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About 35,215 results

CAD-RADS™ 2.0 - 2022 Coronary Artery Disease - Reporting and Data System.: An expert co...
https://doi.org/10.1016/j.jacr.2022.09.012
Journal of the American College of Radiology : JACR; Cury RC, Leipsic J et. al.

Nov 28th, 2022 - Coronary Artery Disease Reporting and Data System (CAD-RADS) was created to standardize reporting system for patients undergoing coronary CT angiography (CCTA) and to guide possible next steps in patient management. The goal of this updated 2022 CAD-RADS 2.0 is to improve the initial reporting system for CCTA by considering new technical developments in Cardiac CT, including data from recent cl...

ACR Appropriateness Criteria® Ataxia-Child.
https://doi.org/10.1016/j.jacr.2022.09.010
Journal of the American College of Radiology : JACR; , Radhakrishnan R et. al.

Nov 28th, 2022 - Childhood ataxia may be due to multifactorial causes of impairment in the coordination of movement and balance. Acutely presenting ataxia in children may be due to infectious, inflammatory, toxic, ischemic, or traumatic etiology. Intermittent or episodic ataxia in children may be manifestations of migraine, benign positional vertigo, or intermittent metabolic disorders. Nonprogressive childhood...

ACR Appropriateness Criteria® Acute Pyelonephritis: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.017
Journal of the American College of Radiology : JACR; , Smith AD et. al.

Nov 28th, 2022 - Acute pyelonephritis (APN) is a severe urinary tract infection (UTI) that has the potential to cause sepsis, shock, and death. In the majority of patients, uncomplicated APN is diagnosed clinically and is responsive to treatment with appropriate antibiotics. In patients who are high risk or when treatment is delayed, microabscesses may coalesce to form an acute renal abscess. High-risk patients...

ACR Appropriateness Criteria® Chronic Elbow Pain.
https://doi.org/10.1016/j.jacr.2022.09.022
Journal of the American College of Radiology : JACR; , Thomas JM et. al.

Nov 28th, 2022 - Chronic elbow pain can be osseous, soft tissue, cartilaginous, and nerve related in etiology. Imaging plays an important role in differentiating between these causes of chronic elbow pain. This document provides recommendations for imaging of chronic elbow pain in adult patients. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed an...

ACR Appropriateness Criteria® Cranial Neuropathy: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.021
Journal of the American College of Radiology : JACR; , Rath TJ et. al.

Nov 28th, 2022 - Cranial neuropathy can result from pathology affecting the nerve fibers at any point and requires imaging of the entire course of the nerve from its nucleus to the end organ in order to identify a cause. MRI with and without intravenous contrast is often the modality of choice with CT playing a complementary role. The ACR Appropriateness Criteria are evidence-based guidelines for specific clini...

ACR Appropriateness Criteria® Evaluation of Nipple Discharge: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.020
Journal of the American College of Radiology : JACR; , Sanford MF et. al.

Nov 28th, 2022 - The type of nipple discharge dictates the appropriate imaging study. Physiologic nipple discharge is common and does not require diagnostic imaging. Pathologic nipple discharge in women, men, and transgender patients necessitates breast imaging. Evidence-based guidelines were used to evaluate breast imaging modalities for appropriateness based on patient age and gender. For an adult female or m...

ACR Appropriateness Criteria® Fibroids.
https://doi.org/10.1016/j.jacr.2022.09.019
Journal of the American College of Radiology : JACR; , Ascher SM et. al.

Nov 28th, 2022 - Uterine fibroids (leiomyomas or myomas) are the most common neoplasm of the uterus. Though incompletely understood, fibroid etiology is multifactorial, a combination of genetic alterations and endocrine, autocrine, environmental, and other factors such as race, age, parity, and body mass index. Black women have greater than an 80% incidence of fibroids by age 50, whereas White women have an inc...

ACR Appropriateness Criteria® Hernia.
https://doi.org/10.1016/j.jacr.2022.09.016
Journal of the American College of Radiology : JACR; , Garcia EM et. al.

Nov 28th, 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 ini...

ACR Appropriateness Criteria® Malignant or Aggressive Primary Musculoskeletal Tumor-Sta...
https://doi.org/10.1016/j.jacr.2022.09.015
Journal of the American College of Radiology : JACR; , Stanborough R et. al.

Nov 28th, 2022 - Malignant or aggressive primary musculoskeletal tumors are rare and encompass a wide variety of bone and soft tissue tumors. Given the most common site for metastasis from these primary musculoskeletal tumors is to the lung, chest imaging is integral in both staging and surveillance. Extrapulmonary metastases are rarely encountered with only a few exceptions. Following primary tumor resection, ...

ACR Appropriateness Criteria® Management of Liver Cancer: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.005
Journal of the American College of Radiology : JACR; , Knavel Koepsel EM et. al.

Nov 28th, 2022 - The treatment and management of hepatic malignancies can be complex because it encompasses a variety of primary and metastatic malignancies and an assortment of local and systemic treatment options. When to use each of these treatments is critical to ensure the most appropriate care for patients. Interventional radiologists have a key role to play in the delivery of a variety of liver directed ...

