Title
ACR Appropriateness Criteria((R)) Imaging of Deep Inferior Epigastric Arteries for Surgical Planning (Breast Reconstruction Surgery)
UMMS Affiliation
Department of Radiology
Publication Date
2017-11-01
Document Type
Article
Disciplines
Cardiovascular System | Neoplasms | Radiology | Surgery
Abstract
Breast cancer is the most common malignancy in women in the United States. Breast reconstruction surgery is a commonly used therapy for patients with breast cancer. The technique for the deep inferior epigastric perforator flap uses a preserved rectus muscle, which decreases donor site morbidity. Accurate identification and measurement of the perforator branches of the deep inferior epigastric artery is pivotal during pre-operative planning so that the surgeon can prioritize the best vessel to use and ultimately improve clinical outcome. 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.
Keywords
AUC, Appropriate Use Criteria, Appropriateness Criteria, Breast cancer, Breast reconstruction surgery, Deep inferior epigastric artery, Deep inferior epigastric perforator
DOI of Published Version
10.1016/j.jacr.2017.08.047
Source
J Am Coll Radiol. 2017 Nov;14(11S):S456-S461. doi: 10.1016/j.jacr.2017.08.047. Link to article on publisher's site
Journal/Book/Conference Title
Journal of the American College of Radiology : JACR
Related Resources
PubMed ID
29101984
Repository Citation
Expert Panel on Vascular Imaging; Oliva, Isabel B.; Day, Kevin; Dill, Karin E.; Hanley, Michael; Ahmed, Osmanuddin; Bennett, Shelby J.; Desjardins, Benoit; Gage, Kenneth L.; Ginsburg, Michael; Hamawy, Adam H.; Steigner, Michael L.; Strax, Richard; Verma, Nupur; and Rybicki, Frank J., "ACR Appropriateness Criteria((R)) Imaging of Deep Inferior Epigastric Arteries for Surgical Planning (Breast Reconstruction Surgery)" (2017). Radiology Publications and Presentations. 366.
https://escholarship.umassmed.edu/radiology_pubs/366