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Because there is a lack of prospective randomized trials in this field, no strong evidence is available today.
Although most incidentally detected PCLs are considered benign, particularly those that are small in size, they have the potential to become malignant.Because imaging studies play a crucial role in the management of incidental PCLs, these consensus recommendations mainly focus on current issues in terms of the imaging diagnosis and management of incidental PCLs.These recommendations typically follow similar principles listed in previous guides but do not concur completely.Because imaging studies play a crucial role in the management of incidental PCLs, the 2017 consensus recommendations of the Korean Society of Abdominal Radiology for the diagnosis and surveillance of incidental PCLs approved 11 out of 16 recommendations.Although several challenges remain in terms of optimization and standardization, these consensus recommendations might serve as useful tools to provide a more standardized approach and to optimize care of patients with incidental PCLs.Literature searches were carried out by a specialist librarian (P. We also reviewed existing recommendations/guidelines on incidental PCLs. We categorized the candidate issues into three sections: Section 1.Diagnosis and risk stratification of incidental PCLs; Section 2.The second round of voting was conducted at a half-day satellite conference, attended by 82 board-certified radiologists specializing in abdominal radiology during the 40th Scientific Assembly and Annual Meeting of the KSAR on September 02, 2017.Finally, 10 questions with 11 recommendations reached the 80% consensus threshold (), they did not provide an accurate cut-off value for the cyst growth rate.All of them are members of KSAR and are experienced with pancreatic images including CT, MRI, and ultrasonography.First, we searched for reference articles using Medline (source: Pub Med, 1966 to May 2017; Embase (1980 to May 2017; the Cochrane Library (source: The Cochrane Central Register of Controlled Trials, 2017; and Google Scholar (scholar.google.com). Relevant keywords related to incidental PCLs and imaging tools in combination with Medical Subject Headings (Me SH) terms and text words (“mucinous neoplasm” OR “cystic lesion” OR “Guideline” OR “serous” OR “computed tomography” OR “ultrasound” OR “Magnetic Resonance Imaging” OR “Ultrasonography” OR “image”) were used along with words related to “Diagnosis” AND “surveillance” AND “follow-up” AND “post-operative.” The search strategy had language restrictions such as English.