Acr White Paper Pancreatic Cyst
Article megibow2017managementoi title management of incidental pancreatic cysts.
Acr white paper pancreatic cyst. Megibow and mark e. June 2017 3 yrs before after white paper. Ings committee ifc generated its first white paper in 2010 addressing four algorithms for managing incidental pancreatic adrenal kidney and liver findings 1. These recommendations represent an update from the pancreatic component of the jacr 2010 white paper on managing incidental findings in the adrenal glands kidneys liver and pancreas.
The acr incidental findings committee ifc presents recommendations for managing pancreatic cysts that are incidentally detected on ct or mri. Estimate of cyst prevalence almost 3 5 m cysts in 137 m patients increased prevalence with age jacr. Kamel and dushyant v. The pancreatic cyst algorithm the current paper represents the first revision of the ifc s recommendations regarding incidental pancreatic cysts.
Cysts lacking these features are stratified. The pancreas subcommittee which included abdominal radiologists a. A white paper of the acr incidental findings committee. Accordance with the acr white paper on management of incidental pancreatic cysts 7.
Reducing risks to patients from additional unnecessary examinations including the risks of radiation and risks associated with. Management of incidental pancreatic cysts. The management of incidental pancreatic cysts seen on ct mri is based on the patient s age imaging features such as size and communication with the main pancreatic duct and the fact that there is a slightly higher risk of developing pancreatic cancers in some of. These recommendations represent an update from the pancreatic component of the jacr 2010 white paper on managing incidental findings in the adrenal glands kidneys liver and pancreas.
A white paper of the acr incidental findings committee author alec j. 2 4 fold difference in recommendations across rads decrease in fu recs from 23 7 to 13 5 adhered to guidance in 47 4 cases bobbin md et al. The acr incidental findings committee ifc presents recommendations for managing pancreatic cysts that are incidentally detected on ct or mri. High risk stigmata include 1 obstructive jaundice with cyst in the head of the pancreas 2 enhancing solid component within a cyst and 3 main pancreatic duct caliber 10 mm in the absence of obstruction.
Baker and desiree e. The incidental findings committee has developed through consensus a series of white papers to provide consistent management terminology and color coded flowcharts or algorithms to guide providers to action or surveillance of incidentally detected findings. These recommendations represent an update from the pancreatic component of the jacr 2010 white paper on managing incidental findings in the adrenal glands kidneys liver and pancreas. Morgan and ihab r.
Focal cystic pancreatic lesion follow up. Incidental pancreatic cyst management. Variant 1 variant 2 variant 3 variant 4 variant 5 and tables 1 and 2. Acr appropriateness criteria pancreatic cyst.