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Book Cover
E-book

Title Incidental radiological findings / Sabine Weckbach, editor
Published Cham, Switzerland : Springer, 2017

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Description 1 online resource (ix, 209 pages) : illustrations (some color)
Series Medical radiology, diagnostic imaging
Medical radiology (Series)
Contents Contributors; Part I: Introduction; Incidental Findings: Definition of the Concept; 1 Incidental Findings in a Broad Sense; 2 Incidental Findings in a Narrow Sense; 3 Incidental Finding or Signal Abnormality?; 4 The Differing Indicative Dignity of Incidental Findings; 5 The Context of the Occurrence of Incidental Findings; References; Incidental Findings -- Ethical Aspects; 1 Introduction; 1.1 Frequency of Occurrence; 1.2 Typical Fields of Ethical Challenges; 1.3 Potential Outcome Resulting from the Question "Who Should Interpret the Images?"
1.4 Disclosure and Non-disclosure of IFs in the Research Context and Communication of Suspicious Findings in the Clinical Context1.5 Positive and Negative Effects That May Arise from Decision About Which IFs Will Be Disclosed; 1.6 The Approach to Disclosing IFs and Possible Consequences; 2 Ethical Prerequisites and Principles; 3 Recommendations; 3.1 Disclosure Algorithms; 3.2 Disclosure or Non-disclosure of IFs in the Research Context or the Communication of Suspicious Findings in the Clinical Context; 3.3 Who Should Interpret the Images and Decide About the Disclosure of IFs?
3.4 Informing About the Handling of IFs/Consent Processes3.5 Designing a Study Protocol in Research; 4 Final Considerations; References; Medicolegal Aspects and Informed Consent; 1 Frequency Engenders a Dilemma; 2 Standard of Care; 3 Defending an Ignored Incidentaloma in the American Courtroom; 4 Medicolegal Duties of Researchers When Scanning Healthy Volunteers; 5 Cascade of Unnecessary Imaging, Exposure to Radiation, and Informed Consent; 6 Informed Consent; 7 Conclusion: Incidentalomas and the Medicolegal Environment, 2016; 8 Author's Advice; References
Part II: IFs in Population Based Imaging/Research SettingTechnical Prerequisites of Population-Based Imaging; 1 General Requirements; 2 Imaging Modalities; 2.1 Magnetic Resonance Imaging; 2.2 Computed Tomography; 2.3 Ultrasound; 3 Data Storage and Data Distribution; 4 Data Post-processing and Data Analysis; Literature; Part III: Handling/Management of IFs in Different Countries/Population Based Studies; Management of Incidental Findings in the Study of Health in Pomerania; 1 The Study of Health in Pomerania (SHIP): Cohort Description
2 Description of the Whole-ƯBody MRI Implementation in SHIP3 Informed Consent in SHIP and Perception of the Study; 4 Assessment and Handling of Incidental Findings in SHIP; 5 Distribution of Incidental Findings in SHIP; 6 Impact of Incidental Findings: Empirical Evidence from SHIP; References; Management of Incidental Findings in the German National Cohort; 1 Introduction; 2 Ethical Framework for IF-Reporting; 3 Defining Problems in IF-Reporting; 3.1 Scientific Imaging Sequences; 3.2 Limited Clinical Context; 3.3 Disproportionate Increase of False Positives
Summary This book covers incidental radiological findings (IFs) from different perspectives, provides interesting ethical background information, highlights the differences between IFs in clinical routine and during research studies, explains the management of IFs with reference to practices in different countries. The prevalence of IFs is increasing due to the wider use of modern imaging modalities in routine clinical practice and large population-based cohort studies. The reporting of these findings may lead to further diagnostic investigations and treatment and must therefore be handled with knowledge and care. The management of IFs in clinical routine is regulated by the guidelines of the different academic societies, while management in the setting of research studies depends on a variety of factors. In general, IFs must be disclosed to the imaged subject if they are potentially clinically relevant, but subjects must also be protected from the consequences of false positive findings. This book, written by distinguished experts in their fields, discusses all these issues and will be of interest to radiologists, other clinicians, and radiographers/technicians
Notes Includes index
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (SpringerLink, viewed May 15, 2017)
Subject Radiography, Medical.
Incidental Findings
Clinical & internal medicine.
Radiology.
HEALTH & FITNESS -- Diseases -- General.
MEDICAL -- Clinical Medicine.
MEDICAL -- Diseases.
MEDICAL -- Evidence-Based Medicine.
MEDICAL -- Internal Medicine.
Radiography, Medical
Form Electronic book
Author Weckbach, Sabine, editor
ISBN 9783319425818
3319425811