id stringlengths 20 130 | title stringclasses 526
values | content stringlengths 100 1k |
|---|---|---|
Chronic_Hand_and_Wrist_Pain_Apdx_0004_5e11a131 | Chronic_Hand_and_Wrist_Pain_Apdx | 6 (28737618) 4
17 (29732587) 4
18 (34100996) 4
46 (20566255) 4
CT arthrography wrist May be
appropriate Limited ☢ <0.1 mSv 5 5 0 1 1 1 7 3 0 0 0
References Study Quality
22 (19233582) 3
23 (16304116) 2
21 (18480484) 4
6 (28737618) 4
18 (34100996) 4
CT wrist without IV contrast May be
appropriate Limited ☢ <0.1 mSv 5 5 ... |
Chronic_Hand_and_Wrist_Pain_Apdx_0005_055dec5c | Chronic_Hand_and_Wrist_Pain_Apdx | Radiographic arthrography wrist Usually not
appropriate Limited ☢ <0.1 mSv 1 1 13 0 0 0 0 0 0 0 0
References Study Quality
45 (21467087) M
MRI wrist without and with IV
contrast Usually not
appropriate Limited O 0 mSv O 0 mSv
[ped] 1 1 7 1 2 0 3 0 0 0 0
References Study Quality
35 (16498112) 3
9 (30171275) 4
3 (3643697... |
Chronic_Hand_and_Wrist_Pain_Apdx_0006_6d62f68a | Chronic_Hand_and_Wrist_Pain_Apdx | 44 (34137663) 4
51 (15729562) 4
US hand May be
appropriate Limited O 0 mSv O 0 mSv
[ped] 6 6 0 0 0 0 4 3 4 1 1
References Study Quality
14 (23111854) 4
15 (28024659) 3
16 (31421023) 2
13 (32115082) 4
6 (28737618) 4
17 (29732587) 4
MRI hand without and with IV
contrast May be
appropriate Limited O 0 mSv O 0 mSv
[ped] 5 ... |
Chronic_Hand_and_Wrist_Pain_Apdx_0007_d22dea5d | Chronic_Hand_and_Wrist_Pain_Apdx | MR arthrography hand Usually not
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 1 1 9 1 1 0 0 1 1 0 0
Radiographic arthrography hand Usually not
appropriate
Expert
Consensus ☢ <0.1 mSv 1 1 9 1 0 1 1 1 0 0 0 |
Chronic_Hand_and_Wrist_Pain_Apdx_0008_4312f209 | Chronic_Hand_and_Wrist_Pain_Apdx | Variant 4: Adult. Chronic wrist pain. Radiographs show old scaphoid fracture. Evaluate for nonunion, malunion, osteonecrosis, or post-traumatic osteoarthritis. Next imaging
study.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI wrist without IV contrast U... |
Chronic_Hand_and_Wrist_Pain_Apdx_0009_bb547ec6 | Chronic_Hand_and_Wrist_Pain_Apdx | CT wrist with IV contrast Usually not
appropriate Limited ☢ <0.1 mSv 1 1 7 4 1 0 0 1 0 0 0
References Study Quality
55 (30183133) 4 |
Chronic_Hand_and_Wrist_Pain_Apdx_0010_ae946f21 | Chronic_Hand_and_Wrist_Pain_Apdx | CT wrist without and with IV
contrast Usually not
appropriate
Expert
Consensus ☢ <0.1 mSv 1 1 8 1 1 1 2 0 0 0 0
Radiographic arthrography wrist Usually not
appropriate
Expert
Consensus ☢ <0.1 mSv 1 1 10 0 2 0 0 1 0 0 0
MR arthrography wrist Usually not
appropriate Limited O 0 mSv O 0 mSv
[ped] 1 1 8 1 1 1 1 0 0 0 1
Ref... |
