{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:10:48Z","timestamp":1790813448449,"version":"4.1.0"},"reference-count":99,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T00:00:00Z","timestamp":1591660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can Assoc Radiol J"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2020 Canadian guidelines for the management of hepatobiliary incidental findings. Topics covered include initial assessment of hepatic steatosis and cirrhosis, the workup of incidental liver masses identified on ultrasound and computed tomography (with algorithms presented), incidental gallbladder findings (wall thickening, calcification, and polyps), and management of incidental biliary dilatation.<\/jats:p>","DOI":"10.1177\/0846537120928349","type":"journal-article","created":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T12:53:27Z","timestamp":1591707207000},"page":"437-447","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Recommendations for the Management of Incidental Hepatobiliary Findings in Adults: Endorsement and Adaptation of the 2017 and 2013 ACR Incidental Findings Committee White Papers by the Canadian Association of Radiologists Incidental Findings Working Group"],"prefix":"10.1177","volume":"71","author":[{"given":"Jeffery R.","family":"Bird","sequence":"first","affiliation":[{"name":"Department of Medical Imaging, University of Saskatchewan, Saskatoon, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary L.","family":"Brahm","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Fung","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunit","family":"Sebastian","sequence":"additional","affiliation":[{"name":"Department of Radiology, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iain D. C.","family":"Kirkpatrick","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,9]]},"reference":[{"key":"bibr1-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2010.06.013"},{"key":"bibr2-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2017.04.028"},{"key":"bibr3-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2019.03.002"},{"key":"bibr4-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2017.07.018"},{"key":"bibr5-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-017-4742-y"},{"key":"bibr6-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2009.05.023"},{"key":"bibr7-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.2123"},{"key":"bibr8-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2009.09.001"},{"key":"bibr9-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-010-1905-5"},{"key":"bibr10-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1590\/1516-3180.2014.9150812"},{"key":"bibr11-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/rg.266065004"},{"key":"bibr12-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.11.6677"},{"key":"bibr13-0846537120928349","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.34.6.1051"},{"key":"bibr14-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.11.7838"},{"key":"bibr15-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.171.3.9725292"},{"key":"bibr16-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/129396"},{"key":"bibr17-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.183.6.01831595"},{"key":"bibr18-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2482060463"},{"key":"bibr19-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-2586(200002)11:2<136::AID-JMRI9>3.0.CO;2-B"},{"key":"bibr20-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2006.11.003"},{"key":"bibr21-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2009.05.010"},{"key":"bibr22-0846537120928349","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.16.03107"},{"key":"bibr23-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-016-0785-9"},{"key":"bibr24-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2018.07.006"},{"key":"bibr25-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.158.3.1738990"},{"key":"bibr26-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2012.00595.x"},{"key":"bibr27-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-015-0567-9"},{"key":"bibr28-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.166.1.8571914"},{"key":"bibr29-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.210.1.r99ja0371"},{"key":"bibr30-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1080\/028418501127346468"},{"key":"bibr31-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s11999.0000000000000149"},{"key":"bibr32-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1102\/1470-7330.2012.9028"},{"key":"bibr33-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2333031473"},{"key":"bibr34-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2017.08.018"},{"key":"bibr35-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-200209000-00009"},{"issue":"6","key":"bibr36-0846537120928349","first-page":"2923","volume":"36","author":"Semaan A","year":"2016","journal-title":"Anticancer Res"},{"key":"bibr37-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2018.0070"},{"key":"bibr38-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.prro.2012.02.004"},{"key":"bibr39-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.214.1.r00ja09167"},{"key":"bibr40-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2147\/JHC.S105777"},{"key":"bibr41-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2147\/JHC.S61146"},{"key":"bibr42-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2005.03.002"},{"key":"bibr43-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2017-314924"},{"issue":"4","key":"bibr44-0846537120928349","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/0016-5085(82)90327-4","volume":"82","author":"Buhler