Fleischner学会标准在计算机断层扫描中肺结节评估中的应用：方法学指南

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本文为方法学指南《Application of the Fleischner Society Criteria for the Assessment of Pulmonary Nodules on Computed Tomography: Practice Guidelines》的改编版本，原文发表于《Best Practices in Radiological and Instrumental Diagnostics》系列（2024年，第142期）。本指南反映了Fleischner学会就计算机断层扫描中肺部结节问题所达成的专家共识。其目的在于减少不必要的后续检查，并为非肺癌筛查人群中发现的肺结节提供明确的处置措施。在此情况下，采用Fleischner学会统一的术语体系，并对胸部计算机断层扫描所见改变进行标准化解读，有助于在临床实践、教学活动及科学研究中，促进不同专业人员之间的理解与沟通。本方法学指南已由Moscow City Health Department放射与器械诊断首席非编制专家批准，并经Moscow City Health Department科学专家委员会推荐。

本指南适用于放射科医师、放射科室或影像诊断科室负责人，以及设有放射与影像诊断科室的医疗机构负责人。

作者简介

Yuriy A. Vasilev

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: VasilevYA1@zdrav.mos.ru
ORCID iD: 0000-0002-5283-5961
SPIN 代码: 4458-5608

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Moscow

Natalia V. Tarasova

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

编辑信件的主要联系方式.
Email: TarasovaNV20@zdrav.mos.ru
ORCID iD: 0000-0003-2769-8675
SPIN 代码: 4196-4059

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Moscow

Darya M. Anikina

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: AnikinaDM@zdrav.mos.ru
ORCID iD: 0000-0001-6554-4779
SPIN 代码: 1005-7000
俄罗斯联邦, Moscow

Ivan A. Blokhin

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: BlokhinIA@zdrav.mos.ru
ORCID iD: 0000-0002-2681-9378
SPIN 代码: 3306-1387

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Moscow

参考

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  2. Tyurin IE, Avdeev SN, Gavrilov PV, et al. Glossary of terms for thoracic imaging. Journal of Radiology and Nuclear Medicine. 2023;104 (5):292–332. doi: 10.20862/0042-4676-2023-104-5-292-3323 EDN: RUGJSY
  3. Nikolaev AE, Suchilova MM, Korkunova OA, et al. Terminology for describing chest organs – radiography and computed tomography. Moscow: Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies; 2022. (In Russ.) EDN: CCEZRC
  4. Hansell DM, Bankier AA, MacMahon H, et al. Fleischner society: glossary of terms for thoracic imaging. Radiology. 2008;246(3):697–722. doi: 10.1148/radiol.2462070712
  5. Tyurin IE. Solitary lesions in the lungs: possibilities of radiological diagnostics. // Prakticheskaya pul'monologiya. 2008;(2):15–22. (In Russ.) EDN: MUCXKR
  6. Lindenbraten LD, Korolyuk IP. Medical radiology (fundamentals of radiation diagnostics and radiation therapy). Moscow: Meditsina; 1992. ISBN 5-225-00859-3 (In Russ.) EDN: VKYEEQ
  7. Rozenshtraukh LS, Rybakova NI, Vinner MG. Radiographic diagnostics of respiratory diseases: a guide for physicians. Moscow: Meditsina; 1987. (In Russ.) Available from: https://djvu.online/file/QAqpHol0o5KiI?ysclid = mibqcgpwvn431333014
  8. Kokov LS, Lindenbraten LD. Encyclopedic dictionary for diagnostic radiology: (English-Russian). Moscow: Radiology Press, 2017. ISBN: 978-5-9902356-1-8 EDN: VSPJSG
  9. Khoruzhik SA, Bogushevich EV, Sprindzhuk MV, et al. Computer-assisted diagnostics of lung nodules. Problems in Oncology. 2011;57(1):25–35. (In Russ.) EDN: OALANB
  10. Yudin AL. Metaphorical signs in computed tomography of chest and abdomen. Moscow: Pirogov Russian National Research Medical University; 2012. ISBN: 978-5-88458-288-0 (In Russ.) EDN: ZBDXAT
  11. Brandman S, Ko JP. Pulmonary nodule detection, characterization, and management with multidetector computed tomography. Journal of Thoracic Imaging. 2011;26(2):90–105. doi: 10.1097/RTI.0b013e31821639a9
  12. Lindenbraten LD, Korolyuk IP, Vorobev YuI. Medical radiology (fundamentals of radiation diagnostics and radiation therapy). Moscow: Meditsina; 2000. ISBN: 5-225-04403-4 (In Russ.) EDN: YMMUAH
  13. MacMahon H, Austin JHM, Gamsu G, et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner society. Radiology. 2005;237(2):395–400. doi: 10.1148/radiol.2372041887
  14. MacMahon H, Naidich DP, Goo JM, et al. Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner society 2017. Radiology. 2017;284(1):228–243. doi: 10.1148/radiol.2017161659 EDN: YFHDCY
  15. Henschke CI, Yankelevitz DF, Mirtcheva R, et al. CT screening for lung cancer. American Journal of Roentgenology. 2002;178(5):1053–1057. doi: 10.2214/ajr.178.5.1781053
  16. Ahn MI, Gleeson TG, Chan IH, et al. Perifissural nodules seen at CT screening for lung cancer. Radiology. 2010;254(3):949–956. doi: 10.1148/radiol.09090031
  17. Naidich DP, Bankier AA, MacMahon H, et al. Recommendations for the management of subsolid pulmonary nodules detected at CT: a statement from the Fleischner society. Radiology. 2013;266(1):304–317. doi: 10.1148/radiol.12120628 EDN: DSGJKK

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1. JATS XML
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2. Fig. 1. Types of pulmonary lesions.

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3. Table 1_Fig. 1

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4. Table 1_Fig. 2

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5. Table 1_Fig. 3

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6. Table 1_Fig. 4

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7. Table 2_Fig. 1

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8. Table 2_Fig. 2

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9. Table 3_Fig. 1

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10. Table 3_Fig. 2

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11. Table 3_Fig. 3

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12. Fig. 2. High-risk factors for pulmonary lesions.

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13. Fig. 3. Overall risk assessment for pulmonary lesion.

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14. Appendix A. Algorithm for doctors working with recommendations from the Fleischner Society

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