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# 2017 Fleischner Society Guidelines: A Comprehensive Overview
The 2017 Fleischner Society guidelines represent a landmark update in the management of incidentally detected pulmonary nodules (IDPNs). These guidelines, a product of rigorous collaboration among leading pulmonologists and radiologists, provide a standardized approach to risk stratification and management of these commonly encountered findings. Understanding these guidelines is crucial for clinicians involved in the diagnosis and treatment of lung cancer and other pulmonary pathologies.
Author and Credentials
While the 2017 Fleischner Society guidelines are a collaborative effort, the lead authors and the broader Fleischner Society membership hold significant weight in the field of thoracic radiology and pulmonology. The authorship included leading experts in thoracic imaging and oncology, each possessing decades of experience and numerous publications in peer-reviewed journals. Their credentials include professorships at prestigious medical schools, memberships in leading medical societies (e.g., American College of Chest Physicians, Radiological Society of North America), and extensive research contributions to the understanding and management of pulmonary nodules. This strong background gives the 2017 Fleischner Society guidelines significant authority and credibility within the medical community.
Keyword Integration: The 2017 Fleischner Society Guidelines in Practice
The 2017 Fleischner Society guidelines emphasize a risk-stratified approach to managing IDPNs. This means that the subsequent management (follow-up imaging, biopsy, or surveillance) is tailored to the individual patient based on factors such as nodule size, growth rate, and patient characteristics (e.g., smoking history, age). The guidelines utilize a sophisticated algorithm that considers these factors to determine the appropriate course of action. The core principle behind the 2017 Fleischner Society guidelines is to optimize the diagnostic pathway while minimizing unnecessary invasive procedures and patient anxiety.
One of the key innovations in the 2017 Fleischner Society guidelines is the introduction of specific recommendations for managing low-risk nodules. This addresses the considerable number of small, stable nodules discovered incidentally on imaging studies. The guidelines provide clear recommendations on the appropriate length of follow-up and the criteria for escalation to further investigation. This emphasis on risk stratification is crucial, as it helps avoid overdiagnosis and overtreatment of benign lesions.
The 2017 Fleischner Society guidelines also highlight the importance of considering the patient's overall health and preferences when making management decisions. This patient-centered approach recognizes the individual needs and concerns of each patient, ensuring that the management strategy aligns with their values and expectations. The implications of the 2017 Fleischner Society guidelines are far-reaching, impacting clinical practice, resource allocation, and patient care.
Furthermore, the 2017 Fleischner Society guidelines provide detailed recommendations on the use of various imaging modalities, including low-dose computed tomography (LDCT), which has become increasingly prevalent in lung cancer screening programs. The guidelines emphasize the importance of utilizing appropriate imaging techniques to optimize diagnostic accuracy and minimize radiation exposure.
Summary of the 2017 Fleischner Society Guidelines
The 2017 Fleischner Society guidelines provide a comprehensive framework for managing incidentally detected pulmonary nodules. They emphasize a risk-stratified approach, tailoring management to individual patient characteristics and nodule features. The guidelines are designed to minimize unnecessary procedures while ensuring timely detection and management of malignant nodules. Key aspects include the use of standardized criteria for nodule assessment, recommendations for follow-up imaging, and clear guidance on when to proceed with biopsy or other invasive procedures. The guidelines promote a more efficient and effective approach to IDPN management, ultimately improving patient outcomes and reducing healthcare costs.
Publisher and Standing
The 2017 Fleischner Society guidelines were published in the Radiology journal, a prestigious peer-reviewed publication with a high impact factor. Radiology is a leading journal in the field of medical imaging, making its publication venue highly appropriate for disseminating these significant clinical guidelines. The Fleischner Society itself, renowned for its contributions to thoracic imaging, lends considerable authority to these guidelines.
Editor and Qualifications
The editor-in-chief of Radiology at the time of publication held a distinguished position in the field of radiology, possessing extensive experience in journal editing and a deep understanding of the medical imaging landscape. Their role in overseeing the publication of the 2017 Fleischner Society guidelines ensured the highest standards of scientific rigor and clarity.
Conclusion
The 2017 Fleischner Society guidelines represent a significant advance in the management of incidentally detected pulmonary nodules. Their risk-stratified approach, coupled with clear recommendations and a patient-centered focus, provides a valuable resource for clinicians managing patients with IDPNs. These guidelines continue to serve as a cornerstone in the field, guiding best practices and improving patient care.
FAQs
1. What is the difference between the 2017 and previous Fleischner Society guidelines? The 2017 guidelines refined risk stratification, incorporated advancements in imaging technology, and emphasized a more patient-centered approach.
2. Are the 2017 Fleischner Society guidelines applicable to all patients with pulmonary nodules? While the guidelines provide a general framework, individual patient factors should always be considered in determining the appropriate management strategy.
3. What imaging modalities are recommended by the 2017 Fleischner Society guidelines? Low-dose CT is often the initial imaging modality, with other techniques such as PET-CT used selectively based on risk stratification.
4. When is biopsy indicated according to the 2017 Fleischner Society guidelines? Biopsy is typically recommended for high-risk nodules, defined by features suggestive of malignancy or concerning growth patterns.
5. How often should follow-up imaging be performed according to the 2017 Fleischner Society guidelines? The frequency of follow-up imaging depends on the risk stratification of the nodule; low-risk nodules may require less frequent imaging than high-risk nodules.
6. What are the limitations of the 2017 Fleischner Society guidelines? Like any guidelines, these are not universally applicable and require clinical judgment in individual cases. New research may lead to future revisions.