Chronic_Hand_and_Wrist_Pain_Apdx_0011_49cb0d18 | Chronic_Hand_and_Wrist_Pain_Apdx | [ped] 6 6 0 0 1 1 3 4 2 0 2
References Study Quality
61 (28075090) 4
63 (31126663) 2
62 (31396669) 1
64 (29799270) 1
60 (27869627) 4
US area of interest May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 6 6 0 0 1 1 3 2 2 2 2
References Study Quality
66 (22244369) M |
Chronic_Hand_and_Wrist_Pain_Apdx_0012_c26895bf | Chronic_Hand_and_Wrist_Pain_Apdx | 65 (20963527) M
70 (25187592) 2
74 (28666673) 4
72 (32323256) 4
73 (34812067) 3
67 (28947163) Good
71 (30635201) 2
68 (30702462) Good
69 (34261588) 4
60 (27869627) 4
CT area of interest with IV
contrast Usually not
appropriate
Expert
Consensus Varies Varies 1 1 10 3 0 0 0 0 0 0 0
CT area of interest without IV
contrast... |
Chronic_Hand_and_Wrist_Pain_Apdx_0013_13d37b4a | Chronic_Hand_and_Wrist_Pain_Apdx | views Usually not
appropriate
Expert
Consensus ☢ <0.1 mSv 1 1 9 1 1 0 1 1 0 0 0
MR arthrography area of interest Usually not
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 1 1 11 1 1 0 0 0 0 0 0
CT arthrography area of interest Usually not
appropriate
Expert
Consensus Varies Varies 1 1 11 1 1 0 0 0 0 0 0 |
Chronic_Hand_and_Wrist_Pain_Apdx_0014_0f25c0a2 | Chronic_Hand_and_Wrist_Pain_Apdx | Variant 6: Adult. Chronic hand or wrist pain. Radiographs normal or show nonspecific arthritis. Suspect tendon injury, tenosynovitis, or tendon pathology. Next imaging
study.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI area of interest without IV
cont... |
Chronic_Hand_and_Wrist_Pain_Apdx_0015_22f950a9 | Chronic_Hand_and_Wrist_Pain_Apdx | 75 (16941192) 3
43 (27726753) 4
CT area of interest with IV
contrast Usually not
appropriate
Expert
Consensus Varies Varies 1 1 11 1 1 0 0 0 0 0 0 |
Chronic_Hand_and_Wrist_Pain_Apdx_0016_873e56c7 | Chronic_Hand_and_Wrist_Pain_Apdx | CT area of interest without IV
contrast Usually not
appropriate
Expert
Consensus Varies Varies 1 1 10 2 1 0 0 0 0 0 0
CT area of interest without and
with IV contrast Usually not
appropriate
Expert
Consensus Varies Varies 1 1 10 2 0 1 0 0 0 0 0
Radiographic arthrography area of
interest Usually not
appropriate
Expert
C... |
Chronic_Hand_and_Wrist_Pain_Apdx_0017_e12a52c8 | Chronic_Hand_and_Wrist_Pain_Apdx | Appendix Key
A more complete discussion of the items presented below can be found by accessing the supporting documents at the designated hyperlinks.
Appropriateness Category: The panel's recommendation for a procedure based on the assessment of the risks and benefits of performing the
procedure for the specified clini... |
Chronic_Hand_and_Wrist_Pain_Apdx_0018_2983ddb5 | Chronic_Hand_and_Wrist_Pain_Apdx | procedure.
