Guideline decision tool · Radiology
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Pulmonary Nodule Lung-RADS v2022 Category — free guideline decision tool

Compute the Lung-RADS v2022 category from nodule type and size at baseline screening, with follow-up management. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Nodule typeSolid
Total nodule diameter9 mm
Solid component diameter (if part-solid)5 mm

CategoryLung-RADS 4A

  • CategoryLung-RADS 4A (malignancy likelihood 5–15%)
  • ManagementSuspicious: 3-month LDCT; add PET/CT if solid component ≥ 8 mm
  • ReadType: solid, total diameter 9 mm (baseline-screen thresholds)
Nodule typePure ground-glass
Total nodule diameter9 mm
Solid component diameter (if part-solid)5 mm

CategoryLung-RADS 2

  • CategoryLung-RADS 2 (malignancy likelihood < 1%)
  • ManagementBenign appearance/behaviour: 12-month LDCT, continue annual screening
  • ReadType: pure ground-glass, total diameter 9 mm (baseline-screen thresholds)

Common questions

What is Pulmonary Nodule Lung-RADS v2022 Category?

Compute the Lung-RADS v2022 category from nodule type and size at baseline screening, with follow-up management. Instant, browser-side.

How is Pulmonary Nodule Lung-RADS v2022 Category calculated? What is the core formula?

Solid: < 6 → 2, 6–< 8 → 3, 8–< 15 → 4A, ≥ 15 → 4B. Part-solid scored by solid component (< 6 → 3, 6–< 8 → 4A, ≥ 8 → 4B). Pure ground-glass: < 30 → 2, ≥ 30 → 3.

When is Pulmonary Nodule Lung-RADS v2022 Category used?

Classify a nodule on low-dose CT lung-cancer screening and set the follow-up.

What are the key clinical points for Pulmonary Nodule Lung-RADS v2022 Category?

For screening only — use Fleischner for incidental non-screening nodules. Additional suspicious features (spiculation, bubbly lucency, adenopathy) upgrade to 4X. New or growing nodules use lower thresholds (growth ≥ 1.5 mm). 4A → 3-month LDCT (add PET/CT if solid component ≥ 8 mm); 4B → diagnostic CT/PET/sampling.

What are the limits and cautions when using Pulmonary Nodule Lung-RADS v2022 Category?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

How is Pulmonary Nodule Lung-RADS v2022 Category calculated in practice? Can you show a worked example?

Inputs: Nodule type Solid, Total nodule diameter 9 mm, Solid component diameter (if part-solid) 5 mm → Result: Category Lung-RADS 4A(Category: Lung-RADS 4A (malignancy likelihood 5–15%), Management: Suspicious: 3-month LDCT; add PET/CT if solid component ≥ 8 mm, Read: Type: solid, total diameter 9 mm (baseline-screen thresholds)) Inputs: Nodule type Pure ground-glass, Total nodule diameter 9 mm, Solid component diameter (if part-solid) 5 mm → Result: Category Lung-RADS 2(Category: Lung-RADS 2 (malignancy likelihood < 1%), Management: Benign appearance/behaviour: 12-month LDCT, continue annual screening, Read: Type: pure ground-glass, total diameter 9 mm (baseline-screen thresholds))

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Compute the Lung-RADS v2022 category from nodule type and size at baseline screening, with follow-up management. Instant, browser-side.

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For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.