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ACR Appropriateness Criteria® Hernia.

Publication ,  Journal Article
Expert Panel on Gastrointestinal Imaging, ; Garcia, EM; Pietryga, JA; Kim, DH; Fowler, KJ; Chang, KJ; Kambadakone, AR; Korngold, EK; Liu, PS ...
Published in: J Am Coll Radiol
November 2022

Abdominopelvic hernias are common clinical entities composed of a wide variety of congenital, traumatic, and iatrogenic etiologies. Any weakness in the body wall may result in hernia of cavity contents with concomitant risks of morbidity and mortality. Presentations may be specific, palpable body wall mass/bulge, or vague, nonspecific pain through bowel obstruction. This document focuses on initial imaging of the adult population with signs of symptoms prompting suspicion of abdominopelvic hernia. Imaging of the abdomen and pelvis to evaluate defects is essential for prompt diagnosis and treatment. Often CT and ultrasound are the first-line modalities to quickly evaluate the abdomen and pelvis, providing for accurate diagnoses and management of patients. MRI protocols may be useful as first-line imaging studies, especially in patients with orthopedic instrumentation. Although often performed, abdominal radiographs and fluorographic procedures may provide indirect evidence of hernias but are usually not indicated for initial diagnosis of hernia. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer-reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which peer-reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

Duke Scholars

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

November 2022

Volume

19

Issue

11S

Start / End Page

S329 / S340

Location

United States

Related Subject Headings

  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Magnetic Resonance Imaging
  • Humans
  • Hernia
  • Evidence-Based Medicine
  • Contrast Media
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Expert Panel on Gastrointestinal Imaging, ., Garcia, E. M., Pietryga, J. A., Kim, D. H., Fowler, K. J., Chang, K. J., … Carucci, L. R. (2022). ACR Appropriateness Criteria® Hernia. J Am Coll Radiol, 19(11S), S329–S340. https://doi.org/10.1016/j.jacr.2022.09.016
Expert Panel on Gastrointestinal Imaging, Laura R., Evelyn M. Garcia, Jason A. Pietryga, David H. Kim, Kathryn J. Fowler, Kevin J. Chang, Avinash R. Kambadakone, et al. “ACR Appropriateness Criteria® Hernia.J Am Coll Radiol 19, no. 11S (November 2022): S329–40. https://doi.org/10.1016/j.jacr.2022.09.016.
Expert Panel on Gastrointestinal Imaging, Garcia EM, Pietryga JA, Kim DH, Fowler KJ, Chang KJ, et al. ACR Appropriateness Criteria® Hernia. J Am Coll Radiol. 2022 Nov;19(11S):S329–40.
Expert Panel on Gastrointestinal Imaging, Laura R., et al. “ACR Appropriateness Criteria® Hernia.J Am Coll Radiol, vol. 19, no. 11S, Nov. 2022, pp. S329–40. Pubmed, doi:10.1016/j.jacr.2022.09.016.
Expert Panel on Gastrointestinal Imaging, Garcia EM, Pietryga JA, Kim DH, Fowler KJ, Chang KJ, Kambadakone AR, Korngold EK, Liu PS, Marin D, Moreno CC, Panait L, Santillan CS, Weinstein S, Wright CL, Zreloff J, Carucci LR. ACR Appropriateness Criteria® Hernia. J Am Coll Radiol. 2022 Nov;19(11S):S329–S340.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

November 2022

Volume

19

Issue

11S

Start / End Page

S329 / S340

Location

United States

Related Subject Headings

  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Magnetic Resonance Imaging
  • Humans
  • Hernia
  • Evidence-Based Medicine
  • Contrast Media
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences