ACR Appropriateness Criteria® Workup of Pleural Effusion or Pleural Disease.
| Autor: | Morris MF; University of Arizona College of Medicine, Phoenix, Tucson, Arizona. Electronic address: michael.morris@bannerhealth.com., Henry TS; Panel Chair, Duke University, Durham, North Carolina., Raptis CA; Panel Vice Chair, Mallinckrodt Institute of Radiology, Saint Louis, Missouri., Amin AN; University of California, Irvine, Irvine, California; American College of Physicians., Auffermann WF; University of Utah, Salt Lake City, Utah., Hatten BW; University of Colorado School of Medicine Anschutz Medical Campus, Aurora, Colorado; American College of Emergency Physicians., Kelly AM; Emory University Hospital, Atlanta, Georgia., Lai AR; University of California San Francisco, San Francisco, California, Hospitalist., Martin MD; University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin., Sandler KL; Vanderbilt University Medical Center, Nashville, Tennessee., Sirajuddin A; National Institutes of Health, Bethesda, Maryland., Surasi DS; The University of Texas MD Anderson Cancer Center, Houston, Texas; Commission on Nuclear Medicine and Molecular Imaging., Chung JH; Specialty Chair, University of Chicago, Chicago, Illinois. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2024 Jun; Vol. 21 (6S), pp. S343-S352. |
| DOI: | 10.1016/j.jacr.2024.02.013 |
| Abstrakt: | Pleural effusions are categorized as transudative or exudative, with transudative effusions usually reflecting the sequala of a systemic etiology and exudative effusions usually resulting from a process localized to the pleura. Common causes of transudative pleural effusions include congestive heart failure, cirrhosis, and renal failure, whereas exudative effusions are typically due to infection, malignancy, or autoimmune disorders. This document summarizes appropriateness guidelines for imaging in four common clinical scenarios in patients with known or suspected pleural effusion or pleural disease. 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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation. (Copyright © 2024 American College of Radiology. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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