Rethinking Normal: Benefits and Risks of Not Reporting Harmless Incidental Findings

J Am Coll Radiol. 2016 Jul;13(7):764-7. doi: 10.1016/j.jacr.2016.03.017. Epub 2016 May 5.

Abstract

The authors explore the benefits and risks of not reporting imaging findings that do not have clinical relevance, with the goal of developing recommendations to reduce their reporting. The authors review the example of incidentally detected, simple renal cysts (Bosniak category I), including medicolegal conditions required for such a shift in reporting practices to be acceptable. The authors propose four potential criteria for not reporting clinically unimportant findings and recommend that these criteria be debated in other contexts, so that they can be refined and implemented.

Keywords: Incidental finding; health policy; medical decision making.

Publication types

  • Review

MeSH terms

  • Clinical Decision-Making / ethics*
  • Diagnostic Imaging / ethics*
  • Incidental Findings*
  • Radiology / ethics*
  • Radiology / legislation & jurisprudence
  • Risk Assessment / ethics
  • Risk Assessment / legislation & jurisprudence
  • Risk Management / ethics*
  • Risk Management / legislation & jurisprudence*
  • Truth Disclosure / ethics
  • United States