ACR Appropriateness Criteria® Newly Diagnosed Palpable Scrotal Abnormality.

Autor:	Khatri G; Division Chief, Body MRI; Associate Division Chief, Abdominal Imaging; Program Director, Body MRI Fellowship, UT Southwestern Medical Center, Dallas, Texas. Electronic address: Gaurav.khatri@utsouthwestern.edu., Bhosale PR; Director of Research, The University of Texas MD Anderson Cancer Center, Houston, Texas., Robbins JB; Panel Vice-Chair, University of Wisconsin, Madison, Wisconsin., Akin EA; George Washington University Hospital, Washington, District of Columbia., Ascher SM; Georgetown University Hospital, Washington, District of Columbia., Brook OR; Section Chief of Abdominal Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts., Dassel M; Director Endometriosis and Chronic Pelvic Pain, Cleveland Clinic, Cleveland, Ohio; American College of Obstetricians and Gynecologists., Glanc P; University of Toronto and Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada., Henrichsen TL; Mayo Clinic, Rochester, Minnesota., Learman LA; Dean, Virginia Tech Carilion School of Medicine, Roanoke, Virginia; American College of Obstetricians and Gynecologists., Sadowski EA; University of Wisconsin, Madison, Wisconsin; and ACR O-RADS MRI Education Subcommittee Chair., Saphier CJ; Women's Ultrasound, LLC, Englewood, New Jersey; American College of Obstetricians and Gynecologists., Wasnik AP; Division Chief, Abdominal Radiology, University of Michigan, Ann Arbor, Michigan., Maturen KE; Specialty Chair, University of Michigan, Ann Arbor, Michigan.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2022 May; Vol. 19 (5S), pp. S114-S120.
DOI:	10.1016/j.jacr.2022.02.018
Abstrakt:	Palpable scrotal abnormalities are caused by a variety of disorders, ranging from indolent benign conditions to aggressive tumors, and infectious and vascular processes. In these patients the diagnostic workup typically begins with a complete clinical, history, and physical examinations, including analysis of risk factors. If imaging is required, ultrasound examination is the diagnostic modality of choice. In few select patients with very large scrotal masses, MRI may be appropriate. However, the use of gadolinium-based contrast should be evaluated critically depending on specific patient factors. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. (Copyright © 2022 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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