Small pulmonary nodule management: a survey of the members of the Society of Thoracic Radiology with comparison to the Fleischner Society guidelines

Journal of Thoracic Imaging
Ali EsmailiTan-Lucien H Mohammed

Abstract

We surveyed the members of the Society of Thoracic Radiology regarding their interpretation of and management decision for small pulmonary nodules on computed tomography. We then compared their responses with the published guidelines set forth by the Fleischner Society. A survey consisting of 13 case scenarios in which small pulmonary nodules were encountered on computed tomography examination was electronically mailed to 625 members of the Society of Thoracic Radiology. Statistical analysis was performed to determine associations between responses, years of experience, location in an endemic region of granulomatous disease, and setting of practice. To assess the relationship between recommendation (defined as appropriate or not appropriate based on the Fleischner Society guidelines) and the characteristics of the radiologist, univariate analyses were first carried out. Characteristics with evidence of association with recommendation (defined as P<0.10) were included in the multiple-variable analysis. Multiple-variable logistic regression was used to assess the simultaneous effects of reader characteristics on recommendation. A backward selection process was used applying a significance level of 0.05. This analysis was carried ...Continue Reading

Citations

May 2, 2013·Journal of the American College of Radiology : JACR·Jeffrey D RobinsonMark D Hiatt
Apr 2, 2013·Journal of the American College of Radiology : JACR·Ronald L Eisenberg
Jul 4, 2012·Journal of the American College of Radiology : JACR·Ronilda LacsonUNKNOWN Fleischner Society
Dec 16, 2011·Clinical Radiology·A S McQueen, J Scott
Nov 5, 2011·Journal of the American College of Radiology : JACR·Pamela T JohnsonElliot K Fishman
May 6, 2016·Annals of the American Thoracic Society·Erika M MosesonChristopher G Slatore
Jul 17, 2012·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Fatih AlperMetin Akgun
Apr 25, 2017·Journal of the American College of Radiology : JACR·Jonathan ShelverKathryn Rice
Jun 15, 2012·Journal of Thoracic Imaging·Arjun NairAnand Devaraj
Jun 15, 2012·Journal of Thoracic Imaging·Douglas E Wood
Oct 12, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Leonard Berlin
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