ACR Appropriateness Criteria® Screening for Pulmonary Metastases

Authors: Mohammed, Tan-Lucien H. MD; Chowdhry, Aqeel MD; Reddy, Gautham P. MD, MPH; Amorosa, Judith K. MD; Brown, Kathleen MD; Dyer, Debra Sue MD¶; Ginsburg, Mark E. MD,; Heitkamp, Darel E. MD; Jeudy, Jean MD; Kirsch, Jacobo MD; MacMahon, Heber MB, BCh; Park


Screening for pulmonary metastatic disease is an important step for staging a patient with a known or recently discovered malignancy. Here we present our recommendations for screening for metastatic disease based on recommendations from the literature and experiences of pulmonary radiologists. In short, chest computed tomographic (CT) screening is the most appropriate tool for evaluation of pulmonary metastasis in the majority of cases. Chest computed tomographic screening is also recommended for follow-up and to determine response to therapy. Other modalities such as chest radiography, magnetic resonance imaging, and scintigraphy will also be discussed. Please note that this study is a summary of the complete version of this topic, which is available on the ACR website at www.acr.org. Practitioners are encouraged to refer to the complete version.