H","year":"1982","journal-title":"Gastroenterology"},{"key":"bibr45-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/rg.316115527"},{"key":"bibr46-0846537120928349","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1016\/B978-1-4557-5117-4.00088-X","volume-title":"Textbook of Gastrointestinal Radiology","author":"Ros PES","year":"2015","edition":"4"},{"key":"bibr47-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1351779"},{"key":"bibr48-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2014.02.005"},{"key":"bibr49-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1053\/j.sult.2009.06.001"},{"key":"bibr50-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.20.2.g00mc01379"},{"key":"bibr51-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1002\/hep.1840380430"},{"key":"bibr52-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-200105000-00001"},{"key":"bibr53-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14194"},{"key":"bibr54-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.14132362"},{"key":"bibr55-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-019-06458-4"},{"key":"bibr56-0846537120928349","volume-title":"CT\/MRI LI-RADS v","author":"American College of Radiology","year":"2018"},{"key":"bibr57-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0146-0"},{"key":"bibr58-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-015-0605-7"},{"key":"bibr59-0846537120928349","doi-asserted-by":"publisher","DOI":"10.14218\/JCTH.2017.00069"},{"key":"bibr60-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.09.4026"},{"key":"bibr61-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.13.12386"},{"key":"bibr62-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2013.05.022"},{"key":"bibr63-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2001.113888"},{"issue":"1","key":"bibr64-0846537120928349","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1177\/000313480106700102","volume":"67","author":"Towfigh S","year":"2001","journal-title":"Am Surg"},{"key":"bibr65-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-013-2170-0"},{"key":"bibr66-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2017.11.026"},{"key":"bibr67-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10100273"},{"key":"bibr68-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2012.1948"},{"key":"bibr69-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-015-1302-2"},{"key":"bibr70-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2015.12.001"},{"key":"bibr71-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e31819359aa"},{"key":"bibr72-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2014.01.003"},{"key":"bibr73-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1097\/RUQ.0b013e3182a80c98"},{"key":"bibr74-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-005-0230-y"},{"key":"bibr75-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.22.2.g02mr08387"},{"key":"bibr76-0846537120928349","doi-asserted-by":"publisher","DOI":"10.14366\/usg.18029"},{"key":"bibr77-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-004-2539-2"},{"key":"bibr78-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2015.09.006"},{"key":"bibr79-0846537120928349","doi-asserted-by":"publisher","DOI":"10.5009\/gnl.2014.8.2.219"},{"key":"bibr80-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-016-1017-z"},{"key":"bibr81-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2000.01925.x"},{"key":"bibr82-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-014-0308-5"},{"key":"bibr83-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-019-02217-7"},{"key":"bibr84-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1097\/00004424-198505000-00009"},{"key":"bibr85-0846537120928349","first-page":"317","author":"Oddi R","year":"1887","journal-title":"Arch Ital Biol"},{"key":"bibr86-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.147.301"},{"key":"bibr87-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/BF02820425"},{"key":"bibr88-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2445-7"},{"key":"bibr89-0846537120928349","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2007.8.3.212"},{"issue":"1446","key":"bibr90-0846537120928349","first-page":"111","volume":"129","author":"Smyth D","year":"2016","journal-title":"N Z Med J"},{"key":"bibr91-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1148\/rg.296095514"},{"key":"bibr92-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.17.19170"},{"key":"bibr93-0846537120928349","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.16.16087"},{"key":"bibr94-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2019.02.024"},{"key":"bibr95-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2018.05.019"},{"key":"bibr96-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2015.05.007"},{"key":"bibr97-0846537120928349","volume-title":"CEUS LI-RADS v","author":"American College of Radiology","year":"2017"},{"key":"bibr98-0846537120928349","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v24.i6.744"},{"key":"bibr99-0846537120928349","doi-asserted-by":"publisher","DOI":"10.1007\/s40477-018-0286-5"}],"container-title":["Canadian Association of Radiologists Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0846537120928349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0846537120928349","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0846537120928349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:56:31Z","timestamp":1777384591000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0846537120928349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,9]]},"references-count":99,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1177\/0846537120928349"],"URL":"https:\/\/doi.org\/10.1177\/0846537120928349","relation":{},"ISSN":["0846-5371","1488-2361"],"issn-type":[{"value":"0846-5371","type":"print"},{"value":"1488-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,9]]}}}