Recommendations for the Management of the Incidental Renal Mass in Adults: Endorsement and Adaptation of the 2017 ACR Incidental Findings Committee White Paper by the Canadian Association of Radiologists Incidental Findings Working Group

2021 Year in Review

“…New recommendations were also provided regarding gallbladder wall calcifications and gallbladder polyps based on new evidence. This work, along with the Working Group’s previous 2019 white paper on incidental renal masses, 2 will prove to be important tools in a radiologist’s clinical toolbox.…”

Recommendations for the Management of Incidental Hepatobiliary Findings in Adults: Endorsement and Adaptation of the 2017 and 2013 ACR Incidental Findings Committee White Papers by the Canadian Association of Radiologists Incidental Findings Working Group

“…2 Low-risk patient: no known primary malignancy or hepatic risk factors (cirrhosis, hepatitis, alcoholism, nonalcoholic steatohepatitis, sclerosing cholangitis, primary biliary cirrhosis, choledochal cyst, hemochromatosis and other hereditary hepatic conditions, anabolic steroid use, or elevated tumor markers). 3 High-risk patient: history of malignancy or hepatic risk factors as previously defined. 4 Followup MRI in 3 to 6 months.…”

“…1 The CAR Working Group initially tackled the problem of incidental renal masses and produced their first paper in 2019, an endorsement and adaptation of the 2017 ACR Incidental Findings Committee white paper on the incidental renal mass in adults. 2,3 This initial article by the CAR Working Group expanded the use of ultrasound (US) in the management of the incidental renal mass in order to reduce radiation exposure to patients and provide more cost-effective care in the Canadian medical system, where access to computed tomography (CT) and especially magnetic resonance imaging (MRI) can often be limited.…”

Recommendations for the Management of Incidental Musculoskeletal Findings on MRI and CT

“…The Canadian Association of Radiologists (CAR) Incidental Findings Working Group consists of both academic subspeciality and general radiologists tasked with either adapting American College of Radiology (ACR) guidelines to meet the needs of Canadian radiologists or authoring new guidelines where appropriate. Guidelines on incidental renal, 1 hepatobiliary 2 and pancreatic findings 3 have become a popular resource for both academic and community radiologists. The working group conducted a literature search and assessed the current regional practice patterns and felt that there was a general lack of recommendations concerning incidental musculoskeletal (MSK) findings seen on CT and MRI.…”