7. Where can I find the full text of the 2017 Fleischner Society guidelines? The full text can typically be accessed through the Radiology journal website or medical databases.
8. Are the 2017 Fleischner Society guidelines still considered current best practice? While newer research is ongoing, the 2017 guidelines remain a cornerstone of best practice for managing pulmonary nodules.
9. What role does patient preference play in the application of the 2017 Fleischner Society guidelines? Shared decision-making is encouraged, considering the patient's values and preferences alongside the clinical recommendations.
Related Articles
1. "Incidental Pulmonary Nodules: A Comprehensive Review": This article provides a broad overview of IDPNs, covering epidemiology, diagnostic approaches, and management strategies, with a focus on how the 2017 Fleischner Society guidelines have impacted practice.
2. "The Impact of Low-Dose CT on the Management of Incidental Pulmonary Nodules": This article examines the role of LDCT in the context of the 2017 Fleischner Society guidelines, discussing its benefits and limitations in detecting and characterizing pulmonary nodules.
3. "Risk Stratification of Pulmonary Nodules: A Practical Approach": This focuses on the risk stratification algorithms used in the 2017 guidelines, explaining how clinicians determine the appropriate course of action based on individual patient and nodule characteristics.
4. "Management of High-Risk Pulmonary Nodules: A Multidisciplinary Perspective": This article delves into the management of high-risk nodules, covering various diagnostic and therapeutic options, while highlighting the implications of the 2017 Fleischner Society guidelines.
5. "The Role of Biopsy in the Evaluation of Pulmonary Nodules": This article provides a detailed discussion of different biopsy techniques, including their indications, benefits, risks, and how the 2017 guidelines inform the decision-making process for biopsy.
6. "Long-Term Follow-up of Pulmonary Nodules: A Comparative Study": This could compare outcomes of different management strategies informed by the 2017 guidelines, providing evidence to support or challenge specific recommendations.
7. "Cost-Effectiveness of Different Management Strategies for Incidental Pulmonary Nodules": This article assesses the economic implications of different approaches to managing IDPNs as guided by the 2017 Fleischner Society guidelines.
8. "Patient Preferences and Shared Decision-Making in the Management of Pulmonary Nodules": This article highlights the importance of patient preferences and shared decision-making in the application of the 2017 guidelines.
9. "Update on the Fleischner Society Guidelines for Pulmonary Nodules: Recent Advances and Future Directions": This article reviews the latest research and clinical advancements since the 2017 guidelines were published, discussing potential future updates or modifications.
| 2017 fleischner society guidelines: Diseases of the Chest, Breast, Heart and Vessels 2019-2022 Juerg Hodler, Rahel A. Kubik-Huch, Gustav K. von Schulthess, 2019-02-19 This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of hot topics. The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology. |
| 2017 fleischner society guidelines: Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA): A Practical Approach S.E. Monaco, W.E. Khalbuss, L. Pantanowitz, 2014-05-22 This high-yield reference book focuses on the clinical, technical, and pathological aspects of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Its reviews cover all aspects of EBUS-TBNA, including the clinical perspective, technical aspects of the procedure, and cytomorphology of common and uncommon entities, as well as highlights diagnostic challenges. Each chapter features a multitude of full-color high-resolution images and includes key references to the current literature in the field. Additionally, reference tables and informative figures highlight the salient points. The book is unique in that it is written by experienced thoracic surgeons, pulmonary medicine physicians, and cytopathologists who use EBUS-TBNA in a large medical center. This publication is of interest to individuals learning and practicing cytopathology, in addition to clinicians practicing pulmonary/thoracic medicine or surgery. In short, it provides important pearls of wisdom to create a comprehensive reference for all physicians involved with EBUS-TBNA. |
| 2017 fleischner society guidelines: Lung Cancer Imaging James G. Ravenel, 2013-06-22 While specialists often guide the care to lung cancer patients, it is often a general radiologist who is left to interpret studies that impact patient care and management. Lung Cancer Imaging provides a comprehensive guide to the diagnosis, staging and overview of the management of lung cancer relevant to practicing radiologists so that they can better understand the decision making issues and provide more directed and useful communication to the treating physicians. It Primary Care physicians will also find this book valuable to understand the relevant issues that they face when one of their patients is being treated for lung cancer. |
| 2017 fleischner society guidelines: Diffuse Cystic Lung Diseases Nishant Gupta, Kathryn A. Wikenheiser-Brokamp, Francis X. McCormack, 2021-01-28 This book is a comprehensive reference on diffuse cystic lung diseases (DCLDs). DCLDs are a group of pathophysiologically heterogenous processes that are characterized by the presence of multiple spherical or irregularly shaped, thin-walled, air-filled spaces within the pulmonary parenchyma. In recent years, tremendous advancements have been made in these diseases leading to improved understanding of the underlying pathophysiology, and improved outcomes with targeted therapies. The authors, who are leading experts in the field, delineate DCLDs as a separate category distinct from other interstitial lung diseases, and have created this textbook specifically dedicated to this disease group. This book begins with a chapter introducing the definition and classification of DCLDs. Subsequent chapters address the pathogenic mechanisms underlying pulmonary cyst formation and provide a detailed overview of the radiological and pathological features of DCLDs. The common as well as uncommon causes of DCLDs are comprehensively reviewed in individual chapters, as are the varied clinical presentations and extrapulmonary manifestations, and approaches to management and treatment. The book culminates in a final chapter that presents a practical algorithmic approach to diagnosis that progresses from least invasive to most invasive approaches. This textbook provides a one-stop, comprehensive and integrated, clinical, radiologic, and pathologic overview of DCLDs that will be as useful to the practicing clinician as it is to the clinical investigator. |
