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ACR Appropriateness Criteria® Acute Chest Pain-Suspected Pulmonary Embolism.

Publication ,  Journal Article
Expert Panels on Cardiac and Thoracic Imaging:, ; Kirsch, J; Brown, RKJ; Henry, TS; Javidan-Nejad, C; Jokerst, C; Julsrud, PR; Kanne, JP ...
Published in: J Am Coll Radiol
May 2017

Pulmonary embolism (PE) remains a common and important clinical condition that cannot be accurately diagnosed on the basis of signs, symptoms, and history alone. The diagnosis of PE has been facilitated by technical advancements and multidetector CT pulmonary angiography, which is the major diagnostic modality currently used. Ventilation and perfusion scans remain largely accurate and useful in certain settings. Lower-extremity ultrasound can substitute by demonstrating deep vein thrombosis; however, if negative, further studies to exclude PE are indicated. In all cases, correlation with the clinical status, particularly with risk factors, improves not only the accuracy of diagnostic imaging but also overall utilization. Other diagnostic tests have limited roles. 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 2017

Volume

14

Issue

5S

Start / End Page

S2 / S12

Location

United States

Related Subject Headings

  • Venous Thrombosis
  • United States
  • Societies, Medical
  • Risk Factors
  • Radiology
  • Quality of Health Care
  • Pulmonary Embolism
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Diagnostic Imaging
 

Citation

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Expert Panels on Cardiac and Thoracic Imaging:, ., Kirsch, J., Brown, R. K. J., Henry, T. S., Javidan-Nejad, C., Jokerst, C., … Abbara, S. (2017). ACR Appropriateness Criteria® Acute Chest Pain-Suspected Pulmonary Embolism. J Am Coll Radiol, 14(5S), S2–S12. https://doi.org/10.1016/j.jacr.2017.02.027
Expert Panels on Cardiac and Thoracic Imaging:, Suhny, Jacobo Kirsch, Richard K. J. Brown, Travis S. Henry, Cylen Javidan-Nejad, Clinton Jokerst, Paul R. Julsrud, et al. “ACR Appropriateness Criteria® Acute Chest Pain-Suspected Pulmonary Embolism.J Am Coll Radiol 14, no. 5S (May 2017): S2–12. https://doi.org/10.1016/j.jacr.2017.02.027.
Expert Panels on Cardiac and Thoracic Imaging:, Kirsch J, Brown RKJ, Henry TS, Javidan-Nejad C, Jokerst C, et al. ACR Appropriateness Criteria® Acute Chest Pain-Suspected Pulmonary Embolism. J Am Coll Radiol. 2017 May;14(5S):S2–12.
Expert Panels on Cardiac and Thoracic Imaging:, Suhny, et al. “ACR Appropriateness Criteria® Acute Chest Pain-Suspected Pulmonary Embolism.J Am Coll Radiol, vol. 14, no. 5S, May 2017, pp. S2–12. Pubmed, doi:10.1016/j.jacr.2017.02.027.
Expert Panels on Cardiac and Thoracic Imaging:, Kirsch J, Brown RKJ, Henry TS, Javidan-Nejad C, Jokerst C, Julsrud PR, Kanne JP, Kramer CM, Leipsic JA, Panchal KK, Ravenel JG, Shah AB, Mohammed T-L, Woodard PK, Abbara S. ACR Appropriateness Criteria® Acute Chest Pain-Suspected Pulmonary Embolism. J Am Coll Radiol. 2017 May;14(5S):S2–S12.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2017

Volume

14

Issue

5S

Start / End Page

S2 / S12

Location

United States

Related Subject Headings

  • Venous Thrombosis
  • United States
  • Societies, Medical
  • Risk Factors
  • Radiology
  • Quality of Health Care
  • Pulmonary Embolism
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Diagnostic Imaging