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J Am Coll Radiol. 2016 Jul;13(7):764-7. doi: 10.1016/j.jacr.2016.03.017. Epub 2016 May 5.

Rethinking Normal: Benefits and Risks of Not Reporting Harmless Incidental Findings.

Author information

1
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts; Institute for Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: pari@mgh-ita.org.
2
Department of Radiology, Cleveland Clinic, Cleveland, Ohio.
3
Department of Radiology, NorthShore University Health System, Evanston, Illinois.
4
Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
5
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts; Institute for Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts.
6
Department of Radiology, New York University Langone Medical Center, New York, New York.
7
Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

Abstract

The authors explore the benefits and risks of not reporting imaging findings that do not have clinical relevance, with the goal of developing recommendations to reduce their reporting. The authors review the example of incidentally detected, simple renal cysts (Bosniak category I), including medicolegal conditions required for such a shift in reporting practices to be acceptable. The authors propose four potential criteria for not reporting clinically unimportant findings and recommend that these criteria be debated in other contexts, so that they can be refined and implemented.

KEYWORDS:

Incidental finding; health policy; medical decision making

PMID:
27162042
DOI:
10.1016/j.jacr.2016.03.017
[Indexed for MEDLINE]

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