| 2017 fleischner society guidelines: Lung Cancer: A Practical Approach to Evidence-Based Clinical Evaluation and Management Lynn T. Tanoue, Frank C Detterbeck, 2018-05-30 Get a quick, expert overview of the many key facets of lung cancer evaluation and management with this concise, practical resource by Drs. Lynn T. Tanoue and Frank Detterbeck. This easy-to-read reference presents a summary of today's best evidence-based approaches to diagnosis and management in this critical area. - Covers diagnosis and evaluation, treatment considerations, and comprehensive care options for patients with lung cancer. - Provides insight on evidence for today's best practices, as well as future directions in the field. - Consolidates today's evidence-based information on the clinical aspects of lung cancer into one convenient resource. |
| 2017 fleischner society guidelines: MRI of the Lung Hans-Ulrich Kauczor, 2008-11-12 During the past decade significant developments have been achieved in the field of magnetic resonance imaging (MRI), enabling MRI to enter the clinical arena of chest imaging. Standard protocols can now be implemented on up-to-date scanners, allowing MRI to be used as a first-line imaging modality for various lung diseases, including cystic fibrosis, pulmonary hypertension and even lung cancer. The diagnostic benefits stem from the ability of MRI to visualize changes in lung structure while simultaneously imaging different aspects of lung function, such as perfusion, respiratory motion, ventilation and gas exchange. On this basis, novel quantitative surrogates for lung function can be obtained. This book provides a comprehensive overview of how to use MRI for imaging of lung disease. Special emphasis is placed on benign diseases requiring regular monitoring, given that it is patients with these diseases who derive the greatest benefit from the avoidance of ionizing radiation. |
| 2017 fleischner society guidelines: Clinical Algorithms in General Surgery Salvatore Docimo Jr., Eric M. Pauli, 2019-02-04 As the field of general surgery continues to expand, the diagnostic and therapeutic pathways are becoming more complex. The diagnostic modalities available to the clinician can be both very helpful but also overwhelming considering the findings can often determine the scope of treatment for a patient. This text will take the major pathologies of the systems commonly studied in general surgery and present them in a unique format based upon algorithms. The algorithms will begin with the clinical presentation of the patient, work its way through the various diagnostic modalities available to the surgeon, and finally allow the physician to make a decision regarding treatment options based upon various patterns in the algorithms. This text will become a very useful resources for surgeons as it allows complex clinical pathways to be conveniently organized in logical algorithms. It will become a concise yet comprehensive manual to assist in clinical decision making. All algorithms will be reviewed by experts in their field and include the most up-to-date clinical and evidence-based information. Clinical Algorithms in General Surgery provides a useful resource for surgeons in clinical practice as well as surgical residents, and surgical attendings who are preparing for board examinations. See sample algorithm in Attachments. |
| 2017 fleischner society guidelines: Practical Guide to Cardiac CT Armin Arbab Zadeh, |
| 2017 fleischner society guidelines: ERS Handbook of Respiratory Medicine Paolo Palange, Gernot Rohde, 2019-09-01 The European Respiratory Society (ERS) Handbook of Respiratory Medicine, now in its third edition, is a concise, compact and easy-to-read guide to each of the key areas in respiratory medicine. Its 20 sections, written by clinicians and researchers at the forefront of the field, explain the structure and function of the respiratory system, its disorders and how to treat them. The Handbook is a must-have for anyone who intends to remain up to date in the field, and to have within arm's reach a reference that covers everything from the basics to the latest developments in respiratory medicine. |
| 2017 fleischner society guidelines: Computed Tomography of the Lung Johny A. Verschakelen, Walter De Wever, 2017-12-13 Computed Tomography of the Lung: A Pattern Approach aims to enable the reader to recognize and understand the CT signs of lung diseases and diseases with pulmonary involvement as a sound basis for diagnosis. After an introductory chapter, basic anatomy and its relevance to the interpretation of CT appearances is discussed. Advice is then provided on how to approach a CT scan of the lungs, and the different distribution and appearance patterns of disease are described. Subsequent chapters focus on the nature of these patterns, identify which diseases give rise to them, and explain how to differentiate between the diseases. The concluding chapter presents a large number of typical and less typical cases that will help the reader to practice application of the knowledge gained from the earlier chapters. Since the first edition, the book has been adapted and updated, with the inclusion of many new figures and case studies. |
| 2017 fleischner society guidelines: Thoracic Imaging Sujal R. Desai, Susan J. Copley, Zelena A. Aziz, David M. Hansell, 2012-09-20 Packed with over 600 high quality illustrations, this practical handbook covers both the key principles of thoracic imaging, including the relevant principles, dose considerations, and radiological signs and their meaning, and the different pulmonary diseases. |
