Korean J Radiol.  2025 Feb;26(2):102-134. 10.3348/kjr.2024.0914.

Interpretation, Reporting, Imaging-Based Workups, and Surveillance of Incidentally Detected Gallbladder Polyps and Gallbladder Wall Thickening: 2025 Recommendations From the Korean Society of Abdominal Radiology

Affiliations
  • 1Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
  • 2Department of Radiology, Seoul National University College of Medicine, Seoul, Republic of Korea
  • 3Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
  • 4Department of Radiology and Center for Imaging Sciences, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
  • 5Department of Radiology, Inje University Busan Paik Hospital, Busan, Republic of Korea
  • 6Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea
  • 7Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Republic of Korea
  • 8Department of Radiology, Gachon University Gil Medical Center, Incheon, Republic of Korea
  • 9Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

Abstract

Incidentally detected gallbladder polyps (GBPs) and gallbladder wall thickening (GBWT) are frequently encountered in clinical practice. However, characterizing GBPs and GBWT in asymptomatic patients can be challenging and may result in overtreatment, including unnecessary follow-ups or surgeries. The Korean Society of Abdominal Radiology (KSAR) Clinical Practice Guideline Committee has developed expert recommendations that focus on standardized imaging interpretation and follow-up strategies for both GBPs and GBWT, with support from the Korean Society of Radiology and KSAR. These guidelines, which address 24 key questions, aim to standardize the approach for the interpretation of imaging findings, reporting, imaging-based workups, and surveillance of incidentally detected GBPs and GBWT. This recommendation promotes evidence-based practice, facilitates communication between radiologists and referring physicians, and reduces unnecessary interventions.

Keyword

Gallbladder; Gallbladder polyp; Gallbladder wall thickening; Gallbladder cancer; Guideline; Recommendation; Consensus
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