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ACR appropriateness criteria

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https://www.readbyqxmd.com/read/27929205/acr-appropriateness-criteria-for-acute-onset-of-flank-pain-with-suspicion-of-stone-disease
#1
Marselle Bredemeyer
No abstract text is available yet for this article.
October 1, 2016: American Family Physician
https://www.readbyqxmd.com/read/27814833/acr-appropriateness-criteria-imaging-after-shoulder-arthroplasty
#2
Soterios Gyftopoulos, Zehava S Rosenberg, Catherine C Roberts, Jenny T Bencardino, Marc Appel, Steven J Baccei, R Carter Cassidy, Eric Y Chang, Michael G Fox, Bennett S Greenspan, Mary G Hochman, Jon A Jacobson, Douglas N Mintz, Joel S Newman, Nehal A Shah, Kirstin M Small, Barbara N Weissman
There has been a rapid increase in the number of shoulder arthroplasties, including partial or complete humeral head resurfacing, hemiarthroplasty, total shoulder arthroplasty, and reverse total shoulder arthroplasty, performed in the United States over the past two decades. Imaging can play an important role in diagnosing the complications that can occur in the setting of these shoulder arthroplasties. This review is divided into two parts. The first part provides a general discussion of various imaging modalities, comprising radiography, CT, MRI, ultrasound, and nuclear medicine, and their role in providing useful, treatment-guiding information...
November 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27814824/acr-appropriateness-criteria-%C3%A2-stage-i-breast-carcinoma
#3
Phan Tuong Huynh, Sergy V Lemeshko, Mary C Mahoney, Mary S Newell, Lisa Bailey, Lora D Barke, Carl D'Orsi, Jennifer A Harvey, Mary K Hayes, Peter M Jokich, Su-Ju Lee, Constance D Lehman, Martha B Mainiero, David A Mankoff, Samir B Patel, Handel E Reynolds, M Linda Sutherland, Bruce G Haffty
Stage I breast carcinoma is classified when an invasive breast carcinoma is ≤2 cm in diameter (T1), with no regional (axillary) lymph node metastases (N0) and no distant metastases (M0). The most common sites for metastases from breast cancer are the skeleton, lung, liver, and brain. In general, women and health care professionals prefer intensive screening and surveillance after a diagnosis of breast cancer. Screening protocols include conventional imaging such as chest radiography, bone scan, ultrasound of the liver, and MRI of brain...
November 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27814823/acr-appropriateness-criteria-stage-i-breast-cancer-initial-workup-and-surveillance-for-local-recurrence-and-distant-metastases-in-asymptomatic-women
#4
Linda Moy, Mary S Newell, Mary C Mahoney, Lisa Bailey, Lora D Barke, Selin Carkaci, Carl D'Orsi, Sharad Goyal, Bruce G Haffty, Jennifer A Harvey, Mary K Hayes, Peter M Jokich, Su-Ju Lee, Martha B Mainiero, David A Mankoff, Samir B Patel, Monica M Yepes
Women newly diagnosed with stage 1 breast cancer have an early-stage disease that can be effectively treated. Evidence provides little justification for performing imaging to exclude metastasis in asymptomatic women with stage I breast cancer. No differences have been found in survival or quality of life in women regardless of whether they underwent initial workup for metastatic disease. These women generally prefer intensive follow-up to detect an early recurrence. However, survival rates do not differ between women who obtain intensive screening and surveillance, with imaging and laboratory studies, and women who undergo testing only as a result of development of symptoms or findings on clinical examinations...
November 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27814822/acr-appropriateness-criteria-palpable-breast-masses
#5
Jennifer A Harvey, Mary C Mahoney, Mary S Newell, Lisa Bailey, Lora D Barke, Carl D'Orsi, Mary K Hayes, Peter M Jokich, Su-Ju Lee, Constance D Lehman, Martha B Mainiero, David A Mankoff, Samir B Patel, Handel E Reynolds, M Linda Sutherland, Bruce G Haffty
A palpable breast mass is one of the most common presenting features of breast carcinoma. However, the clinical features are frequently nonspecific. Imaging performed before biopsy is helpful in characterizing the nature of the mass. For women with clinically detected breast masses, the vast majority will require evaluation with ultrasound. Diagnostic mammography is the initial imaging modality of choice for women aged ≥ 40 years; ultrasound is typically necessary unless a definitively benign mass is identified as the etiology of the clinical finding...
