2023CAR建议：MRI和CT检查偶发性肌肉骨骼情况的管理

青Check for updatesGuidelinesCanadian Association ofRadiologists'JournalRecommendations for the Management of2023.VoL00)1-2The Author(s)2023Incidental Musculoskeletal Findings on MRI©0□and CTArtice reuse guidelines:sagepub.com/journals-permissionsD0t101I77/0846537123引152151journals.sagepub.com/home/cajSSAGEGina Di Primio2,GordonJ.Boyd3,Christopher I.Fung,Casey Hurrell,Gary L.Brahm,Jeffery R.Bird,Steven J.Co,and lain D.C.KirkpatrickAbstractThe Canadian Association of Radiologists(CAR)Incidental Findings Working Group consists of both academic subspeciality andgeneral radiologists tasked with either adapting American College of Radiology(ACR)guidelines to meet the needs of Canadianradiologists or authoring new guidelines where appropriate.In this case,entirely new guidelines to deal with incidentalmusculoskeletal findings that may be encountered on thoracoabdominal computed tomography or magnetic resonance imagingwere drafted,focussing on which findings should prompt recommendations for further workup.These recommendationsdiscuss how to deal with incidental marrow changes,focal bone lesions,abnormalities of the pubic symphysis and sacroiliacjoints,fatty soft tissue masses,manifestations of renal osteodystrophy and finally discuss opportunistic osteoporosis evaluation.ResumeLe groupe de travail sur les decouvertes fortuites de l'Assocation canadienne des radiologistes(CAR)est compose de radiologistesuniversitaires specialises et generalistes charges dadapter les lignes directrices de IAmerican College of Radiology(ACR)aux besoinsdes radiologistes canadiens ou de rediger de nouvelles lignes directrices,le cas echeant.Dans le cas present,de toutes nouvelles lignesdirectrices ont ete redigees afin de traiter les decouvertes musculo-squelettiques fortuites qui peuvent etre rencontrees lors d'unetomographie assistee par ordinateur ou d'une imagerie par resonance magnetique de la region thoraco-abdominale,en mettantI'accent sur les decouvertes qui devraient inciter a recommander des bilans complementaires.Ces recommandations abordent lesmanieres de traiter les maladies et problemes de sante decouverts fortuitement(modifications de la moelle,lesions osseuses focales,anomalies de la symphyse pubienne et des articulations sacro-iliaques,masses graisseuses des tissus mous et manifestations deI'osteodystrophie renale)et evoquent enfin le diagnostic de l'osteoporose opportuniste.Keywordsincidental findings,musculoskeletal,bone marrow,renal osteodystrophy,fatty tissue masses,focal bone lesionsIntroductionMcMaster University,Hamilton,ON,Canada2Departent of Radiology.Oakville Trafalgar Memorial Hospital (HaltonThe Canadian Association of Radiologists (CAR)IncidentalHealth Care),Oakville,ON,CanadaFindings Working Group consists of both academic sub-3Department of Radiology.Dalhousie University.Halifax,NS,Canadaspeciality and general radiologists tasked with either adaptingDepartment of Radiology and Diagnostic Imaging.University of Alberta,Edmonton,AB,CanadaAmerican