With the wide application of low-dose spiral computed tomography and the advancement of imaging technology, the detection rate of pulmonary nodules has significantly increased. However, the traditional "one-size-fits-all" management strategy has been unable to meet the needs of precise diagnosis and treatment. This expert consensus was initiated by Professor Chunxia SU's team and Professor Chang CHEN's team from Shanghai Pulmonary Hospital and jointly formulated by experts from multiple disciplines including oncology, respiratory medicine, thoracic surgery, interventional medicine, radiology, and pathology. The aim is to provide scientific and practical decision-making references for clinical controversies that are less addressed or have differences in existing guidelines. The consensus uses the GRADE method for evidence assessment and forms 18 recommendations through two rounds of Delphi questionnaire surveys, focusing on differentiated screening for special populations, artificial intelligence assisted diagnosis, robot-assisted puncture, application of molecular markers, active monitoring of low-risk nodules, timing of invasive intervention, termination conditions of follow-up, management strategies for multiple nodules, and selection of individualized lymph node dissection range and surgical methods for early-stage lung cancer. This consensus would provides supplementary guidance for the entire process of precise management of pulmonary nodules from screening to treatment, with expectation of improving the long-term survival rate of lung cancer patients while minimizing unnecessary medical interventions and enhancing the quality of life of patients. .
【中文题目：肺结节精准管理专家共识（2026年版）】 【中文摘要：随着低剂量螺旋计算机断层扫描的广泛应用和影像技术的进步，肺结节的检出率显著提高，但传统“一刀切”的管理策略已难以满足精准诊疗需求。本专家共识由上海市肺科医院苏春霞教授团队和陈昶教授团队共同发起，联合肿瘤内科、呼吸内科、胸外科、介入科、影像科、病理科等多学科专家共同制定，旨在针对现有指南关注较少或存在分歧的临床争议问题，提供科学、实用的决策参考。共识采用GRADE方法进行证据评估，通过德尔菲法2轮问卷调查形成18条推荐意见，聚焦特殊人群差异化筛查、人工智能辅助诊断、机器人辅助穿刺、分子标志物应用、低风险结节主动监测、侵入性干预时机、随访终止条件、多发结节管理策略以及早期肺癌个体化淋巴结清扫范围和手术方式选择等核心问题，为肺结节从筛查到治疗的全流程精准管理提供补充性指导意见，以期在提升肺癌患者长期生存率的同时，最大程度减少不必要的医疗干预，改善患者生活质量。 】 【中文关键词：肺肿瘤；筛查；低剂量螺旋计算机断层扫描；精准管理；随访策略；专家共识】.
Keywords: Expert consensus; Follow-up strategy; Low-dose spiral computed tomography; Lung neoplasms; Precise management; Screening.