ACR Appropriateness Criteria® Imaging of Deep Inferior Epigastric Arteries for Surgical Planning (Breast Reconstruction Surgery)
| Autor: | Kevin Day, Michael Ginsburg, Michael L. Steigner, Richard Strax, Adam H Hamawy, Benoit Desjardins, Michael Hanley, O. Ahmed, Frank J. Rybicki, Nupur Verma, Isabel B. Oliva, Karin E. Dill, Expert Panel on Vascular Imaging, Kenneth L. Gage, Shelby J Bennett |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Deep Inferior Epigastric Artery 030230 surgery Malignancy medicine.disease Surgical planning Appropriate Use Criteria Surgery 03 medical and health sciences 0302 clinical medicine Breast cancer 030220 oncology & carcinogenesis medicine Radiology Nuclear Medicine and imaging Breast reconstruction business Grading (tumors) Medical literature |
| Zdroj: | Journal of the American College of Radiology. 14:S456-S461 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2017.08.047 |
| Popis: | Breast cancer is the most common malignancy in women in the United States. Breast reconstruction surgery is a commonly used therapy for patients with breast cancer. The technique for the deep inferior epigastric perforator flap uses a preserved rectus muscle, which decreases donor site morbidity. Accurate identification and measurement of the perforator branches of the deep inferior epigastric artery is pivotal during pre-operative planning so that the surgeon can prioritize the best vessel to use and ultimately improve clinical outcome. 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 |
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