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ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis.

Publication ,  Journal Article
Expert Panel on Gastrointestinal Imaging:, ; Garcia, EM; Camacho, MA; Karolyi, DR; Kim, DH; Cash, BD; Chang, KJ; Feig, BW; Fowler, KJ; Levy, AD ...
Published in: J Am Coll Radiol
November 2018

Appendicitis remains the most common surgical pathology responsible for right lower quadrant (RLQ) abdominal pain presenting to emergency departments in the United States, where the incidence continues to increase. Appropriate imaging in the diagnosis of appendicitis has resulted in decreased negative appendectomy rate from as high as 25% to approximately 1% to 3%. Contrast-enhanced CT remains the primary and most appropriate imaging modality to evaluate this patient population. MRI is approaching CT in sensitivity and specificity as this technology becomes more widely available and utilization increases. Unenhanced MRI and ultrasound remain the diagnostic procedures of choice in the pregnant patient. MRI and ultrasound continue to perform best in the hands of experts. 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.

Duke Scholars

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

November 2018

Volume

15

Issue

11S

Start / End Page

S373 / S387

Location

United States

Related Subject Headings

  • United States
  • Tomography, X-Ray Computed
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Magnetic Resonance Imaging
  • Humans
  • Evidence-Based Medicine
  • Diagnosis, Differential
  • Contrast Media
  • Appendicitis
 

Citation

APA
Chicago
ICMJE
MLA
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Expert Panel on Gastrointestinal Imaging:, ., Garcia, E. M., Camacho, M. A., Karolyi, D. R., Kim, D. H., Cash, B. D., … Carucci, L. R. (2018). ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis. J Am Coll Radiol, 15(11S), S373–S387. https://doi.org/10.1016/j.jacr.2018.09.033
Expert Panel on Gastrointestinal Imaging:, Laura R., Evelyn M. Garcia, Marc A. Camacho, Daniel R. Karolyi, David H. Kim, Brooks D. Cash, Kevin J. Chang, et al. “ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis.J Am Coll Radiol 15, no. 11S (November 2018): S373–87. https://doi.org/10.1016/j.jacr.2018.09.033.
Expert Panel on Gastrointestinal Imaging:, Garcia EM, Camacho MA, Karolyi DR, Kim DH, Cash BD, et al. ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis. J Am Coll Radiol. 2018 Nov;15(11S):S373–87.
Expert Panel on Gastrointestinal Imaging:, Laura R., et al. “ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis.J Am Coll Radiol, vol. 15, no. 11S, Nov. 2018, pp. S373–87. Pubmed, doi:10.1016/j.jacr.2018.09.033.
Expert Panel on Gastrointestinal Imaging:, Garcia EM, Camacho MA, Karolyi DR, Kim DH, Cash BD, Chang KJ, Feig BW, Fowler KJ, Kambadakone AR, Lambert DL, Levy AD, Marin D, Moreno C, Peterson CM, Scheirey CD, Siegel A, Smith MP, Weinstein S, Carucci LR. ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis. J Am Coll Radiol. 2018 Nov;15(11S):S373–S387.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

November 2018

Volume

15

Issue

11S

Start / End Page

S373 / S387

Location

United States

Related Subject Headings

  • United States
  • Tomography, X-Ray Computed
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Magnetic Resonance Imaging
  • Humans
  • Evidence-Based Medicine
  • Diagnosis, Differential
  • Contrast Media
  • Appendicitis