| 2017 fleischner society guidelines: PET and PET-CT in Oncology Peter Oehr, Hans-Jürgen Biersack, R. Edward Coleman, 2012-12-06 PET and PET-CT in Oncology describes the principles of positron emission tomography and is a useful resource for incorporating the technique in clinical practice. In a clear and straightforward fashion, the book offers instructive information and overviews of the basic principles of PET and PET-CT as well as the routine clinical PET scanning procedures for all important oncological indications. It is designed to serve as a reference work for specialists in nuclear medicine and radiology (including therapy planning) and for oncologists. It also provides student and physicians in other medical specialities with a general introduction to the effective integration of this modern technique into routine clinical diagnostics. Above all, this volume illustrates the importance of PET and PET-CT in comparison with other imaging techniques. |
| 2017 fleischner society guidelines: Stereotactic Body Radiation Therapy Simon S. Lo, Bin S. Teh, Jiade J. Lu, Tracey E. Schefter, 2012-08-28 Stereotactic body radiation therapy (SBRT) has emerged as an important innovative treatment for various primary and metastatic cancers. This book provides a comprehensive and up-to-date account of the physical/technological, biological, and clinical aspects of SBRT. It will serve as a detailed resource for this rapidly developing treatment modality. The organ sites covered include lung, liver, spine, pancreas, prostate, adrenal, head and neck, and female reproductive tract. Retrospective studies and prospective clinical trials on SBRT for various organ sites from around the world are examined, and toxicities and normal tissue constraints are discussed. This book features unique insights from world-renowned experts in SBRT from North America, Asia, and Europe. It will be necessary reading for radiation oncologists, radiation oncology residents and fellows, medical physicists, medical physics residents, medical oncologists, surgical oncologists, and cancer scientists. |
| 2017 fleischner society guidelines: EDiR - The Essential Guide Judith Babar, Oğuz Dicle, Hildo J. Lamb, Laura Oleaga, Fermín Sáez, 2019-08-26 This EDiR guide has a practical rather than a theoretical focus, and is intended as a reference tool for potential EDiR candidates who would like to gain a better understanding of the EDiR examination. A pool of experts has made every possible effort to create a single source that contains everything needed to successfully pass the EDiR examination. Times have changed, and there is certainly a new generation of radiologists who will find this cutting-edge tool a “must-have” to familiarize themselves with the examination quickly and easily. The book is divided into the following main sections: one chapter for each subspecialty; one chapter on Safety, Management and Imaging Procedures; another on Principles of Imaging Techniques and Processing; and lastly, one on Management. This structure follows the same pattern as the EDiR examination, which is based on the European Training Curriculum (ETC) for Radiology released by the European Society of Radiology (ESR). Each subspecialty is covered using the same basic structure: Multiple Response Questions (MRQs), Short Cases (SCs) and CORE Cases from one of the most recent EDiR examinations. Students will thus be able to see all the questions from a recent examination and learn from the answers and comments provided by our pool of experts. Clinical cases as electronic supplementary material complete the book, and links to EDiR preparation sessions are also included, allowing students to improve their knowledge of specific areas. |
| 2017 fleischner society guidelines: Generalized Linear Models P. McCullagh, 2019-01-22 The success of the first edition of Generalized Linear Models led to the updated Second Edition, which continues to provide a definitive unified, treatment of methods for the analysis of diverse types of data. Today, it remains popular for its clarity, richness of content and direct relevance to agricultural, biological, health, engineering, and ot |
| 2017 fleischner society guidelines: Update on Incidental Cross-sectional Imaging Findings, An Issue of Radiologic Clinics of North America, EBook Douglas G Katz, John Hines, 2021-06-04 This issue of Radiologic Clinics focuses on Update on Incidental Cross-sectional Imaging Findings and is edited by Drs. Douglas S. Katz and John J. Hines. Articles will include: General review on the current management of incidental findings on cross-imaging: What guidelines to use, how to follow them, and management and medical-legal considerations; Incidental findings on CT and MR of the brain; Incidental spine findings on CT and MR; Imaging of incidental thyroid nodules; Incidental lung nodules on CT: Current Fleischner Society and other guidelines; Incidental breast findings on CT and MRI; Incidental liver findings on cross-sectional imaging; Incidental adrenal findings on CT; Incidental splenic findings on cross-sectional imaging; Incidental pancreatic cysts on cross-sectional imaging; Incidental renal findings on cross-sectional imaging; Incidental bowel findings on CT; Incidental ovarian and uterine findings on cross-sectional imaging; and more! |
| 2017 fleischner society guidelines: The ESC Textbook of Intensive and Acute Cardiovascular Care Marco Tubaro, Pascal Vranckx, Susanna Price, Christiaan Vrints, Eric Bonnefoy, 2021-03-08 The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field. |
| 2017 fleischner society guidelines: Pulmonary Functional Imaging Yoshiharu Ohno, Hiroto Hatabu, Hans-Ulrich Kauczor, 2020-12-11 This book reviews the basics of pulmonary functional imaging using new CT and MR techniques and describes the clinical applications of these techniques in detail. The intention is to equip readers with a full understanding of pulmonary functional imaging that will allow optimal application of all relevant techniques in the assessment of a variety of diseases, including COPD, asthma, cystic fibrosis, pulmonary thromboembolism, pulmonary hypertension, lung cancer and pulmonary nodule. Pulmonary functional imaging has been promoted as a research and diagnostic tool that has the capability to overcome the limitations of morphological assessments as well as functional evaluation based on traditional nuclear medicine studies. The recent advances in CT and MRI and in medical image processing and analysis have given further impetus to pulmonary functional imaging and provide the basis for future expansion of its use in clinical applications. In documenting the utility of state-of-the-art pulmonary functional imaging in diagnostic radiology and pulmonary medicine, this book will be of high value for chest radiologists, pulmonologists, pulmonary surgeons, and radiation technologists. |
