Baidu
map

呼吸指南

订阅

MedSci主页 / 所有栏目 / 呼吸指南

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：
[AttachmentFileName(sort=100, fileName=2017 Fleischner学会肺小结节指南解读及临床应用要点)] GetToolGuiderByIdResponse(projectId=1, id=5343b1c00153a9f7, title=2017 Fleischner学会肺小结节指南解读及临床应用要点, enTitle=, guiderFrom=放射学实践.2017,32(11):1109-1113., authorId=null, author=, summary=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, cover=, journalId=null, articlesId=null, associationId=null, associationName=, associationIntro=, copyright=0, guiderPublishedTime=Thu Nov 30 00:00:00 CST 2017, originalUrl=, linkOutUrl=, content=<P>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。 </P>作者： 北京大学第一医院医学影像科 王鹤 王霄英 <P> </P>拓展指南：<strong>与<font color=red>结节</font>相关指南：</strong><br><ul><li><a href="//m.capotfarm.com/guideline/show_article.do?id=c92011c001532150" title="2017 基于影像学的与结节性硬化症相关的血管平滑肌脂肪瘤的诊断和管理建议" target=_blank>2017 基于影像学的与结节性硬化症相关的血管平滑肌脂肪瘤的诊断和管理建议</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=d82a91c001a9e934" title="美国甲状腺学会《儿童甲状腺结节与分化型甲状腺癌诊治指南》解读" target=_blank>美国甲状腺学会《儿童甲状腺结节与分化型甲状腺癌诊治指南》解读</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=574ce1c001a8e5d3" title="结节性硬化症相关肾血管平滑肌脂肪瘤诊治专家共识" target=_blank>结节性硬化症相关肾血管平滑肌脂肪瘤诊治专家共识</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=6bea81c001ae042e" title="物联网辅助肺结节诊治中国专家共识" target=_blank>物联网辅助肺结节诊治中国专家共识</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=4cb3b1c001a63979" title="2017 Fleischner学会建议：应用CT检查测量肺结节" target=_blank>2017 Fleischner学会建议：应用CT检查测量肺结节</a></li> 更多信息请点击：<a href="//m.capotfarm.com/guideline/list.do?q=%E7%BB%93%E8%8A%82" target=_blank>有关结节更多指南</a></ul>, tagList=[TagDto(tagId=17698, tagName=CT检查), TagDto(tagId=868, tagName=肺结节)], categoryList=[CategoryDto(categoryId=12, categoryName=呼吸, tenant=100), CategoryDto(categoryId=40, categoryName=影像放射, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=解读, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=10186, appHits=418, showAppHits=12, pcHits=7064, showPcHits=4214, likes=123, shares=14, comments=9, approvalStatus=1, publishedTime=Fri Dec 22 16:57:25 CST 2017, publishedTimeString=2017-11-30, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Fri Dec 22 16:57:25 CST 2017, updatedBy=null, updatedName=null, updatedTime=Sat Jan 06 04:17:47 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=2017 Fleischner学会肺小结节指南解读及临床应用要点)])
2017 Fleischner学会肺小结节指南解读及临床应用要点
下载请点击：
评论区 (9)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=893707, encodeId=fb4e893e0785, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=163, 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=174, 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=154, 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=178, 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=156, 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=163, 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=174, 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=154, 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=178, 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=156, 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=163, 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=174, 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=154, 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=178, 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=156, 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=163, 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=174, 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=154, 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=178, 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=156, 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=163, 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=174, 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=154, 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=178, 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=156, 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

Baidu
map
Baidu
map
Baidu
map