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UMass Chan Affiliations
Department of RadiologyDocument Type
Journal ArticlePublication Date
2019-05-01Keywords
AUCAppropriate Use Criteria
Appropriateness Criteria
Cholecystitis
Cholelithiasis
Cholescintigraphy
Complicated cholecystitis
MRCP
Right upper quadrant pain
Body Regions
Diagnosis
Equipment and Supplies
Health Services Administration
Health Services Research
Radiology
Metadata
Show full item recordAbstract
Although right upper quadrant pain is a very common clinical presentation, it can be nonspecific. However, acute cholecystitis is very often the diagnosis of exclusion. This review focuses on the recommended imaging evaluation in the most commonly encountered clinical scenarios presenting with right upper quadrant abdominal pain, including suspected biliary disease, suspected acute cholecystitis, and suspected acalculous cholecystitis. This document hopes to clarify the appropriate utilization of the many imaging procedures that are available and commonly employed in these clinical settings. 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.Source
J Am Coll Radiol. 2019 May;16(5S):S235-S243. doi: 10.1016/j.jacr.2019.02.013. Link to article on publisher's site
DOI
10.1016/j.jacr.2019.02.013Permanent Link to this Item
http://hdl.handle.net/20.500.14038/48358PubMed ID
31054750Notes
Full author list omitted for brevity. For the full list of authors, see article.
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10.1016/j.jacr.2019.02.013