| 2017 fleischner society guidelines: Nontuberculous Mycobacterial Disease David E. Griffith, 2018-10-05 This book is a comprehensive and authoritative source on nontuberculous mycobacterial (NTM) pathogens and diseases and their appropriate management, with a focus on lung disease. NTM diseases, especially lung diseases, are increasing in prevalence in the U.S. and internationally with concomitant growing interest in a broad section of the medical community. Often merely included in coverage of tuberculosis, many aspects of NTM organisms and diseases are actually very different than TB. These differences are not intuitive or trivial and frequently result in suboptimal management of NTM patients. This book addresses these gaps in the literature with chapters on microbiology, pathophysiology, epidemiology, the various diseases that can stem from NTM, and their particular management. There is also coverage on prevention and NTM as a public health problem. For pulmonologists and infectious disease physicians, this is the definitive resource on nontuberculous mycobacteria. |
| 2017 fleischner society guidelines: Thoracic Imaging The Requisites E-Book Jo-Anne O Shepard, 2018-01-24 Now in its 3rd Edition, this outstanding volume by Dr. Jo-Anne O. Shepard in the popular Requisites series thoroughly covers the fast-changing field of chest imaging. Ideal for residency, clinical practice, and board certification, it covers the full range of basic and advanced modalities used in thoracic imaging including digital radiography, chest fluoroscopy, CT, PET, and MRI. Compact and authoritative, Thoracic Imaging: The Requisites provides the up-to-date conceptual, factual, and interpretive information you need for success on exams and in clinical practice. - Summarizes key information with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. - Focuses on essentials to pass the certifying board exam and ensure accurate diagnoses in clinical practice. - Approximately 90% of the more than 1,000 images are new, reflecting the very latest thoracic imaging modalities and techniques. Many diagrams and images are also now in full color. - New material on acute and critical care including post-operative complications, trauma, ICU diagnosis, and implantable devices. - More interventional content including diagnostic biopsy techniques, fiducial placement to aid VATs resection, and ablative therapies including microwave and cryoablation. - Expanded and updated lung cancer coverage including new tumor staging, new surgical and bronchoscopic staging techniques, and lung cancer screening. - New information on thoracic MRI indications, protocols, and case material outlining how MRI adds specificity to tissue characterization of masses and extent of disease. - Expanded content on interstitial lung disease including color anatomic drawings and extensive new case material. - Current pulmonary nodule management strategies including the updated 2017 Fleischner criteria for incidental nodules. - New editor, authors, and section editors bring a fresh perspective to this completely revised book. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of electronic devices. |
| 2017 fleischner society guidelines: Essentials of Radiology E-Book Fred A. Mettler, 2018-07-25 Ideal for radiology residents and medical students, as well as anyone who reads or orders radiology imaging studies, this user-friendly reference covers the basics of how to approach, read, and interpret radiological images. Using concise, step-by-step explanations and an enjoyable writing style, expert radiologist Dr. Fred A Mettler, Jr., walks you through a sequential thought process for all common indications for radiologic studies and their interpretation. Featuring thorough updates from cover to cover, this resource covers the fundamental information you need to know, as well as recent advances in the field. - Covers which modalities to use for common suspected problems, the benefits and limitations of each modality, potential complications, clinical findings, and interpretation tips to facilitate decision-making and treatment. - Includes normal images and common variants in primary care practice and life-threatening abnormalities for quick identification and referral – all highlighted with over 1,000 radiographic images, many in comparative panels of normal, abnormal, or correlative findings. - Features new information throughout: more than 100 new American College of Radiology Appropriateness Criteria variants, digital breast tomosynthesis (DBT), PET/CT, new screening guidelines for colon, breast, prostate and lung cancer, new quality and safety standards, and patient and inter-professional communication. - Incorporates today's greater use of intermediate and advanced imaging technology, including CT, MR, and PET/CT, in addition to an emphasis on the most often-used imaging modalities such as ultrasound and plain film. - Addresses core content of human anatomy and function/dysfunction as it relates to modern imaging. - Features comprehensive tables of imaging indications for common problems across all body systems for quick reference. |
| 2017 fleischner society guidelines: Comprehensive Textbook of Diagnostic Radiology Manavjit Singh Sandhu, Anju Garg, Arun Kumar Gupta, 2019-05-31 |
| 2017 fleischner society guidelines: Brant & Helm's Fundamentals of Diagnostic Radiology Jeffrey Klein, Vincent Mellnick, 2024-10-01 Long considered a leading text in the field, Brant & Helm’s Fundamentals of Diagnostic Radiology, 6th Edition, provides essential coverage for radiology residents, interns, students, and practitioners. Drs. Jeffrey S. Klein and Vincent Mellnick lead a team of expert section editors who cover all subspecialty areas including neuroradiology, chest, breast, abdominal, musculoskeletal imaging, ultrasound, pediatric imaging, interventional techniques, and nuclear radiology. Full-color images, updated content, self-assessment tools, and online resources make this text ideal for reference and review. |
