ACR Lung-RADS v2022: Assessment Categories and Management Recommendations.

Lung cancer computed tomography (CT) cyst pulmonary nodule screening

Journal

Journal of the American College of Radiology : JACR
ISSN: 1558-349X
Titre abrégé: J Am Coll Radiol
Pays: United States
ID NLM: 101190326

Informations de publication

Date de publication:
09 Oct 2023
Historique:
received: 05 06 2023
revised: 08 08 2023
accepted: 21 09 2023
medline: 12 10 2023
pubmed: 12 10 2023
entrez: 11 10 2023
Statut: aheadofprint

Résumé

The American College of Radiology (ACR) created the Lung CT Screening Reporting and Data System (Lung-RADS) in 2014 to standardize the reporting and management of screen-detected pulmonary nodules. Lung-RADS was updated to version 1.1 in 2019, and revised size thresholds for non-solid nodules, added classification criteria for peri-fissural nodules, and allowed for short-interval follow-up of rapidly enlarging nodules that may be infectious in etiology. Lung-RADS v2022, released in November 2022, provides several updates including guidance on the classification and management of atypical pulmonary cysts, juxtapleural nodules, airway-centered nodules, and potentially infectious findings. This new release also provides clarification for determining nodule growth and introduces stepped management for nodules that are stable or decreasing in size. This article summarizes the current evidence and expert consensus supporting Lung-RADS v2022.

Identifiants

pubmed: 37820837
pii: S1546-1440(23)00761-5
doi: 10.1016/j.jacr.2023.09.009
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Auteurs

Ashley Elizabeth Prosper (AE)

Institution: University of California, Los Angeles Department of Radiological Sciences.

Carol C Wu (CC)

Institution: University of Texas MD Anderson Cancer Center.

Jonathan Chung (J)

Institution: University of Chicago.

Elizabeth Lee (E)

Institution: Michigan Medicine.

Brett Elicker (B)

Institution: University of California, San Francisco.

Andetta R Hunsaker (AR)

Institution: Brigham and Women's Hospital.

Milena Petranovic (M)

Institution: Massachusetts General Hospital.

Kim L Sandler (KL)

Institution: Vanderbilt University Medical Center.

Brendon Stiles (B)

Institution: Montefiore Health System, Albert Einstein College of Medicine.

Peter Mazzone (P)

Institution: Cleveland Clinic.

David Yankelevitz (D)

Institution: Icahn School of Medicine.

Denise Aberle (D)

Institution: Department of Radiological Sciences; David Geffen School of Medicine at UCLA.

Caroline Chiles (C)

Institution: Atrium Health Wake Forest.

Ella Kazerooni (E)

Institution: Michigan Medicine / University of Michigan Medical School.

Classifications MeSH