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ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma.

Publication ,  Journal Article
Expert Panel on Gastrointestinal Imaging:, ; Qayyum, A; Tamm, EP; Kamel, IR; Allen, PJ; Arif-Tiwari, H; Chernyak, V; Gonda, TA; Grajo, JR ...
Published in: J Am Coll Radiol
November 2017

Pancreatic adenocarcinoma is associated with poor overall prognosis. Complete surgical resection is the only possible option for cure. As such, increasingly complex surgical techniques including sophisticated vascular reconstruction are being used. Continued advances in surgical techniques, in conjunction with use of combination systemic therapies, and radiation therapy have been suggested to improve outcomes. A key aspect to surgical success is reporting of pivotal findings beyond absence of distant metastases, such as tumor size, location, and degree of tumor involvement of specific vessels associated with potential perineural tumor spread. Multiphase contrast-enhanced multidetector CT and MRI are the imaging modalities of choice for pretreatment staging and presurgical determination of resectability. Imaging modalities such as endoscopic ultrasound and fluorine-18-2-fluoro-2-deoxy-D-glucose imaging with PET/CT are indicated for specific scenarios such as biopsy guidance and confirmation of distant metastases, respectively. 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 2017

Volume

14

Issue

11S

Start / End Page

S560 / S569

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Prognosis
  • Pancreatic Neoplasms
  • Nuclear Medicine & Medical Imaging
  • Neoplasm Staging
  • Humans
  • Evidence-Based Medicine
  • Diagnostic Imaging
  • Carcinoma, Pancreatic Ductal
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Expert Panel on Gastrointestinal Imaging:, ., Qayyum, A., Tamm, E. P., Kamel, I. R., Allen, P. J., Arif-Tiwari, H., … Lalani, T. (2017). ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma. J Am Coll Radiol, 14(11S), S560–S569. https://doi.org/10.1016/j.jacr.2017.08.050
Expert Panel on Gastrointestinal Imaging:, Tasneem, Aliya Qayyum, Eric P. Tamm, Ihab R. Kamel, Peter J. Allen, Hina Arif-Tiwari, Victoria Chernyak, et al. “ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma.J Am Coll Radiol 14, no. 11S (November 2017): S560–69. https://doi.org/10.1016/j.jacr.2017.08.050.
Expert Panel on Gastrointestinal Imaging:, Qayyum A, Tamm EP, Kamel IR, Allen PJ, Arif-Tiwari H, et al. ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma. J Am Coll Radiol. 2017 Nov;14(11S):S560–9.
Expert Panel on Gastrointestinal Imaging:, Tasneem, et al. “ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma.J Am Coll Radiol, vol. 14, no. 11S, Nov. 2017, pp. S560–69. Pubmed, doi:10.1016/j.jacr.2017.08.050.
Expert Panel on Gastrointestinal Imaging:, Qayyum A, Tamm EP, Kamel IR, Allen PJ, Arif-Tiwari H, Chernyak V, Gonda TA, Grajo JR, Hindman NM, Horowitz JM, Kaur H, McNamara MM, Noto RB, Srivastava PK, Lalani T. ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma. J Am Coll Radiol. 2017 Nov;14(11S):S560–S569.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

November 2017

Volume

14

Issue

11S

Start / End Page

S560 / S569

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Prognosis
  • Pancreatic Neoplasms
  • Nuclear Medicine & Medical Imaging
  • Neoplasm Staging
  • Humans
  • Evidence-Based Medicine
  • Diagnostic Imaging
  • Carcinoma, Pancreatic Ductal