Rating: The final rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Median: The median rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Final tabulations: A histogram showing the number of panel members who rated the procedure as noted ... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0000_26472735 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | American College of Radiology
ACR Appropriateness Criteria®
Clinically Suspected Adnexal Mass, No Acute Symptoms
Variant 1: Adult female. Clinically suspected adnexal mass, no acute symptoms. Premenopausal or postmenopausal. Initial imaging.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0001_0bedfd0b | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 26 (10201081) 3
37 (30149950) 4
36 (25320247) 3
43 (28727500) 3
44 (31770022) 3
34 (30303910) 3
22 (31687921) 4
28 (27776067) 4
30 (32736853) 4
29 (34474226) 4
41 (31549945) 4
45 (32809166) 2
31 (12634641) 4
33 (20505067) 4
42 (23358210) 3
38 (24937676) 3
40 (36520422) 3
US pelvis transabdominal Usually
appropriate
Exp... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0002_762b1f68 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | CT pelvis with IV contrast Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 3 5 2 1 2 1 0 0 0
CT pelvis without IV contrast Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 6 5 3 0 0 0 0 0 0
CT pelvis without and with IV
contrast Usually not
appropriate
Expert... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0003_922d6ab2 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | appropriate Strong O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 0 1 1 1 11
References Study Quality
51 (27282774) 3
24 (11176291) 4
48 (30419104) 3
34 (30303910) 3
22 (31687921) 4
50 (30737137) 2
53 (29112653) 3
55 (29702449) Good
41 (31549945) 4
45 (32809166) 2
33 (20505067) 4 |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0004_7b09ffdd | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 46 (20096820) 4
47 (21762355) 3
49 (23583217) 4
52 (21351179) 3
54 (35315722) 3
US duplex Doppler pelvis Usually
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 8 8 0 0 0 0 1 1 4 3 5
US pelvis transabdominal Usually
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 7 7 0 0 0 0 0 4 6 3 1
MRI pelvis without IV contra... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0005_2ab512ea | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | contrast Usually not
appropriate
Expert
Consensus
☢☢☢☢ 10-30
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 5 6 3 0 0 0 0 0 0
FDG-PET/CT skull base to mid-
thigh Usually not
appropriate
Expert
Consensus
☢☢☢☢ 10-30
mSv
☢☢☢☢ 3-
10 mSv
[ped]
1 1 11 2 1 0 0 0 0 0 0
Variant 3: Adult female. Adnexal mass, likely benign, no acute symptoms. Pos... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0006_eb247e58 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
US pelvis transvaginal Usually
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 0 0 3 2 9
US pelvis transabdominal and US
pelvis transvaginal Usually
appropriate Strong O 0 mSv O 0 mSv
[ped] 9 9 0 ... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0007_3210e0f4 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 16 (35040672) 4
MRI pelvis without IV contrast May be
appropriate Limited O 0 mSv O 0 mSv
[ped] 5 5 0 0 1 6 4 3 0 0 0
References Study Quality |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0008_94b1718c | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 17 (7824738) 2
18 (33725187) 3
CT pelvis with IV contrast Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 3 7 1 1 0 2 0 0 0
CT pelvis without IV contrast Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 6 7 1 0 0 0 0 0 0
CT pelvis without and with IV
contrast... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0009_b05a4faa | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | [ped] 9 9 0 0 0 0 0 1 1 1 11
References Study Quality
69 (24183731) 4
73 (22095438) 2
77 (22105841) 3
81 (19214523) 3
79 (21193596) 2
84 (29467113) 3
68 (27770228) 4
85 (27583370) 3
43 (28727500) 3
72 (31977064) 3
82 (33484725) 4 |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0010_247a85f8 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 75 (27367786) 3
71 (33929901) 4
83 (32715577) 2
16 (35040672) 4
70 (23468574) 2
74 (20419493) 3
76 (22814827) 3
78 (18581400) 3
80 (18972356) 3
MRI pelvis without IV contrast May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 6 6 0 0 0 1 4 10 1 0 0
References Study Quality
17 (7824738) 2
72 (31977064) 3
86 (30177450) 4
18... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0011_7e63db75 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 63 (15599527) 4
64 (29399968) 3
66 (18423470) 3
67 (20093590) 4
Variant 5: Adult female. Adnexal mass, indeterminate on initial pelvic US, no acute symptoms. Premenopausal. Follow-up imaging.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