| 2017 fleischner society guidelines: Comprehensive Textbook of Diagnostic Radiology Arun Kumar Gupta, Anju Garg, Manavjit Singh Sandhu, 2021-03-31 The new edition of this four-volume set is a guide to the complete field of diagnostic radiology. Comprising more than 4000 pages, the third edition has been fully revised and many new topics added, providing clinicians with the latest advances in the field, across four, rather than three, volumes. Volume 1 covers genitourinary imaging and advances in imaging technology. Volume 2 covers paediatric imaging and gastrointestinal and hepatobiliary imaging. Volume 3 covers chest and cardiovascular imaging and musculoskeletal and breast imaging. Volume 4 covers neuroradiology including head and neck imaging. The comprehensive text is further enhanced by high quality figures, tables, flowcharts and photographs. Key points Fully revised, third edition of complete guide to diagnostic radiology Four-volume set spanning more than 4000 pages Highly illustrated with photographs, tables, flowcharts and figures Previous edition (9789352707041) published in 2019 |
| 2017 fleischner society guidelines: Spectral, Photon Counting Computed Tomography Katsuyuki Taguchi, Ira Blevis, Krzysztof Iniewski, 2020-07-14 Spectral, Photon Counting Computed Tomography is a comprehensive cover of the latest developments in the most prevalent imaging modality (x-ray computed tomography (CT)) in its latest incarnation: Spectral, Dual-Energy, and Photon Counting CT. Disadvantages of the conventional single-energy technique used by CT technology are that different materials cannot be distinguished and that the noise is larger. To address these problems, a novel spectral CT concept has been proposed. Spectral Dual-Energy CT (DE-CT) acquires two sets of spectral data, and Spectral Photon Counting CT (PC-CT) detects energy of x-ray photons to reveal additional material information of objects by using novel energy-sensitive, photon-counting detectors. The K-edge imaging may be a gateway for functional or molecular CT. The book covers detectors and electronics, image reconstruction methods, image quality assessments, a simulation tool, nanoparticle contrast agents, and clinical applications for spectral CT. |
| 2017 fleischner society guidelines: Diagnostic Imaging for Thoracic Surgery Michele Anzidei, Marco Anile, 2018-08-22 This book offers a comprehensive overview of thoracic pathologies of surgical interest involving the lung, mediastinum, esophagus, and chest wall with the aim of providing both radiologists and thoracic surgeons with a reference of high value in everyday clinical practice. Oncologic and non-oncologic conditions are reviewed from both the radiological and the surgical point of view, each one being documented with the aid of high-quality radiologic images from several modalities (including X-ray, fluoroscopy, CT, MR, and PET), illustrations/artwork, and high-definition images from the surgical table. The postoperative anatomy and complications associated with thoracic surgery procedures are also described in detail, with provision of imaging examples that highlight aspects of importance in differentiating between normal and abnormal findings. Written by experts in the field, Diagnostic Imaging for Thoracic Surgery is exceptional in combining precise descriptions of surgical procedures with key teaching points in imaging interpretation. |
| 2017 fleischner society guidelines: Novel Biomarkers for Potential Clinical Applications in Lung Cancer Hongda Liu, Donghong Zhang, Ping Zhan, Qingqing Zhu, Miao Liu, 2024-09-26 More and more medical centers are now combining high-resolution CT scans well with deep learning and artificial intelligence for lung cancer screening, resulting in significantly improved diagnostic sensitivity. Furthermore, the increased molecular alterations in lung cancer were demonstrated not only in tumor tissue, but also in other body organs. For example, circulating tumor DNA combined with next-generation sequencing is now becoming a popular method for lung cancer diagnosis and therapeutic monitoring. Therefore, the first focus of this topic is on such achievements in early diagnosis of lung cancer, especially non-invasive tests such as liquid biopsy. |
| 2017 fleischner society guidelines: Early-stage Lung Cancer Xiangpeng Zheng, Ming Li, Guozhen Zhang, 2018-01-30 This book discusses major issues and advances in the diagnosis and treatment of incidentally detected early-stage lung cancer (ESLC). In Part I, pathology and radiology experts comprehensively review the state-of-the-art advances in individual research fields, and offer an update on the cross-sectional anatomy of the lung and post-processing techniques for CT imaging. Part II focuses on the imaging features, differential diagnosis and radiologic-pathologic correlations of ESLCs in the categories pGGN, mGGN and solid nodules in compliance with the Guidelines on Lung Cancer Screening from the National Comprehensive Cancer Network (NCCN). Part III briefly introduces therapeutic management strategies for ESLCs, including surgical and non-surgical approaches, for instance stereotactic ablative radiation therapy (SABR) and radiofrequency ablation (RFA). Lastly, the authors have meticulously prepared 50 clinical cases of pathologically proven benign and malignant pulmonary nodules with in-depth discussion and experts’ comments to further readers’ understanding of practical imaging and management strategies of ESLCs. |
| 2017 fleischner society guidelines: Pediatric Disorders: Practical Imaging Guidelines and Recommendations, An Issue of Radiologic Clinics of North America, E-Book Edward Y. Lee, 2021-11-30 In this issue of Radiologic Clinics, guest editor Edward Y. Lee brings his considerable expertise to the topic of Imaging Guidelines and Recommendations for Pediatric Disorders. - Provides in-depth, clinical reviews on the latest updates on Imaging Guidelines and Recommendations for Pediatric Disorders, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. |
| 2017 fleischner society guidelines: Evolution of Translational Omics Institute of Medicine, Board on Health Sciences Policy, Board on Health Care Services, Committee on the Review of Omics-Based Tests for Predicting Patient Outcomes in Clinical Trials, 2012-09-13 Technologies collectively called omics enable simultaneous measurement of an enormous number of biomolecules; for example, genomics investigates thousands of DNA sequences, and proteomics examines large numbers of proteins. Scientists are using these technologies to develop innovative tests to detect disease and to predict a patient's likelihood of responding to specific drugs. Following a recent case involving premature use of omics-based tests in cancer clinical trials at Duke University, the NCI requested that the IOM establish a committee to recommend ways to strengthen omics-based test development and evaluation. This report identifies best practices to enhance development, evaluation, and translation of omics-based tests while simultaneously reinforcing steps to ensure that these tests are appropriately assessed for scientific validity before they are used to guide patient treatment in clinical trials. |
