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ACR appropriateness Criteria® rib

Publication ,  Journal Article
Henry, TS; Kirsch, J; Kanne, JP; Chung, JH; Donnelly, EF; Ginsburg, ME; Heitkamp, DE; Kazerooni, EA; Ketai, LH; McComb, BL; Parker, JA ...
Published in: Journal of Thoracic Imaging
November 8, 2014

Rib fracture is the most common thoracic injury, present in 10% of all traumatic injuries and almost 40% of patients who sustain severe nonpenetrating trauma. Although rib fractures can produce significant morbidity, the diagnosis of associated complications (such as pneumothorax, hemothorax, pulmonary contusion, atelectasis, flail chest, cardiovascular injury, and injuries to solid and hollow abdominal organs) may have a more significant clinical impact. When isolated, rib fractures have a relatively low morbidity and mortality, and failure to detect isolated rib fractures does not necessarily alter patient management or outcome in uncomplicated cases. A standard posteroanterior chest radiograph should be the initial, and often the only, imaging test required in patients with suspected rib fracture after minor trauma. Detailed radiographs of the ribs rarely add additional information that would change treatment, and, although other imaging tests (eg, computed tomography, bone scan) have increased sensitivity for detection of rib fractures, there are little data to support their use. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review process include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

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Published In

Journal of Thoracic Imaging

DOI

EISSN

1536-0237

ISSN

0883-5993

Publication Date

November 8, 2014

Volume

29

Issue

6

Start / End Page

364 / 366

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Henry, T. S., Kirsch, J., Kanne, J. P., Chung, J. H., Donnelly, E. F., Ginsburg, M. E., … Mohammed, T. L. H. (2014). ACR appropriateness Criteria® rib. Journal of Thoracic Imaging, 29(6), 364–366. https://doi.org/10.1097/RTI.0000000000000113
Henry, T. S., J. Kirsch, J. P. Kanne, J. H. Chung, E. F. Donnelly, M. E. Ginsburg, D. E. Heitkamp, et al. “ACR appropriateness Criteria® rib.” Journal of Thoracic Imaging 29, no. 6 (November 8, 2014): 364–66. https://doi.org/10.1097/RTI.0000000000000113.
Henry TS, Kirsch J, Kanne JP, Chung JH, Donnelly EF, Ginsburg ME, et al. ACR appropriateness Criteria® rib. Journal of Thoracic Imaging. 2014 Nov 8;29(6):364–6.
Henry, T. S., et al. “ACR appropriateness Criteria® rib.” Journal of Thoracic Imaging, vol. 29, no. 6, Nov. 2014, pp. 364–66. Scopus, doi:10.1097/RTI.0000000000000113.
Henry TS, Kirsch J, Kanne JP, Chung JH, Donnelly EF, Ginsburg ME, Heitkamp DE, Kazerooni EA, Ketai LH, McComb BL, Parker JA, Ravenel JG, Restrepo CS, Saleh AG, Shah RD, Steiner RM, Suh RD, Mohammed TLH. ACR appropriateness Criteria® rib. Journal of Thoracic Imaging. 2014 Nov 8;29(6):364–366.

Published In

Journal of Thoracic Imaging

DOI

EISSN

1536-0237

ISSN

0883-5993

Publication Date

November 8, 2014

Volume

29

Issue

6

Start / End Page

364 / 366

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology