ACR Appropriateness Criteria® Acute Chest Pain—Suspected Pulmonary Embolism
| Autor: | Travis S. Henry, Cylen Javidan-Nejad, Jacobo Kirsch, Suhny Abbara, Pamela K. Woodard, Jonathon Leipsic, Christopher M. Kramer, Clinton Jokerst, Jeffrey P. Kanne, Paul R. Julsrud, Kalpesh K. Panchal, Amar Shah, James G. Ravenel, Tan-Lucien H. Mohammed, Richard K.J. Brown |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Deep vein 030204 cardiovascular system & hematology medicine.disease Thrombosis Appropriate Use Criteria 030218 nuclear medicine & medical imaging Pulmonary embolism 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Pulmonary angiography Medical imaging Radiology Nuclear Medicine and imaging Radiology Intensive care medicine business Grading (tumors) Medical literature |
| Zdroj: | Journal of the American College of Radiology. 14:S2-S12 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2017.02.027 |
| Popis: | Pulmonary embolism (PE) remains a common and important clinical condition that cannot be accurately diagnosed on the basis of signs, symptoms, and history alone. The diagnosis of PE has been facilitated by technical advancements and multidetector CT pulmonary angiography, which is the major diagnostic modality currently used. Ventilation and perfusion scans remain largely accurate and useful in certain settings. Lower-extremity ultrasound can substitute by demonstrating deep vein thrombosis; however, if negative, further studies to exclude PE are indicated. In all cases, correlation with the clinical status, particularly with risk factors, improves not only the accuracy of diagnostic imaging but also overall utilization. Other diagnostic tests have limited roles. 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|