Cristiano Rampinelli1, Giuseppe Cicchetti2, Giancarlo Cortese3, Roberta Polverosi4, Alessandra Farchione5, Roberto Iezzi2, Chiara Romei6, Adele Valentini7, Giampaolo Gavelli8, Maurizio Zompatori9, Lorenzo Bonomo2, Nicola Sverzellati10, Carmelo Privitera11, Anna Rita Larici2. 1. Dipartimento di Immagini e Scienze Radiologiche, IEO, Istituto Europeo di Oncologia IRCCS, Milano, Via Giuseppe Ripamonti 435, 20141, Milan, Italy. cristiano.rampinelli@ieo.it. 2. Dipartimento di Diagnostica per Immagini, Radioterapia oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS - Università Cattolica del Sacro Cuore, Largo Agostino Gemelli 8, Largo Francesco Vito 1, 00168, Rome, Italy. 3. Servizio di Radiologia, Ospedale Maria Vittoria - ASL Città di Torino, Via Cibrario 72, 10143, Turin, Italy. 4. Affidea-IDA Padova, Via Cavazzana 19, 35123, Padua, Italy. 5. Dipartimento di Diagnostica per Immagini, Radioterapia oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy. 6. Dipartimento Diagnostica e Immagini, U.O. Radiodiagnostica 2, Azienda Ospedaliero Universitaria Pisana, Via Roma 67, 56126, Pisa, Italy. 7. Dipartimento di Radiologia/Diagnostica per Immagini, Istituto di Radiologia, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100, Pavia, Italy. 8. Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) Srl - IRCCS, Via Piero Maroncelli 40, 47014, Meldola, FC, Italy. 9. Dipartimento di Diagnostica per Immagini, Ospedale San Giuseppe, IRCCS Multimedica, Via San Vittore 12, 20123, Milan, Italy. 10. Unità Operativa Complessa di 'Scienze Radiologiche', Dipartimento di Medicina e Chirurgia, Università di Parma - Azienda Ospedaliero-Universitaria di Parma, Padiglione Barbieri, Via A. Gramsci 14, 43126, Parma, Italy. 11. P.O. Vittorio Emanuele, Radiodiagnostica, Azienda Ospedaliero - Universitaria "Policlinico - Vittorio Emanuele", Via Plebiscito, 628, 95124, Catania, Italy.
Abstract
OBJECTIVES: The aim of this study is to present the results of the Italian survey on the management of pulmonary nodules incidentally identified at computed tomography (CT). MATERIALS AND METHODS: An online electronic survey, consisting of 23 multiple-choice questions, was created using the SurveyMonkey web-based tool. The questionnaire was developed by the Board of the Italian College of Chest Radiology of the Italian Society of Medical and Interventional Radiology (SIRM) and by an experienced group of Italian Academic Chest Radiologists. The link to the online electronic survey was submitted by email to all the SIRM members. RESULTS: A total of 767 radiologists, corresponding to 7.5% of all the SIRM members, participated in the online survey. The majority of participants (92%) routinely describe the attenuation of pulmonary nodules in the report, and 84.1% recommend the further follow-up, with 92.7% of respondents taking CT nodule morphological features into consideration. The 57.7% of participants adhere to the Fleischner Society guidelines for the management of incidental pulmonary nodules. However, 56.6% and 75.6% of respondents have a more cautious approach than that recommended by the guidelines and tend to use a shorter follow-up for both solid and ground-glass nodules, respectively. Finally, 94.5% of participants favor congresses and refresher courses dedicated to insights on lung nodule diagnosis and management. CONCLUSIONS: This survey demonstrates that the management of pulmonary nodules incidentally detected on CT is still complex and controversial. The majority of SIRM members express a need for an update on this topic.
OBJECTIVES: The aim of this study is to present the results of the Italian survey on the management of pulmonary nodules incidentally identified at computed tomography (CT). MATERIALS AND METHODS: An online electronic survey, consisting of 23 multiple-choice questions, was created using the SurveyMonkey web-based tool. The questionnaire was developed by the Board of the Italian College of Chest Radiology of the Italian Society of Medical and Interventional Radiology (SIRM) and by an experienced group of Italian Academic Chest Radiologists. The link to the online electronic survey was submitted by email to all the SIRM members. RESULTS: A total of 767 radiologists, corresponding to 7.5% of all the SIRM members, participated in the online survey. The majority of participants (92%) routinely describe the attenuation of pulmonary nodules in the report, and 84.1% recommend the further follow-up, with 92.7% of respondents taking CT nodule morphological features into consideration. The 57.7% of participants adhere to the Fleischner Society guidelines for the management of incidental pulmonary nodules. However, 56.6% and 75.6% of respondents have a more cautious approach than that recommended by the guidelines and tend to use a shorter follow-up for both solid and ground-glass nodules, respectively. Finally, 94.5% of participants favor congresses and refresher courses dedicated to insights on lung nodule diagnosis and management. CONCLUSIONS: This survey demonstrates that the management of pulmonary nodules incidentally detected on CT is still complex and controversial. The majority of SIRM members express a need for an update on this topic.
Entities:
Keywords:
Chest radiology; Computed tomography; Italian survey; Management; Pulmonary nodule
Authors: Michael K Gould; Tania Tang; In-Lu Amy Liu; Janet Lee; Chengyi Zheng; Kim N Danforth; Anne E Kosco; Jamie L Di Fiore; David E Suh Journal: Am J Respir Crit Care Med Date: 2015-11-15 Impact factor: 21.405
Authors: Heber MacMahon; David P Naidich; Jin Mo Goo; Kyung Soo Lee; Ann N C Leung; John R Mayo; Atul C Mehta; Yoshiharu Ohno; Charles A Powell; Mathias Prokop; Geoffrey D Rubin; Cornelia M Schaefer-Prokop; William D Travis; Paul E Van Schil; Alexander A Bankier Journal: Radiology Date: 2017-02-23 Impact factor: 11.105
Authors: D Groheux; G Quere; E Blanc; C Lemarignier; L Vercellino; C de Margerie-Mellon; P Merlet; S Querellou Journal: Diagn Interv Imaging Date: 2016-08-24 Impact factor: 4.026
Authors: Michael K Gould; Jessica Donington; William R Lynch; Peter J Mazzone; David E Midthun; David P Naidich; Renda Soylemez Wiener Journal: Chest Date: 2013-05 Impact factor: 9.410