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ACR Appropriateness Criteria® Screening for Pulmonary Metastases

Mohammed, Tan-Lucien H. MD*; Chowdhry, Aqeel MD; Reddy, Gautham P. MD, MPH; Amorosa, Judith K. MD§; Brown, Kathleen MD; Dyer, Debra Sue MD; Ginsburg, Mark E. MD♯,**; Heitkamp, Darel E. MD††; Jeudy, Jean MD‡‡; Kirsch, Jacobo MD§§; MacMahon, Heber MB, BCh∥∥; Parker, J. Anthony MD, PhD¶¶,♯♯; Ravenel, James G. MD***; Saleh, Anthony G. MD†††,‡‡‡; Shah, Rakesh D. MD,§§§

doi: 10.1097/RTI.0b013e3182010bf9
Web Exclusive Content—Appropriateness Criteria Review

Screening for pulmonary metastatic disease is an important step for staging a patient with a known or recently discovered malignancy. Here we present our recommendations for screening for metastatic disease based on recommendations from the literature and experiences of pulmonary radiologists. In short, chest computed tomographic (CT) screening is the most appropriate tool for evaluation of pulmonary metastasis in the majority of cases. Chest computed tomographic screening is also recommended for follow-up and to determine response to therapy. Other modalities such as chest radiography, magnetic resonance imaging, and scintigraphy will also be discussed. Please note that this study is a summary of the complete version of this topic, which is available on the ACR website at Practitioners are encouraged to refer to the complete version.

Departments of *Diagnostic Radiology

Regional Radiology, Cleveland Clinic, Cleveland, OH

Department of Radiology, University of Washington School of Medicine, Seattle, Washington

§Department of Radiology, Robert Wood Johnson Medical School, New Brunswick, NJ

Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA

Department of Radiology, National Jewish Health, Denver, CO

**Society of Thoracic Surgeons

∥∥Department of Radiology, University of Chicago Hospital, Chicago

‡‡‡The American College of Chest Physicians, Northbrook, IL

††Department of Radiology, Indiana University, Indianapolis, IN

‡‡Division of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, MD

§§Division of Radiology, Cleveland Clinic, Weston, FL

¶¶Department of Nuclear Medicine, Beth Israel Deaconess Medical Center, Boston, MA

♯♯Society of Nuclear Medicine, Reston, VA

***Department of Radiology, Medical University of South Carolina, Charleston, SC

†††New York Methodist Hospital, Institute of Asthma and Lung Disease, Brooklyn

§§§North Shore University Hospital, Department of Radiology, Manhasset

Department of Surgery, Columbia University, New York, NY

This article is a summary of the complete version of this topic, which is available on the ACR website at Practitioners are encouraged to refer to the complete version.

The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria® through society representation on expert panels. Participation by representatives from collaborating societies on the expert panel does not necessarily imply society endorsement of the final document.

Reprints: Tan-Lucien H. Mohammed, MD, Department of Quality and Safety, American College of Radiology, 1891 Preston White Drive, Reston, VA 20191-4397 (e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.