, Kelly CM, Dodd S, Berk M (2011) Development of guidelines for caregivers of people with bipolar disorder: a Delphi expert consensus study. Bipolar Disord 13:556–570
doi: 10.1111/j.1399-5618.2011.00942.x
pubmed: 22017224
Sun BC, Thiruganasambandamoorthy V, Cruz JD, Consortium to Standardize ED Syncope Risk Stratification Reporting (2012) Standardized reporting guidelines for emergency department syncope risk-stratification research. Acad Emerg Med 19:694–702
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42:377–381
doi: 10.1016/j.jbi.2008.08.010
pubmed: 18929686
Harris PA, Taylor R, Minor BL, et al (2019) The REDCap consortium: Building an international community of software platform partners. J Biomed Inform 95:103208
doi: 10.1016/j.jbi.2019.103208
pubmed: 31078660
pmcid: 7254481
Corwin MT, Mitchell AS, Wilson M, Campbell MJ, Fananapazir G, Loehfelm TW (2021) Accuracy of focal cystic appearance within adrenal nodules on contrast-enhanced CT to distinguish pheochromocytoma and malignant adrenal tumors from adenomas. Abdom Radiol (NY) 46:2683–2689
doi: 10.1007/s00261-020-02925-5
pubmed: 33415383
An Y-Y, Yang G-Z, Lin B, Zhang N, Hou H-T, Zhu F-M, Tian F-J, Wang J (2021) Differentiation of lipid-poor adenoma from pheochromocytoma on biphasic contrast-enhanced CT. Abdom Radiol (NY) 46:4353–4361
doi: 10.1007/s00261-021-03121-9
pubmed: 34036424
Shinagare AB, Sadowski EA, Park H, et al (2021) Ovarian cancer reporting lexicon for computed tomography (CT) and magnetic resonance (MR) imaging developed by the SAR Uterine and Ovarian Cancer Disease-Focused Panel and the ESUR Female Pelvic Imaging Working Group. Eur Radiol. https://doi.org/10.1007/s00330-021-08390-y
doi: 10.1007/s00330-021-08390-y
pubmed: 34846566
Shinagare AB, Davenport MS, Park H, et al (2021) Lexicon for renal mass terms at CT and MRI: a consensus of the society of abdominal radiology disease-focused panel on renal cell carcinoma. Abdom Radiol (NY) 46:703–722
doi: 10.1007/s00261-020-02644-x
pubmed: 32809055
Davenport MS, Hu EM, Zhang A, Shinagare AB, Smith AD, Pedrosa I, Kaffenberger SD, Silverman SG, SAR Disease-Focused Panel on RCC (2019) Standardized report template for indeterminate renal masses at CT and MRI: a collaborative product of the SAR Disease-Focused Panel on Renal Cell Carcinoma. Abdom Radiol (NY) 44:1423–1429
Young WF (2019) Diagnosis and treatment of primary aldosteronism: practical clinical perspectives. J Intern Med 285:126–148
doi: 10.1111/joim.12831
pubmed: 30255616
Kim MK, Kang KA, Park SY (2022) Clinical significance of a 10-mm cutoff size for adrenal lesions: a retrospective study with 547 non-oncologic patients undergoing adrenal computed tomography. Abdom Radiol (NY) 47:1091–1097
doi: 10.1007/s00261-021-03405-0
pubmed: 35028681
Northcutt BG, Trakhtenbroit MA, Gomez EN, Fishman EK, Johnson PT (2016) Adrenal Adenoma and Pheochromocytoma: Comparison of Multidetector CT Venous Enhancement Levels and Washout Characteristics. J Comput Assist Tomogr 40:194–200
doi: 10.1097/RCT.0000000000000343
pubmed: 26978001
Northcutt BG, Raman SP, Long C, Oshmyansky AR, Siegelman SS, Fishman EK, Johnson PT (2013) MDCT of adrenal masses: Can dual-phase enhancement patterns be used to differentiate adenoma and pheochromocytoma? AJR Am J Roentgenol 201:834–839
doi: 10.2214/AJR.12.9753
pubmed: 24059372
Mohammed MF, ElBanna KY, Ferguson D, Harris A, Khosa F (2018) Pheochromocytomas Versus Adenoma: Role of Venous Phase CT Enhancement. AJR Am J Roentgenol 210:1073–1078
doi: 10.2214/AJR.17.18472
pubmed: 29570377
Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL, Remy J (2008) Fleischner Society: glossary of terms for thoracic imaging. Radiology 246:697–722
doi: 10.1148/radiol.2462070712
pubmed: 18195376
Bancos I, Taylor AE, Chortis V, et al (2020) Urine steroid metabolomics for the differential diagnosis of adrenal incidentalomas in the EURINE-ACT study: a prospective test validation study. Lancet Diabetes Endocrinol 8:773–781
doi: 10.1016/S2213-8587(20)30218-7
pubmed: 32711725
pmcid: 7447976
Pantalone KM, Gopan T, Remer EM, et al (2010) Change in adrenal mass size as a predictor of a malignant tumor. Endocr Pract 16:577–587
doi: 10.4158/EP09351.OR
pubmed: 20150023
Corwin MT, Navarro SM, Malik DG, Loehfelm TW, Fananapazir G, Wilson M, Campbell MJ (2019) Differences in Growth Rate on CT of Adrenal Adenomas and Malignant Adrenal Nodules. AJR Am J Roentgenol 213:632–636
doi: 10.2214/AJR.19.21342
pubmed: 31039016
Vincent JM, Morrison ID, Armstrong P, Reznek RH (1994) The size of normal adrenal glands on computed tomography. Clin Radiol 49:453–455
doi: 10.1016/S0009-9260(05)81739-8
pubmed: 8088036
Caoili EM, Korobkin M, Francis IR, Cohan RH, Platt JF, Dunnick NR, Raghupathi KI (2002) Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology 222:629–633
doi: 10.1148/radiol.2223010766
pubmed: 11867777
Caoili EM, Korobkin M, Francis IR, Cohan RH, Dunnick NR (2000) Delayed enhanced CT of lipid-poor adrenal adenomas. AJR Am J Roentgenol 175:1411–1415
doi: 10.2214/ajr.175.5.1751411
pubmed: 11044054
Fujiyoshi F, Nakajo M, Fukukura Y, Tsuchimochi S (2003) Characterization of adrenal tumors by chemical shift fast low-angle shot MR imaging: comparison of four methods of quantitative evaluation. AJR Am J Roentgenol 180:1649–1657
doi: 10.2214/ajr.180.6.1801649
pubmed: 12760936