TY - T1的变量放射性肺结节评估导致不同的管理建议JF -欧洲呼吸杂志》乔和J - 10.1183/13993003.01359 -2018欧元六世- 52 - 6 SP - 1801359 AU - Nair Arjun AU -巴特利特,艾米丽·c . AU -沃尔什,西蒙L.F. AU -威尔斯,Athol美国的非盟- Navani Neal盟——Hardavella格鲁吉亚AU -巴拉,(Sanjeev盟——Calandriello卢西奥盟——Devaraj Anand盟——咕,晋墨盟-克莱恩,Jeffrey s . AU - mcmahon希盟——Schaefer-ProkopC.M. AU - Seo, Joon-Beom AU - Sverzellati, Nicola AU - Desai, Sujal R. A2 -， Y1 - 2018/12/01 UR - //www.qdcxjkg.com/content/52/6/1801359.摘要N2 - CT对偶然发现的肺结节的放射学评估影响治疗。我们评估了肺结节特征的国际放射学变异;2)假想的指南衍生型管理;3)放射科医生的管理建议。来自25个国家的107名放射科医师对69个ct检测结节进行了评估，记录:1)首选成分(固体、部分固体或毛玻璃，有百分比可信度);2)形态学特征;3)尺寸;4)建议管理;(5)决策影响因素。 We modelled hypothetical management decisions on the 2005 and updated 2017 Fleischner Society, and both liberal and parsimonious interpretations of the British Thoracic Society 2015 guidelines.Overall agreement for first-choice nodule composition was good (Fleiss' κ=0.65), but poorest for part-solid nodules (weighted κ 0.62, interquartile range 0.50–0.71). Morphological variables, including spiculation (κ=0.35), showed poor-to-moderate agreement (κ=0.23–0.53). Variation in diameter was greatest at key thresholds (5 mm and 6 mm). Agreement for radiologists' recommendations was poor (κ=0.30); 21% disagreed with the majority. Although agreement within the four guideline-modelled management strategies was good (κ=0.63–0.73), 5–10% of radiologists would disagree with majority decisions if they applied guidelines strictly.Agreement was lowest for part-solid nodules, while significant measurement variation exists at important size thresholds. These variations resulted in generally good agreement for guideline-modelled management, but poor agreement for radiologists' actual recommendations.Radiological variations in pulmonary nodule evaluation translate into good overall agreement for guideline-modelled management, but poor agreement for radiologists' actual recommendations: 21% of radiologists can disagree with majority decisions http://ow.ly/bPOu30mcRYA ER -