November 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27814813/acr-appropriateness-criteria-breast-cancer-screening
#6
Martha B Mainiero, Ana Lourenco, Mary C Mahoney, Mary S Newell, Lisa Bailey, Lora D Barke, Carl D'Orsi, Jennifer A Harvey, Mary K Hayes, Phan Tuong Huynh, Peter M Jokich, Su-Ju Lee, Constance D Lehman, David A Mankoff, Joshua A Nepute, Samir B Patel, Handel E Reynolds, M Linda Sutherland, Bruce G Haffty
Mammography is the recommended method for breast cancer screening of women in the general population. However, mammography alone does not perform as well as mammography plus supplemental screening in high-risk women. Therefore, supplemental screening with MRI or ultrasound is recommended in selected high-risk populations. Screening breast MRI is recommended in women at high risk for breast cancer on the basis of family history or genetic predisposition. Ultrasound is an option for those high-risk women who cannot undergo MRI...
November 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27757283/diagnostic-imaging-in-a-direct-access-sports-physical-therapy-clinic-a-2-year-retrospective-practice-analysis
#7
Michael S Crowell, Erik A Dedekam, Michael R Johnson, Scott C Dembowski, Richard B Westrick, Donald L Goss
BACKGROUND: While advanced diagnostic imaging is a large contributor to the growth in health care costs, direct-access to physical therapy is associated with decreased rates of diagnostic imaging. No study has systematically evaluated with evidence-based criteria the appropriateness of advanced diagnostic imaging, including magnetic resonance imaging (MRI), when ordered by physical therapists. The primary purpose of this study was to describe the appropriateness of magnetic resonance imaging (MRI) or magnetic resonance arthrogram (MRA) exams ordered by physical therapists in a direct-access sports physical therapy clinic...
October 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27643717/acr-appropriateness-criteria%C3%A2-hodgkin-lymphoma-favorable-prognosis-stage-i-and-ii
#8
Sughosh Dhakal, Ranjana Advani, Leslie K Ballas, Bouthaina S Dabaja, Christopher R Flowers, Chul S Ha, Bradford S Hoppe, Nancy P Mendenhall, Monika L Metzger, John P Plastaras, Kenneth B Roberts, Ronald Shapiro, Sonali M Smith, Stephanie A Terezakis, Karen M Winkfield, Anas Younes, Louis S Constine
This topic addresses the treatment of newly diagnosed patients with favorable prognosis stage I and II Hodgkin lymphoma. In most cases, combined modality therapy (chemotherapy followed by involved site radiation therapy) constitutes the current standard of care. 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...
December 2016: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/27633412/acr-appropriateness-criteria%C3%A2-adjuvant-management-of-early-stage-endometrial-cancer
#9
REVIEW
Andrew O Wahl, David K Gaffney, Anuja Jhingran, Catheryn M Yashar, Matthew Biagioli, Mohamed A Elshaikh, Shruti Jolly, Elizabeth Kidd, Larissa J Lee, Linna Li, David H Moore, Gautam G Rao, Ned L Williams, William Small
These consensus guidelines on adjuvant radiotherapy for early-stage endometrial cancer were developed from an expert panel convened by the American College of Radiology. 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...
September 15, 2016: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/27564390/comorbidities-in-patients-with-primary-sj%C3%A3-gren-s-syndrome-and-systemic-lupus-erythematosus-a-comparative-registries-based-study
#10
Iñigo Rúa-Figueroa, Mónica Fernández Castro, José L Andreu, Carlos Sanchez-Piedra, Víctor Martínez-Taboada, Alejandro Olivé, Javier López-Longo, José Rosas, María Galindo, Jaime Calvo-Alén, Antonio Fernández-Nebro, Fernando Alonso, Beatriz Rodríguez-Lozano, Jesús Alberto García Vadillo, Raúl Menor, Francisco Javier Narváez, Celia Erausquin, Ángel García-Aparicio, Eva Tomero, Sara Manrique-Arija, Loreto Horcada, Esther Uriarte, Susana Gil, Ricardo Blanco, Ruth López-González, Alina Boteanu, Mercedes Freire, Carlos Galisteo, Manuel Rodríguez-Gómez, Elvira Díez-Álvarez, José M Pego-Reigosa
OBJECTIVE: To compare the prevalence of the main comorbidities in 2 large cohorts of patients with primary Sjögren's syndrome (SS) and systemic lupus erythematosus (SLE), with a focus on cardiovascular (CV) diseases. METHODS: This was a cross-sectional multicenter study where the prevalence of more relevant comorbidities in 2 cohorts was compared. Patients under followup from SJOGRENSER (Spanish Rheumatology Society Registry of Primary SS) and RELESSER (Spanish Rheumatology Society Registry of SLE), and who fulfilled the 2002 American-European Consensus Group and 1997 American College of Rheumatology classification criteria, respectively, were included...