| 2017 fleischner society guidelines: Human-Machine Interaction and IoT Applications for a Smarter World Nishu Gupta, Srinivasa Kiran Gottapu, Rakesh Nayak, Anil Kumar Gupta, Mohammad Derawi, Jayden Khakurel, 2022-08-02 Human-Machine Interaction and IoT Applications for a Smarter World explores the futuristic trends at the cutting edge of study and research on Human-Machine Interaction (HMI), which is also known as Human-Computer Interface (HCI), and the Internet of Things (IoT) by featuring applications in a proficient, adaptable, and manageable way. It covers the mainstays of the IoT world through a thorough description of the present advancements, systems, and structures. This book: Discusses algorithms and design methodologies for the implementation of HMI based IoT systems. Covers real-time utility of IoT-based devices and systems. Provides human-machine interactive technologies and smart applications using IoT. Covers cyber-physical systems and IoT in HMI, using a blend of theoretical knowledge with a practical approach. It also covers important concepts including smart grid and energy consumption monitoring, smart vehicular and transportation systems, smart home automation, automatic identification systems, supervisory control and data acquisition systems, designing and integrating heterogeneous Human-Machine interactions, virtual and augmented reality, natural language processing, computer vision, and automatic speech recognition. This text will be useful for senior undergraduate, graduate students, and academic researchers in areas including electrical, electronics, and communications engineering, as well as computer science. |
| 2017 fleischner society guidelines: Webb, Müller and Naidich's High-Resolution CT of the Lung Sujal Desai, Anand Devaraj, David Lynch, Nicola Sverzellati, Brett M Elicker, 2020-10-22 Over the past 30 years high-resolution CT (HRCT) has matured to become an integral part of the multidisciplinary evaluation in diffuse lung disease. In this regard, Webb, Muller and Naidich’s High-Resolution CT of the Lung, 6th Edition, is a ‘gold standard’ reference that aims to keep radiologists and pulmonologists alike at the cutting edge of the ever-evolving field of thoracic imaging. The new US-European author team continues the tradition of excellence which readers have come to expect while the underlying layout and ethos — established by the ‘founding’ author team — remain. The new edition aims to brings readers up to date not only with recent advances but also with the important conceptual changes in thinking in various fields of thoracic imaging. Also featured in this updated edition is authoritative guidance on HRCT findings and differential diagnosis, as well as the characteristics of the common lung diseases assessed using HRCT, all enhanced by a multitude of new images and updated content throughout. |
| 2017 fleischner society guidelines: Medical Imaging for Health Professionals Raymond M. Reilly, 2019-02-06 Describes the most common imaging technologies and their diagnostic applications so that pharmacists and other health professionals, as well as imaging researchers, can understand and interpret medical imaging science This book guides pharmacists and other health professionals and researchers to understand and interpret medical imaging. Divided into two sections, it covers both fundamental principles and clinical applications. It describes the most common imaging technologies and their use to diagnose diseases. In addition, the authors introduce the emerging role of molecular imaging including PET in the diagnosis of cancer and to assess the effectiveness of cancer treatments. The book features many illustrations and discusses many patient case examples. Medical Imaging for Health Professionals: Technologies and Clinical Applications offers in-depth chapters explaining the basic principles of: X-Ray, CT, and Mammography Technology; Nuclear Medicine Imaging Technology; Radionuclide Production and Radiopharmaceuticals; Magnetic Resonance Imaging (MRI) Technology; and Ultrasound Imaging Technology. It also provides chapters written by expert radiologists in well-explained terminology discussing clinical applications including: Cardiac Imaging; Lung Imaging; Breast Imaging; Endocrine Gland Imaging; Abdominal Imaging; Genitourinary Tract Imaging; Imaging of the Head, Neck, Spine and Brain; Musculoskeletal Imaging; and Molecular Imaging with Positron Emission Tomography (PET). Teaches pharmacists, health professionals, and researchers the basics of medical imaging technology Introduces all of the customary imaging tools—X-ray, CT, ultrasound, MRI, SPECT, and PET—and describes their diagnostic applications Explains how molecular imaging aids in cancer diagnosis and in assessing the effectiveness of cancer treatments Includes many case examples of imaging applications for diagnosing common diseases Medical Imaging for Health Professionals: Technologies and Clinical Applications is an important resource for pharmacists, nurses, physiotherapists, respiratory therapists, occupational therapists, radiological or nuclear medicine technologists, health physicists, radiotherapists, as well as researchers in the imaging field. |
| 2017 fleischner society guidelines: Lung Cancer 2021, Part 1, An Issue of Thoracic Surgery Clinics,E-Book Farid M. Shamji, 2021-07-28 In this issue of Thoracic Surgery Clinics, guest editor Farid Shamji brings considerable expertise to the topic of Lung Cancer. - Provides in-depth, clinical reviews on Lung Cancer, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. |
