ACR Lung-RADS v2022: Assessment Categories and Management Recommendations

Jared Christensen; Ashley Elizabeth Prosper; Carol C. Wu; Jonathan Chung; Elizabeth Lee; Brett Elicker; Andetta R. Hunsaker; Milena Petranovic; Kim L. Sandler; Brendon Stiles; Peter Mazzone; David Yankelevitz; Denise Aberle; Caroline Chiles; Ella Kazerooni

doi:10.1016/j.jacr.2023.09.009

ACR Lung-RADS v2022: Assessment Categories and Management Recommendations

Jared Christensen, Ashley Elizabeth Prosper, Carol C. Wu, Jonathan Chung, Elizabeth Lee, Brett Elicker, Andetta R. Hunsaker, Milena Petranovic, Kim L. Sandler, Brendon Stiles, Peter Mazzone, David Yankelevitz, Denise Aberle, Caroline Chiles, Ella Kazerooni

Cardiovascular & Thoracic Surgery

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The ACR created the Lung CT Screening Reporting and Data System (Lung-RADS) in 2014 to standardize the reporting and management of screen-detected pulmonary nodules. Lung-RADS was updated to version 1.1 in 2019 and revised size thresholds for nonsolid nodules, added classification criteria for perifissural nodules, and allowed for short-interval follow-up of rapidly enlarging nodules that may be infectious in etiology. Lung-RADS v2022, released in November 2022, provides several updates including guidance on the classification and management of atypical pulmonary cysts, juxtapleural nodules, airway-centered nodules, and potentially infectious findings. This new release also provides clarification for determining nodule growth and introduces stepped management for nodules that are stable or decreasing in size. This article summarizes the current evidence and expert consensus supporting Lung-RADS v2022.

Original language	English (US)
Pages (from-to)	473-488
Number of pages	16
Journal	Journal of the American College of Radiology
Volume	21
Issue number	3
DOIs	https://doi.org/10.1016/j.jacr.2023.09.009
State	Published - Mar 2024

Keywords

CT
cyst
lung cancer
pulmonary nodule
screening

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jacr.2023.09.009

Cite this

Christensen, J., Prosper, A. E., Wu, C. C., Chung, J., Lee, E., Elicker, B., Hunsaker, A. R., Petranovic, M., Sandler, K. L., Stiles, B., Mazzone, P., Yankelevitz, D., Aberle, D., Chiles, C., & Kazerooni, E. (2024). ACR Lung-RADS v2022: Assessment Categories and Management Recommendations. Journal of the American College of Radiology, 21(3), 473-488. https://doi.org/10.1016/j.jacr.2023.09.009

Christensen, J, Prosper, AE, Wu, CC, Chung, J, Lee, E, Elicker, B, Hunsaker, AR, Petranovic, M, Sandler, KL, Stiles, B, Mazzone, P, Yankelevitz, D, Aberle, D, Chiles, C & Kazerooni, E 2024, 'ACR Lung-RADS v2022: Assessment Categories and Management Recommendations', Journal of the American College of Radiology, vol. 21, no. 3, pp. 473-488. https://doi.org/10.1016/j.jacr.2023.09.009

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abstract = "The ACR created the Lung CT Screening Reporting and Data System (Lung-RADS) in 2014 to standardize the reporting and management of screen-detected pulmonary nodules. Lung-RADS was updated to version 1.1 in 2019 and revised size thresholds for nonsolid nodules, added classification criteria for perifissural nodules, and allowed for short-interval follow-up of rapidly enlarging nodules that may be infectious in etiology. Lung-RADS v2022, released in November 2022, provides several updates including guidance on the classification and management of atypical pulmonary cysts, juxtapleural nodules, airway-centered nodules, and potentially infectious findings. This new release also provides clarification for determining nodule growth and introduces stepped management for nodules that are stable or decreasing in size. This article summarizes the current evidence and expert consensus supporting Lung-RADS v2022.",

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doi = "10.1016/j.jacr.2023.09.009",

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AU - Petranovic, Milena

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AB - The ACR created the Lung CT Screening Reporting and Data System (Lung-RADS) in 2014 to standardize the reporting and management of screen-detected pulmonary nodules. Lung-RADS was updated to version 1.1 in 2019 and revised size thresholds for nonsolid nodules, added classification criteria for perifissural nodules, and allowed for short-interval follow-up of rapidly enlarging nodules that may be infectious in etiology. Lung-RADS v2022, released in November 2022, provides several updates including guidance on the classification and management of atypical pulmonary cysts, juxtapleural nodules, airway-centered nodules, and potentially infectious findings. This new release also provides clarification for determining nodule growth and introduces stepped management for nodules that are stable or decreasing in size. This article summarizes the current evidence and expert consensus supporting Lung-RADS v2022.

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ACR Lung-RADS v2022: Assessment Categories and Management Recommendations

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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