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.chest.2023.10.028

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

Abstract

The American College of Radiology 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)	738-753
Number of pages	16
Journal	Chest
Volume	165
Issue number	3
DOIs	https://doi.org/10.1016/j.chest.2023.10.028
State	Published - Mar 2024

Keywords

CT
cyst
lung cancer
pulmonary nodule
screening

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

UN SDGs

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

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10.1016/j.chest.2023.10.028

Cite this

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title = "ACR Lung-RADS v2022: Assessment Categories and Management Recommendations",

abstract = "The American College of Radiology 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.",

keywords = "CT, cyst, lung cancer, pulmonary nodule, screening",

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

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year = "2024",

month = mar,

doi = "10.1016/j.chest.2023.10.028",

language = "English (US)",

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AU - Christensen, Jared

AU - Prosper, Ashley Elizabeth

AU - Wu, Carol C.

AU - Chung, Jonathan

AU - Lee, Elizabeth

AU - Elicker, Brett

AU - Hunsaker, Andetta R.

AU - Petranovic, Milena

AU - Sandler, Kim L.

AU - Stiles, Brendon

AU - Mazzone, Peter

AU - Yankelevitz, David

AU - Aberle, Denise

AU - Chiles, Caroline

AU - Kazerooni, Ella

N1 - Publisher Copyright: © 2024 American College of Radiology and American College of Chest Physicians. Published by Elsevier Inc on behalf of American College of Radiology and American College of Chest Physicians

PY - 2024/3

Y1 - 2024/3

N2 - The American College of Radiology 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.

AB - The American College of Radiology 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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KW - lung cancer

KW - pulmonary nodule

KW - screening

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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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