| 2017 fleischner society guidelines: Diagnostic Imaging: Nuclear Medicine E-Book Paige Bennett, 2020-11-03 Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Nuclear Medicine, third edition, is an invaluable resource for nuclear medicine physicians, general radiologists, and trainees—anyone who requires an easily accessible, highly visual reference on today's rapidly changing nuclear medicine therapies. Updated throughout, it addresses the most appropriate nuclear medicine options available to answer specific clinical questions within the framework of all imaging modalities, making this edition a useful learning tool as well as a handy reference for daily practice. - Reflects recent advances in the field with information on new guidelines, new imaging protocols and equipment, and new radiotracers —including I-131 therapy for thyroid cancer; new tracers for PET/CT for prostate cancer, carcinoid tumor, pancreatic neuroendocrine tumors, and many more; new procedures for GI motility; new SPECT/CT protocols for sentinel lymph node mapping, parathyroid adenoma, pulmonary embolism, and more - Contains new chapters on approach to nuclear medicine therapy, Lu-177 Dotatate therapy for SRS positive tumors, Lu-177 PSMA therapy for prostate cancer, GFR Analysis, pulmonary carcinoid tumor, meningioma, and pediatric CNS and neuroendocrine tumors - Details new targeted nuclear medicine therapies, including theranostics: using one radioactive drug to diagnose and a second radioactive drug to deliver therapy to treat a main tumor and any metastatic tumors - Features more than 1,500 high-quality images, many new or updated, including pediatric imaging, oncology imaging, radiology images, full-color drawings and illustrations, and 3D renderings - Covers the physics behind nuclear medicine with safety considerations for both patients and radiologists - Uses bulleted, succinct text and highly templated chapters to help you make informed decisions at the point of care |
| 2017 fleischner society guidelines: Nuclear Medicine and Molecular Imaging: The Requisites E-Book Janis P. O'Malley, Harvey A. Ziessman, 2020-05-20 Now in its 5th Edition, this outstanding volume in the popular Requisites series thoroughly covers the fast-changing field of nuclear medicine and molecular imaging. Ideal for residency, clinical rotations, and board review, this compact and authoritative volume by Drs. Janis O'Malley and Harvey Ziessman covers the conceptual, factual, and interpretive information you need to know for success on exams and in clinical practice. NEW to this edition: - More content on molecular imaging and the latest advances in clinical applications, including positron emission tomography (PET), SPECT/CT, PET/CT, and PET/MRI hybrid imaging. - Inclusion of newly approved tracers such as Ga68 DOTA, F-18 amyloid, and F-18 PSMA. - Expanded and integrated content on physics and non-interpretive aspects, including regulatory issues, radiation safety, and quality control. - Up-to-date applications of nuclear medicine in the endocrine, skeletal, hepatobiliary, genitourinary, pulmonary, gastrointestinal, central nervous, and cardiac systems, as well as PET applications for oncology. In the outstanding Requisites tradition, the 5th Edition also: - Summarizes key information with numerous outlines, tables, pearls, pitfalls, and frequently asked questions. - Focuses on essentials to pass the certifying board exam and ensure accurate diagnoses in clinical practice. - Helps you clearly visualize the findings you're likely to see in practice and on exams with nearly 200 full-color images. |
| 2017 fleischner society guidelines: Computed Body Tomography with MRI Correlation Edward Y. Lee, Andetta Hunsaker, Bettina Siewert, 2019-10-29 Authoritative, clinically oriented, and unique in the field,Computed Body Tomography with MRI Correlation, 5th Editionis your one-stop reference for current information on CT and MRI in all aspects of adult and pediatric congenital and acquired disorders. This comprehensive text uses an easy-to-navigate format to deliver complete, well-illustrated coverage of the most current CT and MRI techniques for thorax, abdomen, pelvis and musculoskeletal systems in both adult and pediatric populations. The fully revised 5th Edition is a complete reference for residents, fellows, and attending radiologists, as well as clinicians in other specialties who are interested in CT and MRI evaluation of both common and less common disorders encountered in daily practice. |
| 2017 fleischner society guidelines: Diagnostic Radiology: Chest and Cardiovascular Imaging Anju Garg, 2018-03-31 This new edition is a complete guide to diagnostic imaging of the chest and cardiovascular system. Beginning with an overview of chest radiology, techniques and anatomy, the following sections discuss imaging for different pulmonary diseases. The second part of the book covers diagnostic imaging for cardiovascular disorders and includes a chapter on children with congenital heart disease. The fourth edition has been fully revised to provide radiologists with the latest information in their field, and includes new chapters on basic patterns of lung disease on CT, and miscellaneous interstitial lung diseases such as acute respiratory distress syndrome, lipoid pneumonia, and emphysema. The comprehensive text features discussion on the increasing use of image-guided interventions, and is further enhanced by radiological images and tables. Key points Fourth edition presenting latest advances in diagnostic imaging for pulmonary and cardiovascular disorders Fully revised text with new topics added Highly illustrated with radiological images and tables Previous edition (9788184488685) published in 2010 |
| 2017 fleischner society guidelines: Pulmonary Pathology,An Issue of Surgical Pathology Clinics Kirk Jones, 2020-02-06 This issue of Surgical Pathology Clinics, guest edited by Dr. Kirk Jones, will cover key topics in Pulmonary Pathology. This issue is one of four selected each year by our series consulting editor, Dr. Jason L. Hornick. Topics discussed in this issue will include: Lung Carcinoma on Small Biopsy, Targeted Therapy and Checkpoint Immunotherapy in Lung Cancer, Pulmonary Neuroendocrine Tumors, Lung Cancer Staging, Mesothelioma, Fibrotic Interstitial Lung Disease, Lung Transplant Pathology, Autoimmune connective tissue-associated pulmonary disease, Pulmonary Drug Reactions, Small Airway Disease, and Transbronchial Cryobiopsy in the Diagnosis of Diffuse Lung Disease, among others. |
| 2017 fleischner society guidelines: USMLE Step 2 CK Lecture Notes 2021: 5-book set Kaplan Medical, 2020-09-01 The only set on the market that offers a comprehensive yet concise review of USMLE Step 2 CK exam topics. Includes: Internal Medicine Pediatrics Obstetrics/Gynecology Surgery Psychiatry/Epidemiology/Patient Safety The best review from the same team that releases USMLE Step 1 Lecture Notes Revised every year by Kaplan’s all-star, expert faculty 450+ color images similar to those on the exam Structured format calling out high-yield topics in context Bridges between specialties and basic science |
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