ACR Appropriateness Criteria® Imaging After Breast Surgery.
https://doi.org/10.1016/j.jacr.2022.09.003
Journal of the American College of Radiology : JACR; , Mehta TS et. al.

Nov 28th, 2022 - Given that 20% to 40% of women who have percutaneous breast biopsy subsequently undergo breast surgery, knowledge of imaging women with a history of benign (including high-risk) disease or breast cancer is important. For women who had surgery for nonmalignant pathology, the surveillance recommendations are determined by their overall risk. Higher-than-average risk women with a history of benign...

ACR Appropriateness Criteria® Imaging of Deep Inferior Epigastric Arteries for Surgical...
https://doi.org/10.1016/j.jacr.2022.09.004
Journal of the American College of Radiology : JACR; , Singh N et. al.

Nov 28th, 2022 - Breast cancer is the most common malignancy in women in the United States, with surgical options including lumpectomy and mastectomy followed by breast reconstruction. Deep inferior epigastric perforator (DIEP) flap is a muscle-sparing perforator free flap breast reconstruction technique, which uses the deep inferior epigastric artery (DIEA) perforators to create a vascular pedicle. Multiple pe...

ACR Appropriateness Criteria® Osteoporosis and Bone Mineral Density: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.007
Journal of the American College of Radiology : JACR; , Yu JS et. al.

Nov 28th, 2022 - Osteoporosis constitutes a significant public health risk. An estimated 10.2 million adults in the United States >50 years of age have osteoporosis, a systemic condition that weakens the bones increasing the susceptibility for fractures. Approximately one-half of women and nearly one-third of men >50 years of age will sustain an osteoporotic fracture. These fractures are associated with a decre...

ACR Appropriateness Criteria® Lower Extremity Arterial Claudication-Imaging Assessment ...
https://doi.org/10.1016/j.jacr.2022.09.002
Journal of the American College of Radiology : JACR; , Azene EM et. al.

Nov 28th, 2022 - Arterial claudication is a common manifestation of peripheral artery disease. This document focuses on necessary imaging before revascularization for claudication. Appropriate use of ultrasound, invasive arteriography, MR angiography, and CT angiography are discussed. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a ...

ACR Appropriateness Criteria® Osteonecrosis: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.009
Journal of the American College of Radiology : JACR; , Ha AS et. al.

Nov 28th, 2022 - Osteonecrosis is defined as bone death due to inadequate vascular supply. It is sometimes also called "avascular necrosis" and "aseptic necrosis" when involving epiphysis, or "bone infarct" when involving metadiaphysis. Common sites include femoral head, humeral head, tibial metadiaphysis, femoral metadiaphysis, scaphoid, lunate, and talus. Osteonecrosis is thought to be a common condition most...

ACR Appropriateness Criteria® Radiologic Management of Mesenteric Ischemia: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.006
Journal of the American College of Radiology : JACR; , Lam A et. al.

Nov 28th, 2022 - Mesenteric ischemia is a serious medical condition characterized by insufficient vascular supply to the small bowel. In the acute setting, endovascular interventions, including embolectomy, transcatheter thrombolysis, and angioplasty with or without stent placement, are recommended as initial therapeutic options. For nonocclusive mesenteric ischemia, transarterial infusion of vasodilators, such...

ACR Appropriateness Criteria® Staging and Follow-Up of Esophageal Cancer.
https://doi.org/10.1016/j.jacr.2022.09.008
Journal of the American College of Radiology : JACR; , Raptis CA et. al.

Nov 28th, 2022 - This document provides recommendations regarding the role of imaging in the staging and follow-up of esophageal cancer. For initial clinical staging, locoregional extent and nodal disease are typically assessed with esophagogastroduodenoscopy and esophageal ultrasound. FDG-PET/CT or CT of the chest and abdomen is usually appropriate for use in initial clinical staging as they provide additional...

ACR Appropriateness Criteria® Right Lower Quadrant Pain: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.011
Journal of the American College of Radiology : JACR; , Kambadakone AR et. al.

Nov 28th, 2022 - This document focuses on imaging in the adult and pregnant populations with right lower quadrant (RLQ) abdominal pain, including patients with fever and leukocytosis. Appendicitis remains the most common surgical pathology responsible for RLQ abdominal pain in the United States. Other causes of RLQ pain include right colonic diverticulitis, ureteral stone, and infectious enterocolitis. Appropri...

ACR Appropriateness Criteria® Suspected Osteomyelitis, Septic Arthritis, or Soft Tissue...
https://doi.org/10.1016/j.jacr.2022.09.013
Journal of the American College of Radiology : JACR; , Pierce JL et. al.

Nov 28th, 2022 - Musculoskeletal infections involve bones, joints, and soft tissues. These infections are a common clinical scenario in both outpatient and emergent settings. Although radiography provides baseline findings, a multimodality approach is often implemented to provide more detailed information on the extent of infection involvement and complications. MRI with intravenous contrast is excellent for th...

ACR Appropriateness Criteria® Suspected Pulmonary Embolism: 2022 Update.
https://doi.org/10.1016/j.jacr.2022.09.014
Journal of the American College of Radiology : JACR; , Kirsch J et. al.

Nov 28th, 2022 - 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...