Management of Incidental Pituitary Findings on CT, MRI, and 18F-Fluorodeoxyglucose PET: A White Paper of the ACR Incidental Findings Committee

Jenny K. Hoang, Andrew R. Hoffman, R. Gilberto González, Max Wintermark, Bradley J. Glenn, Pari V. Pandharipande, Lincoln L. Berland, David J. Seidenwurm

Research output: Contribution to journalArticlepeer-review


The ACR Incidental Findings Committee presents recommendations for managing pituitary findings that are incidentally detected on CT, MRI and 18F-fluorodeoxyglucose PET. The Pituitary Subcommittee, which included radiologists practicing neuroradiology and an endocrinologist, developed this algorithm. The recommendations draw from published evidence and expert opinion and were finalized by informal iterative consensus. Algorithm branches successively categorize pituitary findings on the basis of imaging features. They terminate with an ascertainment of an indolent lesion (with sufficient confidence to discontinue follow-up) or a management recommendation. The algorithm addresses most, but not all, pathologies and clinical scenarios. The goal is to improve the quality of care by providing guidance on how to manage incidentally detected pituitary findings.

Original languageEnglish (US)
Pages (from-to)966-972
Number of pages7
JournalJournal of the American College of Radiology
Issue number7
StatePublished - Jul 2018
Externally publishedYes


  • Rathke's cleft cyst
  • incidental
  • pituitary adenoma
  • pituitary lesion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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