R Brooke Jeffrey

Publication Details

  • Common Incidental Findings on MDCT: Survey of Radiologist Recommendations for Patient Management JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY Johnson, P. T., Horton, K. M., Megibow, A. J., Jeffrey, R. B., Fishman, E. K. 2011; 8 (11): 762-767

    Abstract:

    The aim of this study was to evaluate for agreement with respect to how radiologists report incidental findings encountered on CT.A multiple-choice survey was designed to query radiologists about how they handle 12 incidental findings on body CT, assuming the patient is a 45-year-old woman with no history of malignancy. Included were a 1-cm thyroid nodule, a 5-mm noncalcified lung nodule, coronary artery calcification, a 2-cm adrenal nodule, a 2-cm pancreatic cyst, a 1-cm enhancing liver lesion, a 2-cm high-density renal cyst, short-segment small bowel intussusception, a 1-cm splenic cyst, focal gallbladder wall calcification, and a 3-cm ovarian cyst in both a premenopausal woman and a postmenopausal woman. Choices ranged from "do not report" to advising interventional procedures tailored to the organ. Surveys were administered to body CT attending radiologists at 3 academic institutions.Twenty-seven radiologists completed the survey. The mean experience level was 15.7 years after training. Seventy percent or greater agreement on interpretation was identified for only 6 findings: recommend ultrasound for a 1-cm thyroid nodule, recommend ultrasound for a 3-cm cyst in postmenopausal woman, follow Fleischner Society recommendations for a 5-mm lung nodule, describe only coronary calcification, and describe as likely benign both short-segment small bowel intussusception and a 1-cm splenic cyst.Agreement is lacking, both across institutions and within departments, for the management of 6 commonly encountered incidental findings on body CT. Individual departments should develop internal guidelines to ensure consistent recommendations based on existing evidence.

    View details for DOI 10.1016/j.jacr.2011.05.012

    View details for Web of Science ID 000306202100008

    View details for PubMedID 22051458

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