Title
ACR Appropriateness Criteria((R)) Suspected Thoracic Aortic Aneurysm
UMMS Affiliation
Department of Radiology
Publication Date
2018-05-01
Document Type
Article
Disciplines
Cardiovascular Diseases | Radiology
Abstract
Although the incidence of thoracic aortic aneurysm is on the rise, initial imaging diagnosis can present a challenge for many clinicians. Providers are faced with many imaging choices as part of the initial workup. Considering level of invasiveness, relative radiation level, and quality of associated diagnostic data, CT angiography and MR angiography are believed to be the most appropriate options for radiological diagnosis of suspected thoracic aortic aneurysm. 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
Aneurysm, Aorta, Aortic Appropriateness Criteria, Appropriate Use Criteria, AUC, Thoracic, TAA
DOI of Published Version
10.1016/j.jacr.2018.03.031
Source
J Am Coll Radiol. 2018 May;15(5S):S208-S214. doi: 10.1016/j.jacr.2018.03.031. Link to article on publisher's site
Journal/Book/Conference Title
Journal of the American College of Radiology : JACR
Related Resources
PubMed ID
29724424
Repository Citation
Bennett SJ, Dill KE, Hanley M, Ahmed O, Desjardins B, Gage KL, Ginsburg M, Khoynezhad A, Oliva IB, Steigner ML, Strax R, Verma N, Rybicki FJ. (2018). ACR Appropriateness Criteria((R)) Suspected Thoracic Aortic Aneurysm. Radiology Publications. https://doi.org/10.1016/j.jacr.2018.03.031. Retrieved from https://escholarship.umassmed.edu/radiology_pubs/393