August 26, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27526969/acr-appropriateness-criteria-staging-of%C3%A2-testicular-malignancy
#11
Joseph H Yacoub, Aytekin Oto, Brian C Allen, Fergus V Coakley, Barak Friedman, Matthew S Hartman, Keyanoosh Hosseinzadeh, Christopher Porter, V Anik Sahni, Gary S Sudakoff, Sadhna Verma, Carolyn L Wang, Erick M Remer, Steven C Eberhardt
Testicular cancer represents only 1% of all malignancies occurring in men. However, it is the most frequent malignancy in men between the ages of 20 and 34 years, accounting for 10% to 14% of cancer incidence in that age group. In most instances, the diagnosis of testicular tumors is established with a carefully performed physical examination and scrotal ultrasonography. Tumor markers are useful for determining the presence of residual disease. Cross-sectional imaging studies (CT, MRI) are useful in determining the location of metastases...
October 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27496288/acr-appropriateness-criteria-low-back%C3%A2-pain
#12
Nandini D Patel, Daniel F Broderick, Judah Burns, Tejaswini K Deshmukh, Ian Blair Fries, H Benjamin Harvey, Langston Holly, Christopher H Hunt, Bharathi D Jagadeesan, Tabassum A Kennedy, John E O'Toole, Joel S Perlmutter, Bruno Policeni, Joshua M Rosenow, Jason W Schroeder, Matthew T Whitehead, Rebecca S Cornelius, Amanda S Corey
Most patients presenting with uncomplicated acute low back pain (LBP) and/or radiculopathy do not require imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their back pain. It is also considered for those patients presenting with red flags raising suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture, and infection. Many imaging modalities are available to clinicians and radiologists for evaluating LBP...
September 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27437893/discordance-between-appropriate-use-criteria-for-nuclear-myocardial-perfusion-imaging-from-different-specialty-societies-a-potential-concern-for-health-policy
#13
David E Winchester, David Wolinsky, Rebecca J Beyth, Leslee J Shaw
IMPORTANCE: Appropriate use criteria (AUC) assist health care professionals in making decisions about procedures and diagnostic testing. In some cases, multiple AUC exist for a single procedure or test. To date, the extent of agreement between multiple AUC has not been evaluated. OBJECTIVE: To measure discordance between the American College of Cardiology Foundation (ACCF) AUC and the American College of Radiology (ACR) Appropriateness Criteria for gauging the appropriateness of nuclear myocardial perfusion imaging...
May 1, 2016: JAMA Cardiology
https://www.readbyqxmd.com/read/27422109/acr-appropriateness-criteria%C3%A2-borderline-and-unresectable-pancreas-cancer
#14
REVIEW
William Small, John P Hayes, W Warren Suh, May Abdel-Wahab, Ross A Abrams, Nilofer Azad, Prajnan Das, Jadranka Dragovic, Karyn A Goodman, Salma K Jabbour, William E Jones, Andre A Konski, Albert C Koong, Rachit Kumar, Percy Lee, Timothy M Pawlik, Joseph M Herman
The American College of Radiology Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment...
July 2016: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/27400117/acr-appropriateness-criteria%C3%A2-management-of-recurrent-endometrial-cancer
#15
Mohamed A Elshaikh, Sean Vance, David K Gaffney, Matthew Biagioli, Anuja Jhingran, Shruti Jolly, Elizabeth Kidd, Larissa J Lee, Linna Li, David H Moore, Gautam G Rao, Andrew O Wahl, Ned L Williams, Catheryn M Yashar, William Small
OBJECTIVES: In women with endometrial carcinoma (EC), tumor recurrences tend to occur in the 2- to 3-year period following surgical staging. Management of disease recurrence in EC poses significant challenges. These patients represent a heterogenous group where histologic subtypes, previous adjuvant management, interval since completion of adjuvant therapy, and size and site(s) of disease recurrence all have important implications on salvage therapies and prognosis. No randomized controlled trials have been published to determine optimal management in this group of patients...
