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2017 Fleischner学会肺小结节指南解读及临床应用要点

2017-11-30 放射学实践.2017,32(11):1109-1113.

CT检查肺结节

胸部CT图像中发现肺小结节的情况非常多见，医生基于患者的临床背景和CT影像特征对这些结节作出处理，对判读标准和处理建议，不同共识和指南有不同的观点。Fleischner学会于2017年2月发布了偶然发现的肺小结节的处理指南，2017年6月又发布了肺小结节测量建议。本文将Fleischner指南与ACR肺影像报告和数据系统（Lung－RADS）结合，解读临床工作中如何合理、有效地选择应用指南，尽量准

中文标题：

2017 Fleischner学会肺小结节指南解读及临床应用要点

发布机构：

发布日期：

2017-11-30

简要介绍：

胸部CT图像中发现肺小结节的情况非常多见，医生基于患者的临床背景和CT影像特征对这些结节作出处理，对判读标准和处理建议，不同共识和指南有不同的观点。Fleischner学会于2017年2月发布了偶然发现的肺小结节的处理指南，2017年6月又发布了肺小结节测量建议。本文将Fleischner指南与ACR肺影像报告和数据系统（Lung－RADS）结合，解读临床工作中如何合理、有效地选择应用指南，尽量准确详实地描述小结节，给出恰当的处理意见。

作者： 北京大学第一医院医学影像科 王鹤 王霄英

 

拓展指南：与结节相关指南：

相关资料下载：
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2017 Fleischner学会肺小结节指南解读及临床应用要点
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  1. [GetPortalCommentsPageByObjectIdResponse(id=893707, encodeId=fb4e893e0785, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823a1858737, createdName=雪雨霜冰雾, createdTime=Thu Oct 22 10:54:08 CST 2020, time=2020-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807059, encodeId=904280e05983, content=受教了，实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c9cd4696281, createdName=7191286, createdTime=Sun Aug 09 09:12:43 CST 2020, time=2020-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293312, encodeId=2386293312d9, content=太好了.太实用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d3ac1973925, createdName=1e16940bm07(暂无匿称), createdTime=Mon Mar 05 21:53:56 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277926, encodeId=ea5a2e792686, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/enD1Cs8tZ1zem4QjwF3TrQDHhc47llSJ09fbn6dK4ibMDSFLz61eicY4pm5YKBObQRSdKMc5jUfQwO9yabp0BY4w/132, createdBy=1a4f2246228, createdName=121557c0m60暂无昵称, createdTime=Fri Jan 12 20:59:22 CST 2018, time=2018-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277573, encodeId=39552e7573cf, content=受教了.好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/10/81abdcda5edda088fae89d3224a342d1.jpg, createdBy=79f42243411, createdName=阳阳335788, createdTime=Thu Jan 11 18:53:33 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2020-10-22 雪雨霜冰雾

    实用

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=893707, encodeId=fb4e893e0785, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823a1858737, createdName=雪雨霜冰雾, createdTime=Thu Oct 22 10:54:08 CST 2020, time=2020-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807059, encodeId=904280e05983, content=受教了，实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c9cd4696281, createdName=7191286, createdTime=Sun Aug 09 09:12:43 CST 2020, time=2020-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293312, encodeId=2386293312d9, content=太好了.太实用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d3ac1973925, createdName=1e16940bm07(暂无匿称), createdTime=Mon Mar 05 21:53:56 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277926, encodeId=ea5a2e792686, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/enD1Cs8tZ1zem4QjwF3TrQDHhc47llSJ09fbn6dK4ibMDSFLz61eicY4pm5YKBObQRSdKMc5jUfQwO9yabp0BY4w/132, createdBy=1a4f2246228, createdName=121557c0m60暂无昵称, createdTime=Fri Jan 12 20:59:22 CST 2018, time=2018-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277573, encodeId=39552e7573cf, content=受教了.好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/10/81abdcda5edda088fae89d3224a342d1.jpg, createdBy=79f42243411, createdName=阳阳335788, createdTime=Thu Jan 11 18:53:33 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2020-08-09 7191286

