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.
| Original language | English |
|---|---|
| Journal | Radiologia Medica |
| DOIs | |
| Publication status | Published - Jan 1 2019 |
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Keywords
- Chest radiology
- Computed tomography
- Italian survey
- Management
- Pulmonary nodule
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Management of incidental pulmonary nodule in CT : a survey by the Italian College of Chest Radiology. / Rampinelli, Cristiano; Cicchetti, Giuseppe; Cortese, Giancarlo; Polverosi, Roberta; Farchione, Alessandra; Iezzi, Roberto; Romei, Chiara; Valentini, Adele; Gavelli, Giampaolo; Zompatori, Maurizio; Bonomo, Lorenzo; Sverzellati, Nicola; Privitera, Carmelo; Larici, Anna Rita.
In: Radiologia Medica, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Management of incidental pulmonary nodule in CT
T2 - a survey by the Italian College of Chest Radiology
AU - Rampinelli, Cristiano
AU - Cicchetti, Giuseppe
AU - Cortese, Giancarlo
AU - Polverosi, Roberta
AU - Farchione, Alessandra
AU - Iezzi, Roberto
AU - Romei, Chiara
AU - Valentini, Adele
AU - Gavelli, Giampaolo
AU - Zompatori, Maurizio
AU - Bonomo, Lorenzo
AU - Sverzellati, Nicola
AU - Privitera, Carmelo
AU - Larici, Anna Rita
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - Chest radiology
KW - Computed tomography
KW - Italian survey
KW - Management
KW - Pulmonary nodule
UR - http://www.scopus.com/inward/record.url?scp=85062886198&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85062886198&partnerID=8YFLogxK
U2 - 10.1007/s11547-019-01011-1
DO - 10.1007/s11547-019-01011-1
M3 - Article
AN - SCOPUS:85062886198
JO - Radiologia Medica
JF - Radiologia Medica
SN - 0033-8362
ER -