ACR Appropriateness Criteria® radiologic management of thoracic nodules and masses

Charles E. Ray*, Benjamin English, Brian S. Funaki, Charles T. Burke, Nicholas Fidelman, Mark E. Ginsburg, Thomas B. Kinney, Jon K. Kostelic, Brian E. Kouri, Jonathan M. Lorenz, Ajit V. Nair, Albert A Nemcek Jr, Charles A. Owens, Anthony G. Saleh, George Vatakencherry, Tan Lucien H. Mohammed

*Corresponding author for this work

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Pulmonary and mediastinal masses represent a wide range of pathologic processes with very different treatment options. Although advances in imaging (such as PET and high-resolution CT) help in many cases with the differential diagnosis of thoracic pathology, tissue samples are frequently needed to determine the best management for patients presenting with thoracic masses. There are many options for obtaining tissue samples, each of which has its own set of benefits and drawbacks. The purposes of this report are to present the most current evidence regarding biopsies of thoracic nodules and masses and to present the most appropriate options for select common clinical scenarios. The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)13-19
Number of pages7
JournalJournal of the American College of Radiology
Volume9
Issue number1
DOIs
StatePublished - Jan 1 2012

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Thorax
Guidelines
Expert Testimony
Pathologic Processes
Differential Diagnosis
Therapeutics
Pathology
Biopsy
Lung

Keywords

  • Appropriateness Criteria
  • biopsy
  • mediastinal mass
  • pulmonary nodule
  • thoracic mass

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Ray, C. E., English, B., Funaki, B. S., Burke, C. T., Fidelman, N., Ginsburg, M. E., ... Mohammed, T. L. H. (2012). ACR Appropriateness Criteria® radiologic management of thoracic nodules and masses. Journal of the American College of Radiology, 9(1), 13-19. https://doi.org/10.1016/j.jacr.2011.09.013
Ray, Charles E. ; English, Benjamin ; Funaki, Brian S. ; Burke, Charles T. ; Fidelman, Nicholas ; Ginsburg, Mark E. ; Kinney, Thomas B. ; Kostelic, Jon K. ; Kouri, Brian E. ; Lorenz, Jonathan M. ; Nair, Ajit V. ; Nemcek Jr, Albert A ; Owens, Charles A. ; Saleh, Anthony G. ; Vatakencherry, George ; Mohammed, Tan Lucien H. / ACR Appropriateness Criteria® radiologic management of thoracic nodules and masses. In: Journal of the American College of Radiology. 2012 ; Vol. 9, No. 1. pp. 13-19.
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abstract = "Pulmonary and mediastinal masses represent a wide range of pathologic processes with very different treatment options. Although advances in imaging (such as PET and high-resolution CT) help in many cases with the differential diagnosis of thoracic pathology, tissue samples are frequently needed to determine the best management for patients presenting with thoracic masses. There are many options for obtaining tissue samples, each of which has its own set of benefits and drawbacks. The purposes of this report are to present the most current evidence regarding biopsies of thoracic nodules and masses and to present the most appropriate options for select common clinical scenarios. The ACR Appropriateness Criteria{\circledR} are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.",
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author = "Ray, {Charles E.} and Benjamin English and Funaki, {Brian S.} and Burke, {Charles T.} and Nicholas Fidelman and Ginsburg, {Mark E.} and Kinney, {Thomas B.} and Kostelic, {Jon K.} and Kouri, {Brian E.} and Lorenz, {Jonathan M.} and Nair, {Ajit V.} and {Nemcek Jr}, {Albert A} and Owens, {Charles A.} and Saleh, {Anthony G.} and George Vatakencherry and Mohammed, {Tan Lucien H.}",
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Ray, CE, English, B, Funaki, BS, Burke, CT, Fidelman, N, Ginsburg, ME, Kinney, TB, Kostelic, JK, Kouri, BE, Lorenz, JM, Nair, AV, Nemcek Jr, AA, Owens, CA, Saleh, AG, Vatakencherry, G & Mohammed, TLH 2012, 'ACR Appropriateness Criteria® radiologic management of thoracic nodules and masses', Journal of the American College of Radiology, vol. 9, no. 1, pp. 13-19. https://doi.org/10.1016/j.jacr.2011.09.013

ACR Appropriateness Criteria® radiologic management of thoracic nodules and masses. / Ray, Charles E.; English, Benjamin; Funaki, Brian S.; Burke, Charles T.; Fidelman, Nicholas; Ginsburg, Mark E.; Kinney, Thomas B.; Kostelic, Jon K.; Kouri, Brian E.; Lorenz, Jonathan M.; Nair, Ajit V.; Nemcek Jr, Albert A; Owens, Charles A.; Saleh, Anthony G.; Vatakencherry, George; Mohammed, Tan Lucien H.

In: Journal of the American College of Radiology, Vol. 9, No. 1, 01.01.2012, p. 13-19.

Research output: Contribution to journalReview article

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T1 - ACR Appropriateness Criteria® radiologic management of thoracic nodules and masses

AU - Ray, Charles E.

AU - English, Benjamin

AU - Funaki, Brian S.

AU - Burke, Charles T.

AU - Fidelman, Nicholas

AU - Ginsburg, Mark E.

AU - Kinney, Thomas B.

AU - Kostelic, Jon K.

AU - Kouri, Brian E.

AU - Lorenz, Jonathan M.

AU - Nair, Ajit V.

AU - Nemcek Jr, Albert A

AU - Owens, Charles A.

AU - Saleh, Anthony G.

AU - Vatakencherry, George

AU - Mohammed, Tan Lucien H.

PY - 2012/1/1

Y1 - 2012/1/1

N2 - Pulmonary and mediastinal masses represent a wide range of pathologic processes with very different treatment options. Although advances in imaging (such as PET and high-resolution CT) help in many cases with the differential diagnosis of thoracic pathology, tissue samples are frequently needed to determine the best management for patients presenting with thoracic masses. There are many options for obtaining tissue samples, each of which has its own set of benefits and drawbacks. The purposes of this report are to present the most current evidence regarding biopsies of thoracic nodules and masses and to present the most appropriate options for select common clinical scenarios. The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

AB - Pulmonary and mediastinal masses represent a wide range of pathologic processes with very different treatment options. Although advances in imaging (such as PET and high-resolution CT) help in many cases with the differential diagnosis of thoracic pathology, tissue samples are frequently needed to determine the best management for patients presenting with thoracic masses. There are many options for obtaining tissue samples, each of which has its own set of benefits and drawbacks. The purposes of this report are to present the most current evidence regarding biopsies of thoracic nodules and masses and to present the most appropriate options for select common clinical scenarios. The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

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KW - mediastinal mass

KW - pulmonary nodule

KW - thoracic mass

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