US pelvis transvagi... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0012_c9b00b57 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | appropriate Strong O 0 mSv O 0 mSv
[ped] 6 6 0 0 1 4 1 6 2 0 0
References Study Quality
17 (7824738) 2
72 (31977064) 3 |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0013_536d2462 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 86 (30177450) 4
18 (33725187) 3
16 (35040672) 4
70 (23468574) 2
US pelvis transabdominal May be
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 6 6 1 0 0 0 2 5 5 1 0
CT pelvis with IV contrast Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 6 3 2 2 1 0 0 0 0
CT pelvis without IV contra... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0014_3ea7bf29 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 1 2 3 4 5 6 7 8 9
US duplex Doppler pelvis Usually
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 2 1 1 3 7
US pelvis transvaginal Usually
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 0 2 1 4 7
US pelvis transabdominal and US
pelvis transvaginal Usually
appropriate Limited O 0 mSv O 0 ... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0015_1fe3e4fd | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 88 (25068555) 3
44 (31770022) 3
72 (31977064) 3
89 (33992598) 3
91 (28118296) 4
16 (35040672) 4
MRI pelvis without and with IV
contrast Usually
appropriate Limited O 0 mSv O 0 mSv
[ped] 8 8 0 0 0 0 1 0 6 3 4
References Study Quality
16 (35040672) 4
87 (25273949) 3
US pelvis transabdominal Usually
appropriate
Expert
Con... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0016_897d3776 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | FDG-PET/CT skull base to mid-
thigh Usually not
appropriate
Expert
Consensus
☢☢☢☢ 10-30
mSv
☢☢☢☢ 3-
10 mSv
[ped]
1 1 10 2 1 0 0 1 0 0 0
Variant 7: Adult female. Adnexal mass, suspicious for malignancy on pelvic US, no acute symptoms. Premenopausal or postmenopausal. Next imaging study for
characterization.
Procedure Ap... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0017_96413cdd | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | 94 (35230183) 3
MRI pelvis without IV contrast May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 6 6 0 0 1 2 2 6 4 1 0
References Study Quality
17 (7824738) 2
72 (31977064) 3
86 (30177450) 4
18 (33725187) 3
16 (35040672) 4
70 (23468574) 2
CT pelvis without and with IV
contrast
May be
appropriate
(Disagreement)
Expert Opi... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0018_421d3a85 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
US pelvis transvaginal Usually
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 0 1 2 4 7 |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0019_1bd6ed21 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | US pelvis transabdominal and US
pelvis transvaginal Usually
appropriate Strong O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 0 0 2 2 10
References Study Quality
108 (26482730) 3
109 (24496773) 4
100 (9315194) 4
110 (27484484) 4
103 (33515746) Good
28 (27776067) 4
101 (32347749) 4
102 (10214838) 3
104 (21194826) 4
105 (16310839) 4
... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0020_279c43af | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | MRI pelvis without IV contrast May be
appropriate Limited O 0 mSv O 0 mSv
[ped] 5 5 0 0 1 6 5 3 1 0 0
References Study Quality
17 (7824738) 2
95 (-3188538) 4
18 (33725187) 3
15 (31482379) 3
16 (35040672) 4
MRI pelvis without and with IV
contrast Usually not
appropriate Limited O 0 mSv O 0 mSv
[ped] 3 3 5 1 5 1 1 0 1 0 ... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0021_faff8dc4 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | appropriate
Expert
Consensus
☢☢☢☢ 10-30
mSv
☢☢☢☢ 3-
10 mSv
[ped]
1 1 14 0 0 0 0 0 0 0 0
Variant 9: Female . Adnexal mass, indeterminate on initial pelvic US, no acute symptoms. Pregnant. Next imaging study for characterization.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0022_a4f84c93 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI pelvis without IV contrast Usually
appropriate Strong O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 0 0 4 2 8
References Study Quality
61 (21156740) 3
108 (26482730) 3
110 (27484484) 4
60 (29480762) 3
95 (-3188538) 4
72... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0023_2746106a | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | contrast Usually not
appropriate
Expert
Consensus
☢☢☢☢ 10-30
mSv
☢☢☢☢ 3-
10 mSv
[ped]
1 1 11 2 0 0 0 1 0 0 0 |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0024_a55edd75 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | FDG-PET/CT skull base to mid-
thigh Usually not
appropriate
Expert
Consensus
☢☢☢☢ 10-30
mSv
☢☢☢☢ 3-
10 mSv
[ped]
1 1 13 0 1 0 0 0 0 0 0 |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0025_e12a52c8 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | Appendix Key
A more complete discussion of the items presented below can be found by accessing the supporting documents at the designated hyperlinks.
