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ACR Appropriateness Criteria® Rib Fractures.

Publication ,  Journal Article
Expert Panel on Thoracic Imaging:, ; Henry, TS; Donnelly, EF; Boiselle, PM; Crabtree, TD; Iannettoni, MD; Johnson, GB; Kazerooni, EA; Laroia, AT ...
Published in: J Am Coll Radiol
May 2019

Rib fractures are the most common thoracic injury after minor blunt trauma. Although rib fractures can produce significant morbidity, the diagnosis of injuries to underlying organs is arguably more important as these complications are likely to have the most significant clinical impact. Isolated rib fractures have a relatively low morbidity and mortality and treatment is generally conservative. As such, evaluation with standard chest radiographs is usually sufficient for the diagnosis of rib fractures, and further imaging is generally not appropriate as there is little data that undiagnosed isolated rib fractures after minor blunt trauma affect management or outcomes. Cardiopulmonary resuscitation frequently results in anterior rib fractures and chest radiographs are usually appropriate (and sufficient) as the initial imaging modality in these patients. In patients with suspected pathologic fractures, chest CT or Tc-99m bone scans are usually appropriate and complementary modalities to chest radiography based on the clinical scenario. 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.

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Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2019

Volume

16

Issue

5S

Start / End Page

S227 / S234

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Rib Fractures
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Evidence-Based Medicine
  • Diagnosis, Differential
  • Contrast Media
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
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Expert Panel on Thoracic Imaging:, ., Henry, T. S., Donnelly, E. F., Boiselle, P. M., Crabtree, T. D., Iannettoni, M. D., … Kanne, J. P. (2019). ACR Appropriateness Criteria® Rib Fractures. J Am Coll Radiol, 16(5S), S227–S234. https://doi.org/10.1016/j.jacr.2019.02.019
Expert Panel on Thoracic Imaging:, Jeffrey P., Travis S. Henry, Edwin F. Donnelly, Phillip M. Boiselle, Traves D. Crabtree, Mark D. Iannettoni, Geoffrey B. Johnson, et al. “ACR Appropriateness Criteria® Rib Fractures.J Am Coll Radiol 16, no. 5S (May 2019): S227–34. https://doi.org/10.1016/j.jacr.2019.02.019.
Expert Panel on Thoracic Imaging:, Henry TS, Donnelly EF, Boiselle PM, Crabtree TD, Iannettoni MD, et al. ACR Appropriateness Criteria® Rib Fractures. J Am Coll Radiol. 2019 May;16(5S):S227–34.
Expert Panel on Thoracic Imaging:, Jeffrey P., et al. “ACR Appropriateness Criteria® Rib Fractures.J Am Coll Radiol, vol. 16, no. 5S, May 2019, pp. S227–34. Pubmed, doi:10.1016/j.jacr.2019.02.019.
Expert Panel on Thoracic Imaging:, Henry TS, Donnelly EF, Boiselle PM, Crabtree TD, Iannettoni MD, Johnson GB, Kazerooni EA, Laroia AT, Maldonado F, Olsen KM, Restrepo CS, Shim K, Sirajuddin A, Wu CC, Kanne JP. ACR Appropriateness Criteria® Rib Fractures. J Am Coll Radiol. 2019 May;16(5S):S227–S234.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2019

Volume

16

Issue

5S

Start / End Page

S227 / S234

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Rib Fractures
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Evidence-Based Medicine
  • Diagnosis, Differential
  • Contrast Media
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services