ArticleEuropean radiology2016
Fleischner recommendations for the management of subsolid pulmonary nodules: high awareness but limited conformance - a survey study.
Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- A predictive nomogram for two-year growth of CT-indeterminate small pulmonary nodules.European radiology · 2022Trial
- Development and validation of a preoperative CT-based radiomic nomogram to predict pathology invasiveness in patients with a solitary pulmonary nodule: a machine learning approach, multicenter, diagnostic study.European radiology · 2022Trial
- High rates of clinically relevant incidental findings by total-body CT scanning in trauma patients; results of the REACT-2 trial.European radiology · 2017Trial
- Are respiratory physicians adherent to guidelines when evaluating pulmonary nodules?Internal medicine journal · 2026Article
- Concomitant Idiopathic Pulmonary Fibrosis and Lung Cancer: An Updated Narrative Review.Advances in respiratory medicine · 2025Review
- Content accuracy and reliability of pulmonary nodule information on social media platforms: a cross-platform study of YouTube, Bilibili, and TikTok.Frontiers in medicine · 2025Article
- Artificial intelligence system-based histogram analysis of computed tomography features to predict tumor invasiveness of ground-glass nodules.Quantitative imaging in medicine and surgery · 2023Article
- Volumetric Measurements in Lung Cancer Screening Reduces Unnecessary Low-Dose Computed Tomography Scans: Results from a Single-Center Prospective Trial on 4119 Subjects.Diagnostics (Basel, Switzerland) · 2022Article
- Prediction of single pulmonary nodule growth by CT radiomics and clinical features - a one-year follow-up study.Frontiers in oncology · 2022Article
- Lung Nodule Malignancy Prediction in Sequential CT Scans: Summary of ISBI 2018 Challenge.IEEE transactions on medical imaging · 2021Article
- A quantitative imaging biomarker for predicting disease-free-survival-associated histologic subgroups in lung adenocarcinoma.European radiology · 2020Article
- How Does the Delta-Radiomics Better Differentiate Pre-Invasive GGNs From Invasive GGNs?Frontiers in oncology · 2020Article
- National Survey of Hospitalists' Experiences with Incidental Pulmonary Nodules.Journal of hospital medicine · 2019Article
- Article
- Pulmonary quantitative CT imaging in focal and diffuse disease: current research and clinical applications.The British journal of radiology · 2018Review
- How to diagnose pulmonary nodules: from screening to therapy.Translational lung cancer research · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to assess awareness and conformance to the Fleischner society recommendations for the management of subsolid pulmonary nodules (SSN) in clinical practice.
methodsAn online questionnaire with four imaging cases was sent to 1579 associates from the European Respiratory Society and 757 from the European Society of Thoracic Imaging. Each respondent was asked to choose from several options which one they thought was the indicated management for the nodule presented. Awareness and conformance to the Fleischner recommendations (FR) were assessed and correlated to respondents characteristics.
resultsIn total, 119 radiologists (response rate 16.0 %) and 243 pulmonologists (response rate 16.5 %) were included. Awareness of the FR was higher in radiologists than in pulmonologists (93 % vs. 70 %, p < 0.001), as was implementation in daily practice (66 % vs. 47 %, p < 0.001). Radiologists conformed to FR in rates of 31, 69, 68, and 82 %, and pulmonologists in 12, 43, 70, and 75 % for cases 1 to 4, respectively. Overmanagement was common. Conformance in SSN management was associated with awareness, working in an academic practice, larger practice size, teaching residents, and higher SSN exposure.
conclusionsAlthough awareness of the Fleischner recommendations for SSN management is widespread, management choices in clinical practice show large heterogeneity. KEY POINTS: • Guideline awareness among clinicians is widespread, but conformance shows large heterogeneity. • Awareness and conformance is significantly higher among radiologists than pulmonologists. • Overmanagement is common, which may lead to avoidable financial and physical burden.
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