Appropriateness Category: The panel's recommendation for a procedure based on the assessment of the risks and benefits of performing the
procedure for the specified clini... |
Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx_0026_2983ddb5 | Clinically_Suspected_Adnexal_Mass _No_Acute_Symptoms_Apdx | procedure.
Rating: The final rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Median: The median rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Final tabulations: A histogram showing the number of panel members who rated the procedure as noted ... |
Suspected_Pulmonary_Embolism_Apdx_0000_efa1a93f | Suspected_Pulmonary_Embolism_Apdx | American College of Radiology
ACR Appropriateness Criteria®
Suspected Pulmonary Embolism
Variant 1: Suspected pulmonary embolism. Low or intermediate pretest probability with a negative D-dimer. Initial Imaging.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9... |
Suspected_Pulmonary_Embolism_Apdx_0001_a3eee346 | Suspected_Pulmonary_Embolism_Apdx | References Study Quality
12 (20592294) 4
13 (21047572) 4
14 (20740096) 1
15 (19620439) 3
16 (18343077) 3
8 (21969343) M
CTA pulmonary arteries with IV
contrast Usually not
appropriate Limited ☢☢☢ 1-10
mSv 2 2 8 5 5 0 0 0 0 0 0
References Study Quality
12 (20592294) 4
13 (21047572) 4
14 (20740096) 1
15 (19620439) 3
16 (... |
Suspected_Pulmonary_Embolism_Apdx_0002_d2cbf726 | Suspected_Pulmonary_Embolism_Apdx | 14 (20740096) 1
15 (19620439) 3
16 (18343077) 3
8 (21969343) M
Arteriography pulmonary with
right heart catheterization Usually not
appropriate Strong ☢☢☢☢ 10-30
mSv 1 1 17 0 0 0 0 0 0 1 0
References Study Quality
12 (20592294) 4
13 (21047572) 4
14 (20740096) 1
15 (19620439) 3
16 (18343077) 3
19 (8222808) 3
18 (6859705... |
Suspected_Pulmonary_Embolism_Apdx_0003_4c4c748c | Suspected_Pulmonary_Embolism_Apdx | 15 (19620439) 3
16 (18343077) 3
8 (21969343) M
V/Q scan lung Usually not
appropriate Limited ☢☢☢ 1-10
mSv 1 1 12 5 1 0 0 0 0 0 0
References Study Quality
12 (20592294) 4
13 (21047572) 4
14 (20740096) 1
15 (19620439) 3
16 (18343077) 3
8 (21969343) M
US echocardiography
transthoracic resting Usually not
appropriate Limit... |
Suspected_Pulmonary_Embolism_Apdx_0004_c333b815 | Suspected_Pulmonary_Embolism_Apdx | Variant 2: Suspected pulmonary embolism. Low or intermediate pretest probability with a positive D-dimer. Initial imaging.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
CTA pulmonary arteries with IV
contrast Usually
appropriate Strong ☢☢☢ 1-10
mSv 9 9 1 0 ... |
Suspected_Pulmonary_Embolism_Apdx_0005_249a5e6e | Suspected_Pulmonary_Embolism_Apdx | 40 (21347594) 4
21 (8284406) 2
24 (14658001) 3
42 (22664742) 3
41 (23553735) 3
37 (18308025) 3
1 (28671347) 4
CTA triple rule out May be
appropriate
(Disagreement)
Expert Opinion ☢☢☢ 1-10
mSv 5 5 1 6 3 2 2 3 0 0 1
References Study Quality
29 (16738268) 2
30 (9442137) 3
28 (17675613) 1
31 (26124909) 3
CTA chest with IV ... |
Suspected_Pulmonary_Embolism_Apdx_0006_063c5eb2 | Suspected_Pulmonary_Embolism_Apdx | 45 (18043357) 3
49 (19427980) 1
47 (17555069) 4