    受教了，实用

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=893707, encodeId=fb4e893e0785, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823a1858737, createdName=雪雨霜冰雾, createdTime=Thu Oct 22 10:54:08 CST 2020, time=2020-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807059, encodeId=904280e05983, content=受教了，实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c9cd4696281, createdName=7191286, createdTime=Sun Aug 09 09:12:43 CST 2020, time=2020-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293312, encodeId=2386293312d9, content=太好了.太实用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d3ac1973925, createdName=1e16940bm07(暂无匿称), createdTime=Mon Mar 05 21:53:56 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277926, encodeId=ea5a2e792686, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/enD1Cs8tZ1zem4QjwF3TrQDHhc47llSJ09fbn6dK4ibMDSFLz61eicY4pm5YKBObQRSdKMc5jUfQwO9yabp0BY4w/132, createdBy=1a4f2246228, createdName=121557c0m60暂无昵称, createdTime=Fri Jan 12 20:59:22 CST 2018, time=2018-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277573, encodeId=39552e7573cf, content=受教了.好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/10/81abdcda5edda088fae89d3224a342d1.jpg, createdBy=79f42243411, createdName=阳阳335788, createdTime=Thu Jan 11 18:53:33 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-03-05 1e16940bm07(暂无匿称)

    太好了.太实用了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=893707, encodeId=fb4e893e0785, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823a1858737, createdName=雪雨霜冰雾, createdTime=Thu Oct 22 10:54:08 CST 2020, time=2020-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807059, encodeId=904280e05983, content=受教了，实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c9cd4696281, createdName=7191286, createdTime=Sun Aug 09 09:12:43 CST 2020, time=2020-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293312, encodeId=2386293312d9, content=太好了.太实用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d3ac1973925, createdName=1e16940bm07(暂无匿称), createdTime=Mon Mar 05 21:53:56 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277926, encodeId=ea5a2e792686, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/enD1Cs8tZ1zem4QjwF3TrQDHhc47llSJ09fbn6dK4ibMDSFLz61eicY4pm5YKBObQRSdKMc5jUfQwO9yabp0BY4w/132, createdBy=1a4f2246228, createdName=121557c0m60暂无昵称, createdTime=Fri Jan 12 20:59:22 CST 2018, time=2018-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277573, encodeId=39552e7573cf, content=受教了.好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/10/81abdcda5edda088fae89d3224a342d1.jpg, createdBy=79f42243411, createdName=阳阳335788, createdTime=Thu Jan 11 18:53:33 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-01-12 121557c0m60暂无昵称

    好好学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=893707, encodeId=fb4e893e0785, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823a1858737, createdName=雪雨霜冰雾, createdTime=Thu Oct 22 10:54:08 CST 2020, time=2020-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807059, encodeId=904280e05983, content=受教了，实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c9cd4696281, createdName=7191286, createdTime=Sun Aug 09 09:12:43 CST 2020, time=2020-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293312, encodeId=2386293312d9, content=太好了.太实用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d3ac1973925, createdName=1e16940bm07(暂无匿称), createdTime=Mon Mar 05 21:53:56 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277926, encodeId=ea5a2e792686, content=好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/enD1Cs8tZ1zem4QjwF3TrQDHhc47llSJ09fbn6dK4ibMDSFLz61eicY4pm5YKBObQRSdKMc5jUfQwO9yabp0BY4w/132, createdBy=1a4f2246228, createdName=121557c0m60暂无昵称, createdTime=Fri Jan 12 20:59:22 CST 2018, time=2018-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277573, encodeId=39552e7573cf, content=受教了.好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/10/81abdcda5edda088fae89d3224a342d1.jpg, createdBy=79f42243411, createdName=阳阳335788, createdTime=Thu Jan 11 18:53:33 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-01-11 阳阳335788

    受教了.好好学习

    0