Current Medicare MIP measures encourage radiologists not to recommend follow-up for ≤ 1 cm adrenal nodules. However, a radiologist may be the first to discover a small, subclinical pheochromocytoma. As such, recognition of the enhancement pattern of pheochromocytoma is important to ensure detection and properly guide management, which begins with clinical and laboratory assessment for elevated catecholamines.

中文翻译：

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关于基于CMS Merit奖励激励系统的附带肾上腺结节措施的警告。

当前的Medicare MIP措施鼓励放射科医生不要建议对≤1 cm的肾上腺结节进行随访。但是，放射科医生可能是第一个发现小的亚临床嗜铬细胞瘤的人。因此，识别嗜铬细胞瘤的增强模式对于确保检测和正确指导治疗很重要，这首先要从临床和实验室评估儿茶酚胺水平开始。