48 (17179348) 1
CT chest with IV contrast Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 7 8 2 1 0 0 0 0 0
CT chest without IV contrast Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
2 2 7 7 2 1 1 0 0 0 0
CT ches... |
Suspected_Pulmonary_Embolism_Apdx_0007_9b69591b | Suspected_Pulmonary_Embolism_Apdx | US echocardiography
transesophageal Usually not
appropriate Strong O 0 mSv O 0 mSv
[ped] 2 2 9 5 3 0 0 1 0 0 0
References Study Quality
56 (8090877) 4
52 (17000366) 1
53 (12514752) 2
54 (10407975) 2
55 (8162798) 4
57 (2108571) 3
51 (26669928) 3
50 (8752195) 2
Variant 3: Suspected pulmonary embolism. High pretest probab... |
Suspected_Pulmonary_Embolism_Apdx_0008_e13ade32 | Suspected_Pulmonary_Embolism_Apdx | 58 (18165667) 1
1 (28671347) 4
60 (17625390) 2
MRA pulmonary arteries without
and with IV contrast May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 5 5 0 1 1 2 11 2 1 0 0
References Study Quality
34 (16794142) 2
35 (16714660) 2
36 (12020524) 1
38 (16632150) 3
39 (22375614) 4
40 (21347594) 4
21 (8284406) 2
24 (14658001) ... |
Suspected_Pulmonary_Embolism_Apdx_0009_26856bb4 | Suspected_Pulmonary_Embolism_Apdx | 53 (12514752) 2
54 (10407975) 2
55 (8162798) 4
57 (2108571) 3
51 (26669928) 3
50 (8752195) 2
CTA triple rule out Usually not
appropriate Strong ☢☢☢ 1-10
mSv 3 3 2 6 3 2 3 2 0 0 0
References Study Quality
29 (16738268) 2
30 (9442137) 3
28 (17675613) 1
31 (26124909) 3
CT chest with IV contrast Usually not
appropriate
Exp... |
Suspected_Pulmonary_Embolism_Apdx_0010_1fac54f6 | Suspected_Pulmonary_Embolism_Apdx | 33 (1735144) 3
MRA pulmonary arteries without
IV contrast Usually not
appropriate Strong O 0 mSv O 0 mSv
[ped] 2 2 3 9 2 3 0 1 0 0 0
References Study Quality
34 (16794142) 2
24 (14658001) 3
43 (28116500) 2
US echocardiography
transesophageal Usually not
appropriate Strong O 0 mSv O 0 mSv
[ped] 2 2 8 6 2 0 1 1 0 0 0
Ref... |
Suspected_Pulmonary_Embolism_Apdx_0011_459bc765 | Suspected_Pulmonary_Embolism_Apdx | 49 (19427980) 1
47 (17555069) 4
48 (17179348) 1
67 (31557394) Good
Radiography chest Usually
appropriate
Expert
Consensus ☢ <0.1 mSv
☢ <0.03
mSv
[ped]
8 8 0 0 0 0 0 1 3 9 5
CTA pulmonary arteries with IV
contrast Usually
appropriate Moderate ☢☢☢ 1-10
mSv 8 8 1 1 0 0 0 3 3 6 4
References Study Quality
64 (25811355) 4
63... |
Suspected_Pulmonary_Embolism_Apdx_0012_3969b48b | Suspected_Pulmonary_Embolism_Apdx | MRA pulmonary arteries without
IV contrast Usually not
appropriate Strong O 0 mSv O 0 mSv
[ped] 2 2 4 7 4 3 0 0 0 0 0
References Study Quality
34 (16794142) 2
24 (14658001) 3
43 (28116500) 2
US echocardiography
transthoracic resting Usually not
appropriate Strong O 0 mSv O 0 mSv
[ped] 2 2 5 5 1 2 3 1 0 1 0
References S... |
Suspected_Pulmonary_Embolism_Apdx_0014_f631d34e | Suspected_Pulmonary_Embolism_Apdx | Arteriography pulmonary with
right heart catheterization Usually not
appropriate Limited ☢☢☢☢ 10-30
mSv 1 1 14 0 0 4 0 0 0 0 0
References Study Quality
32 (15333370) 3
33 (1735144) 3
MRA pulmonary arteries without
and with IV contrast Usually not
appropriate Limited O 0 mSv O 0 mSv