October 2016: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/27374781/acr-appropriateness-criteria-fever-without-source-or-unknown-origin-child
#16
Sjirk J Westra, Boaz K Karmazyn, Adina L Alazraki, Molly E Dempsey, Jonathan R Dillman, Matthew Garber, Sheila G Moore, Molly E Raske, Henry E Rice, Cynthia K Rigsby, Nabile Safdar, Stephen F Simoneaux, Peter J Strouse, Andrew T Trout, Sandra L Wootton-Gorges, Brian D Coley
The cause of fever in a child can often be determined from history, physical examination, and laboratory tests; infections account for the majority of cases. Yet in 20%, no apparent cause can be found, designated as fever without source (FWS). The yield of chest radiography in children with FWS is low, and it is usually not appropriate. However, in children with respiratory signs, high fever (>39°C), or marked leukocytosis (≥20,000/mm(3)), chest radiography is usually appropriate, as it has a higher yield in detecting clinically occult pneumonia...
August 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27330003/acr-appropriateness-criteria-%C3%A2-locoregional-therapy-for-resectable-oropharyngeal-squamous-cell-carcinomas
#17
Jonathan J Beitler, Harry Quon, Christopher U Jones, Joseph K Salama, Paul M Busse, Jay S Cooper, Shlomo A Koyfman, John A Ridge, Nabil F Saba, Farzan Siddiqui, Richard V Smith, Francis Worden, Min Yao, Sue S Yom
BACKGROUND: There are no level I studies to guide treatment for resectable oropharyngeal squamous cell carcinoma (SCC). Treatment toxicities influence management recommendations. Ongoing investigations are examining deintensified treatments for human papillomavirus (HPV)-associated oropharyngeal SCC. METHODS: The Appropriateness Criteria panel, using modified Delphi methodology, produced a literature summary, an assessment of treatment recommendations, and cases to illustrate their use...
September 2016: Head & Neck
https://www.readbyqxmd.com/read/27299425/acr-appropriateness-criteria%C3%A2-hodgkin-lymphoma-unfavorable-clinical-stage-i-and-ii
#18
Kenneth B Roberts, Anas Younes, David C Hodgson, Ranjana Advani, Bouthaina S Dabaja, Sughosh Dhakal, Christopher R Flowers, Chul S Ha, Bradford S Hoppe, Nancy P Mendenhall, Monika L Metzger, John P Plastaras, Ronald Shapiro, Sonali M Smith, Stephanie A Terezakis, Karen M Winkfield, Louis S Constine
These guidelines review the historical evolution of treatment for early-stage Hodgkin lymphoma (HL) with current standards that rely on prognostic factors to risk stratify and direct current treatment schemes that includes differentiation of favorable and unfavorable presentations. The major clinical trials for unfavorable early-stage HL are reviewed. Patients in this heterogenous subgroup of classic HL are best managed with sequential chemotherapy and radiotherapy. The role of imaging response assessment as a means to modify therapy is a strategy under investigation...
August 2016: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/27281286/three-quarters-of-persons-in-the-us-population-reporting-a-clinical-diagnosis-of-fibromyalgia-do-not-satisfy-fibromyalgia-criteria-the-2012-national-health-interview-survey
#19
Brian Walitt, Robert S Katz, Martin J Bergman, Frederick Wolfe
OBJECTIVES: Although fibromyalgia criteria have been in effect for decades, little is known about how the fibromyalgia diagnosis is applied and understood by clinicians and patients. We used the National Health Interview Survey (NHIS) to determine the prevalence of self-reported clinician diagnosed fibromyalgia and then compared demographics, symptoms, disability and medical utilization measures of persons with a clinical diagnosis of fibromyalgia that did not meet diagnostic criteria (false-positive or prior [F/P] fibromyalgia) to persons with and without criteria-positive fibromyalgia...
2016: PloS One
https://www.readbyqxmd.com/read/27262056/acr-appropriateness-criteria-head-trauma
#20
Vilaas S Shetty, Martin N Reis, Joseph M Aulino, Kevin L Berger, Joshua Broder, Asim F Choudhri, A Tuba Kendi, Marcus M Kessler, Claudia F Kirsch, Michael D Luttrull, Laszlo L Mechtler, J Adair Prall, Patricia B Raksin, Christopher J Roth, Aseem Sharma, O Clark West, Max Wintermark, Rebecca S Cornelius, Julie Bykowski
Neuroimaging plays an important role in the management of head trauma. Several guidelines have been published for identifying which patients can avoid neuroimaging. Noncontrast head CT is the most appropriate initial examination in patients with minor or mild acute closed head injury who require neuroimaging as well as patients with moderate to severe acute closed head injury. In short-term follow-up neuroimaging of acute traumatic brain injury, CT and MRI may have complementary roles. In subacute to chronic traumatic brain injury, MRI is the most appropriate initial examination, though CT may have a complementary role in select circumstances...
June 2016: Journal of the American College of Radiology: JACR
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