Guideline Current ACR 2017

ACR Incidental Pancreatic Cyst

ACR white paper on management of incidental pancreatic cysts. Complements the Fukuoka / International Consensus IPMN guidelines; ACR provides size-based follow-up intervals for cysts without worrisome features.

Updated Jul 5, 2026
Applies to
  • Incidentally detected pancreatic cysts on CT or MRI
Classification
  • Feature group Benign
  • Feature group Indeterminate
  • Feature group Suspicious
Exclusions
  • Known pancreatic malignancy
  • Symptomatic cysts
Interactive

Decision tree

Enter a finding to compute a recommendation without leaving the page.

Recommendation builder

ACR size-based surveillance intervals. Use Fukuoka builder for full IPMN feature analysis.

FAQ

Frequently asked

Does this guideline apply to oncology patients?

No — patients with known malignancy fall outside the scope unless the guideline states otherwise. Follow oncologic surveillance protocols instead.