Anne B Kim, Brian T Cheng
Association of household language and vision screening among children in the United States
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
multidetector ct come play central role medical care ct image quality improved increase frequency detecting incidental findings defined findings unrelated clinical indication imaging examination performed incidentalomas also called often confound physicians patients manage although known incidental findings likely benign often little clinical significance inclination evaluate often driven physician patient unwillingness accept uncertainty even given rare possibility important diagnosis evaluation surveillance incidental findings also cited among causes increased utilization crosssectional imaging indeed incidental findings may serious hence evaluate unclear workup incidentalomas varied widely physician region standardization desirable light current need limit costs reduce risk patients subjecting patient incidentaloma unnecessary testing treatment result potentially injurious expensive cascade tests procedures participation radiologic organizations listed herein acr formed incidental findings committee derive practical medically appropriate approach managing incidental findings ct scans abdomen pelvis committee used consensus method based repeated reviews revisions document collective review interpretation relevant literature white paper provides guidance developed committee addressing incidental findings kidneys liver adrenal glands pancreas multidetector ct come play central role medical care ct image quality improved increase frequency detecting incidental findings defined findings unrelated clinical indication imaging examination performed incidentalomas also called often confound physicians patients manage although known incidental findings likely benign often little clinical significance inclination evaluate often driven physician patient unwillingness accept uncertainty even given rare possibility important diagnosis evaluation surveillance incidental findings also cited among causes increased utilization crosssectional imaging indeed incidental findings may serious hence evaluate unclear workup incidentalomas varied widely physician region standardization desirable light current need limit costs reduce risk patients subjecting patient incidentaloma unnecessary testing treatment result potentially injurious expensive cascade tests procedures participation radiologic organizations listed herein acr formed incidental findings committee derive practical medically appropriate approach managing incidental findings ct scans abdomen pelvis committee used consensus method based repeated reviews revisions document collective review interpretation relevant literature white paper provides guidance developed committee addressing incidental findings kidneys liver adrenal glands pancreas white paper meant comprehensively review interpretation management solid masses organ system provide general guidance managing incidentally discovered masses appreciating individual care vary depending patients specific circumstances clinical environment available resources judgment practitioner also term guidelines used white paper avoid implication represents component acr practice guidelines technical standards represent official acr policy undergone rigorous drafting review process culminating approval acr council acr appropriateness criteria use formal consensusbuilding approach using modified delphi technique white paper represents collective experience incidental findings committee using less formal process repeated reviews revisions draft document represent official acr policy reasons white paper used establish legal standard care particular situation