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J Am Coll Radiol. 2017 Jun 22. pii: S1546-1440(17)30497-0. doi: 10.1016/j.jacr.2017.04.028. [Epub ahead of print]

Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee.

Author information

1
Imaging Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: hertsb@ccf.org.
2
Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
3
Department of Radiology, NYU Medical Center, New York, New York.
4
Department of Urology, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
5
Department of Radiology, Mayo Clinic, Rochester, Minnesota.
6
Department of Radiology, Yale University Medical Center, New Haven, Connecticut.
7
Department of Radiology, Emory University Hospital, Atlanta, Georgia.
8
Department of Radiology, University of Alabama Birmingham Medical Center, Birmingham, Alabama.
9
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.

Abstract

The ACR Incidental Findings Committee (IFC) presents recommendations for renal masses that are incidentally detected on CT. These recommendations represent an update from the renal component of the JACR 2010 white paper on managing incidental findings in the adrenal glands, kidneys, liver, and pancreas. The Renal Subcommittee, consisting of six abdominal radiologists and one urologist, developed this algorithm. The recommendations draw from published evidence and expert opinion and were finalized by informal iterative consensus. Each flowchart within the algorithm describes imaging features that identify when there is a need for additional imaging, surveillance, or referral for management. Our goal is to improve quality of care by providing guidance for managing incidentally detected renal masses.

KEYWORDS:

Bosniak classification; Kidney; cyst; incidental finding; renal; small renal mass

PMID:
28651987
DOI:
10.1016/j.jacr.2017.04.028
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