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

Brian R. Herts, Stuart G. Silverman, Nicole M. Hindman, Robert G. Uzzo, Robert P. Hartman, Gary M. Israel, Deborah A. Baumgarten, Lincoln L. Berland, Pari V. Pandharipande

Research output: Contribution to journalArticlepeer-review

190 Scopus citations

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.

Original languageEnglish
Pages (from-to)264-273
Number of pages10
JournalJournal of the American College of Radiology
Volume15
Issue number2
DOIs
StatePublished - Feb 2018

Keywords

  • Advisory Committees
  • Algorithms
  • Consensus
  • Humans
  • Incidental Findings
  • Kidney Diseases/diagnostic imaging
  • Radiography, Abdominal
  • Societies, Medical
  • Tomography, X-Ray Computed

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