August 10, 2026 · Journal of the American College of Radiology : JACR · DOI: 10.1016/j.jacr.2026.07.003

ACR Appropriateness Criteria® Indolent Lung Cancer

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This paper aims to establish evidence-based guidelines for the imaging surveillance of indolent lung cancer, specifically focusing on persistent or slow-growing subsolid nodules and atypical lung cysts. The authors emphasize the importance of a multidisciplinary approach to assess risk, treatment options, and patient preferences, while determining the most appropriate imaging modalities to monitor changes that could necessitate intervention. The guidelines are informed by systematic reviews of the literature and expert consensus when evidence is lacking.

Expert Panel on Thoracic Imaging, Subba R Digumarthy, Brandon Messick, Christopher M Walker, Brent P Little, Arya Amini, Kiran Batra, Abbie Begnaud, Anupama G Brixey, Melissa B Carroll, Lydia Chelala, Jared D Christensen, Christian W Cox, Roger Y Kim, Kenneth Lin, Natalie S Lui, Alykhan S Nagji, Sonam Puri, Justin T Stowell, Gary A Ulaner, Jane Yanagawa, Travis S Henry

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