Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee.
J Am Coll Radiol. 2018 Feb;15(2):264-273. doi: 10.1016/j.jacr.2017.04.028. Epub 2017 Jun 23. Herts BR1, Silverman SG2, Hindman NM3, Uzzo RG4, Hartman RP5, Israel GM6, Baumgarten DA7, Berland LL8, Pandharipande PV9.
The ACR Incidental Findings Committee (IFC) presents recommendations for renal masses that are incidentally detected on CT. These recommendations represent an update from the renal component of the JACR 2010 white paper on managing incidental findings in the adrenal glands, kidneys, liver, and pancreas. The Renal Subcommittee, consisting of six abdominal radiologists and one urologist, developed this algorithm. The recommendations draw from published evidence and expert opinion and were finalized by informal iterative consensus. Each flowchart within the algorithm describes imaging features that identify when there is a need for additional imaging, surveillance, or referral for management. Our goal is to improve quality of care by providing guidance for managing incidentally detected renal masses.