Currently, we have several guidelines for the management of incidental PCLs.
However, there is still debate over proper management, in terms of accurate diagnosis, optimal follow-up interval, and imaging tools.
Because imaging studies play a crucial role in the management of incidental PCLs, the 2017 consensus recommendations of the Korean Society of Abdominal Radiology for the diagnosis and surveillance of incidental PCLs approved 11 out of 16 recommendations.
Although several challenges remain in terms of optimization and standardization, these consensus recommendations might serve as useful tools to provide a more standardized approach and to optimize care of patients with incidental PCLs.
Surveillance tools and follow-up intervals of incidental PCLs; Section 3. Seven investigators assessed potentially relevant articles for eligibility.
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The study group members were organized, and each team was assigned one candidate issue.All study group members discussed these materials through three face-to-face meetings and two online discussions.We tried to develop a single key question for a particular issue and one or two recommendations for each key question, which were then subjected to a modified Delphi voting among the study group members.Corresponding author: Jung Hoon Kim, MD, Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea.Tel: (822) 2072-1969, Fax: (822) 743-6385, The occurrence of incidentally detected pancreatic cystic lesions (PCLs) is continuously increasing.Thus, incidentally detected PCLs are considered an important clinical issue.Currently, we have several guidelines for the management of incidental PCLs, mainly for mucinous cystic neoplasms (MCNs) ().These recommendations primarily focus on imaging diagnosis and the risk stratification of incidental PCLs, surveillance tools and follow-up intervals, and post-operative surveillance of incidental PCLs.The KSAR study group for incidental PCLs comprised 10 board-certified abdominal radiologists from 7 different hospitals in South Korea.All of them are members of KSAR and are experienced with pancreatic images including CT, MRI, and ultrasonography.First, we searched for reference articles using Medline (source: Pub Med, 1966 to May 2017; Embase (1980 to May 2017; the Cochrane Library (source: The Cochrane Central Register of Controlled Trials, 2017; and Google Scholar (scholar.google.com). Relevant keywords related to incidental PCLs and imaging tools in combination with Medical Subject Headings (Me SH) terms and text words (“mucinous neoplasm” OR “cystic lesion” OR “Guideline” OR “serous” OR “computed tomography” OR “ultrasound” OR “Magnetic Resonance Imaging” OR “Ultrasonography” OR “image”) were used along with words related to “Diagnosis” AND “surveillance” AND “follow-up” AND “post-operative.” The search strategy had language restrictions such as English.