Return of the pulmonary nodule: the radiologist's key role in implementing the 2015 BTS guidelines on the investigation and management of pulmonary nodules

The British Journal of Radiology
Richard N J GrahamF V Gleeson

Abstract

The British Thoracic Society has published new comprehensive guidelines for the management of pulmonary nodules. These guidelines are significantly different from those previously published, as they use two malignancy prediction calculators to better characterize the risk of malignancy. There are recommendations for a higher nodule size threshold for follow-up (≥5 mm or ≥80 mm(3)) and a reduction of the follow-up period to 1 year for solid pulmonary nodules; both of these will reduce the number of follow-up CT scans. PET-CT plays a crucial role in characterization also, with an ordinal scale being recommended for reporting. Radiologists will be the key in implementing these guidelines, and routine use of volumetric image-analysis software will be required to manage patients with pulmonary nodules correctly.

References

Mar 17, 2001·JAMA : the Journal of the American Medical Association·M K GouldD K Owens
May 30, 2002·Radiology·Helen T Winer-MuramCristopher A Meyer
Sep 10, 2002·Journal of Computer Assisted Tomography·Yasuji OshiroSadayuki Murayama
Sep 23, 2006·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Dong Ming XuRob van Klaveren
Jan 18, 2008·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·James W FletcherUNKNOWN VA SNAP Cooperative Studies Group
Apr 27, 2010·Clinical Imaging·Dorith ShahamDavid F Yankelevitz
Oct 15, 2011·American Journal of Respiratory and Critical Care Medicine·David O WilsonJoel Weissfeld
Mar 29, 2012·Radiology·Claudia I HenschkeUNKNOWN Writing Committee for the I-ELCAP Investigators
Jul 13, 2013·The European Respiratory Journal·Nanda HorewegHarry J de Koning
Feb 22, 2014·AJR. American Journal of Roentgenology·Laura EvangelistaDomenico Rubello
Jun 18, 2015·Thorax·M E J CallisterUNKNOWN British Thoracic Society Standards of Care Committee

❮ Previous
Next ❯

Citations

Nov 26, 2020·The British Journal of Radiology·Asif SaifuddinMichael Khoo
Dec 21, 2019·Journal of the American College of Radiology : JACR·Allison AaseAnne C Melzer
Feb 20, 2021·Journal of the American College of Radiology : JACR·Debra S DyerElizabeth O Kern

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.