ACR Appropriateness Criteria® Second and Third Trimester Vaginal Bleeding
| Autor: | Liina Poder, OB Imaging, Tom Winter, Eileen Y Wang, Susan B. Promes, Edward R Oliver, Betsy L Sussman, Therese M. Weber, Thomas D. Shipp, Phyllis Glanc, Expert Panel on Gyn, Vickie A. Feldstein, Loretta M Strachowski |
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| Rok vydání: | 2020 |
| Předmět: |
Pregnancy
medicine.medical_specialty medicine.diagnostic_test Obstetrics business.industry Vasa Previa Physical examination medicine.disease Appropriate Use Criteria 030218 nuclear medicine & medical imaging Placenta previa 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Etiology Radiology Nuclear Medicine and imaging Vaginal bleeding medicine.symptom business Cervix |
| Zdroj: | Journal of the American College of Radiology. 17:S497-S504 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2020.09.004 |
| Popis: | Vaginal bleeding can occur throughout pregnancy with varied etiologies. Although history and physical examination can identify many etiologies, imaging, in particular ultrasound (US), is the backbone of current medical practice. US pregnant uterus transabdominal, US pregnant uterus transvaginal, and US duplex Doppler velocimetry are usually appropriate for the evaluation of women with painless vaginal bleeding, those with painful vaginal bleeding, and also for those with second or third trimester vaginal bleeding with suspicion of or known placenta previa, low-lying placenta, or vasa previa. US cervix transperineal may be appropriate for those with painless or painful vaginal bleeding but is usually not appropriate for second or third trimester vaginal bleeding with suspicion of or known placenta previa, low-lying placenta, or vasa previa. Because the outcome of pregnancies is unequivocally related to the specific etiology of the vaginal bleeding, knowledge of imaging results directly informs patient management to optimize the outcome for mother and fetus. 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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