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ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia.

Publication ,  Journal Article
Expert Panel on Urological Imaging, ; Alexander, LF; Oto, A; Allen, BC; Akin, O; Chong, J; Froemming, AT; Fulgham, PF; Goldfarb, S; Mody, RN ...
Published in: J Am Coll Radiol
November 2019

Lower urinary tract symptoms due to benign prostatic enlargement have a high prevalence in men over 50 years of age. Diagnosis is made with a combination of focused history and physician examination and validated symptom questionnaires. Urodynamic studies can help to differentiate storage from voiding abnormalities. Pelvic ultrasound may be indicated to assess bladder volume and wall thickness. Other imaging modalities, including prostate MRI, are usually not indicated in the initial workup and evaluation of uncomplicated lower urinary tract symptoms from an enlarged prostate. 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 2019

Volume

16

Issue

11S

Start / End Page

S378 / S383

Location

United States

Related Subject Headings

  • Urodynamics
  • United States
  • Ultrasonography, Doppler
  • Societies, Medical
  • Radiology
  • Quality Control
  • Prostatic Hyperplasia
  • Practice Guidelines as Topic
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
 

Citation

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Chicago
ICMJE
MLA
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Expert Panel on Urological Imaging, ., Alexander, L. F., Oto, A., Allen, B. C., Akin, O., Chong, J., … Lockhart, M. E. (2019). ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia. J Am Coll Radiol, 16(11S), S378–S383. https://doi.org/10.1016/j.jacr.2019.05.031
Expert Panel on Urological Imaging, Mark E., Lauren F. Alexander, Aytekin Oto, Brian C. Allen, Oguz Akin, Jaron Chong, Adam T. Froemming, et al. “ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia.J Am Coll Radiol 16, no. 11S (November 2019): S378–83. https://doi.org/10.1016/j.jacr.2019.05.031.
Expert Panel on Urological Imaging, Alexander LF, Oto A, Allen BC, Akin O, Chong J, et al. ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia. J Am Coll Radiol. 2019 Nov;16(11S):S378–83.
Expert Panel on Urological Imaging, Mark E., et al. “ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia.J Am Coll Radiol, vol. 16, no. 11S, Nov. 2019, pp. S378–83. Pubmed, doi:10.1016/j.jacr.2019.05.031.
Expert Panel on Urological Imaging, Alexander LF, Oto A, Allen BC, Akin O, Chong J, Froemming AT, Fulgham PF, Goldfarb S, Maranchie JK, Mody RN, Patel BN, Schieda N, Schuster DM, Turkbey IB, Venkatesan AM, Wang CL, Lockhart ME. ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia. J Am Coll Radiol. 2019 Nov;16(11S):S378–S383.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

November 2019

Volume

16

Issue

11S

Start / End Page

S378 / S383

Location

United States

Related Subject Headings

  • Urodynamics
  • United States
  • Ultrasonography, Doppler
  • Societies, Medical
  • Radiology
  • Quality Control
  • Prostatic Hyperplasia
  • Practice Guidelines as Topic
  • Nuclear Medicine & Medical Imaging
  • Middle Aged