Management of Incidental Adnexal Findings on CT and MRI: A White Paper of the ACR Incidental Findings Committee |
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| Affiliation: | 1. Department of Radiology, Mayo Clinic Alix School of Medicine, Phoenix, Arizona;2. Department of Radiology, Georgetown University Medical Center, Washington, DC;3. Department of Radiology, Albert Einstein Medical Center, Philadelphia, Pennsylvania;4. Department of Radiology, University of Wisconsin School of Medicine, Madison, Wisconsin;5. Department of Radiology, University of California San Francisco, San Francisco, California;6. Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, California;7. Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama;8. Department of Radiology, Institute for Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts;9. Department of Radiology, University of Michigan Medical School, Ann Arbor, Michigan;10. Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan;1. Radiology Department, Complejo Hospitalario de Navarra, Pamplona, Spain;2. Calle Irunlarrea 3, Complejo Hospitalario de Navarra, 31008 Pamplona, Spain;3. IdiSNa (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain;1. Department of Radiology, University of California, Davis Medical Center, Sacramento, California;2. Associate Chair of Informatics, Department of Radiology, University of California, Davis Medical Center, Sacramento, California;3. Department of Public Health Sciences, University of California, Davis, California;4. Director of Body MRI, Department of Radiology, University of California, Davis Medical Center, Sacramento, California;1. Massachusetts General Hospital, Boston, Massachusetts;1. Department of Radiology, New York University Langone Medical Center, New York, New York;2. Memorial Sloan Kettering Cancer Center, New York, New York;3. Zwanger-Pesiri Radiology, Lindenhurst, New York;1. Society of Radiologists in Ultrasound Executive Board, Reston, Virginia;2. American College of Radiology Commission on Ultrasound, Reston, Virginia;3. Department of Radiology, Mayo Clinic Arizona, Phoenix, Arizona;4. Department of Radiology, Einstein Medical Center, Philadelphia, Pennsylvania;5. Department of Radiology, Stanford Medical Center, Stanford, California;6. Department of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts;7. Division Chair, Ultrasound, Department of Radiology, Mayo Clinic Arizona, Phoenix, Arizona;8. Triad Radiology Associates, Winston Salem, North Carolina;9. Chair, American College of Radiology Commission on Ultrasound, Reston, Virginia;10. Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, Texas;11. Chair, American College of Radiology Economics Committee on Ultrasound, Reston, Virginia;12. Director of Quality and Patient Safety, Department of Radiology and Biomedical Sciences, Loyola University Medical Center, Maywood, Illinois;13. Department of Radiology, Duke University Medical Center, Durham, North Carolina;14. Treasurer, North Carolina Radiological Society, Lewisville, North Carolina;15. Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada;p. Department of Radiology, Temple University Hospital, Philadelphia, Pennsylvania;q. Director of Ultrasound, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts;r. Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania;s. Section Head, Ultrasound, Department of Radiology, Ochsner Clinic Foundation, New Orleans, Louisiana;t. Department of Radiology, Medical University of South Carolina, Charleston, South Carolina;u. Crozer-Keystone Health System, Springfield, Pennsylvania;v. Chair, American College of Radiology Commission on Human Resources, Reston, Virginia;w. Director of Ultrasound, Department of Radiology, Oregon Health & Science University, Portland, Oregon;x. Department of Radiology, Johns Hopkins School of Medicine, Washington, District of Columbia;y. Chair, American College of Radiology Ultrasound Accreditation Committee, Reston, Virginia;z. Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri |
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| Abstract: | The ACR Incidental Findings Committee (IFC) presents recommendations for managing adnexal masses incidentally detected on CT and MRI. These recommendations represent an update of those provided in our previous JACR 2013 white paper. The Adnexal Subcommittee, which included six radiologists with subspecialty expertise in abdominal imaging or ultrasound and one gynecologist, developed this algorithm. The recommendations draw from published evidence and expert opinion and were finalized by iterative consensus. Algorithm branches successively categorize adnexal masses based on patient characteristics (eg, pre- versus postmenopausal) and imaging features. They terminate with a management recommendation. The algorithm addresses most, but not all, pathologies and clinical scenarios. Our goal is to improve quality of care by providing guidance on how to manage incidentally detected adnexal masses. |
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| Keywords: | Adnexal cyst CT incidental findings MRI ovarian cyst |
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