[ped] 1 1 10 2 4 0 0 1 1 0 0
Referenc... |
Suspected_Pulmonary_Embolism_Apdx_0015_e12a52c8 | Suspected_Pulmonary_Embolism_Apdx | Appendix Key
A more complete discussion of the items presented below can be found by accessing the supporting documents at the designated hyperlinks.
Appropriateness Category: The panel's recommendation for a procedure based on the assessment of the risks and benefits of performing the
procedure for the specified clini... |
Suspected_Pulmonary_Embolism_Apdx_0016_2983ddb5 | Suspected_Pulmonary_Embolism_Apdx | procedure.
Rating: The final rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Median: The median rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Final tabulations: A histogram showing the number of panel members who rated the procedure as noted ... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0000_958a9555 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | American College of Radiology
ACR Appropriateness Criteria®
Inflammatory Back Pain: Known or Suspected Axial Spondyloarthropathy
Variant 1: Inflammatory back pain. Suspected axial spondyloarthritis. Initial imaging.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0001_c2190f99 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | References Study Quality
38 (19433414) 4
30 (31436026) 4
49 (29538011) 4
22 (25837448) 4
MRI sacroiliac joints without IV
contrast Usually not
appropriate Strong O 0 mSv O 0 mSv
[ped] 3 3 5 1 2 1 4 2 0 0 0
References Study Quality
17 (19297345) 3
36 (18975311) 2
16 (3262757) 4
37 (10493676) 2
22 (25837448) 4
MRI sacroi... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0002_1d41f76d | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | US sacroiliac joints Usually not
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 1 1 11 3 0 0 0 1 0 0 0 |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0003_2e54fcb0 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | CT spine area of interest without
IV contrast Usually not
appropriate
Expert
Consensus Varies Varies 1 1 8 1 4 1 1 0 0 0 0
CT spine area of interest without
and with IV contrast Usually not
appropriate
Expert
Consensus Varies Varies 1 1 12 1 2 0 0 0 0 0 0
CT spine area of interest with IV
contrast Usually not
appropria... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0004_43d20b77 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 1 1 11 2 2 0 0 0 0 0 0
Bone scan with SPECT or
SPECT/CT sacroiliac joints Usually not
appropriate
Expert
Consensus
☢☢☢ 1-10
mSv
☢☢☢☢ 3-
10 mSv
[ped]
1 1 11 2 2 0 0 0 0 0 0
US spine area of interest Usually not
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 1 1 11 3 0 0 0 1 0 0 0
Variant 2: Inflammatory back pain. S... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0005_276a662a | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 36 (18975311) 2
63 (18006539) 3
83 (20496416) 2
110 (20032094) 3
108 (23418080) 4
75 (19116919) 4
78 (12694111) 4
79 (19454404) 4
19 (19297344) 3
93 (30770520) 2
77 (31422357) 4
104 (31292710) 2
98 (29449501) 3
76 (30544144) 3
94 (30097454) 2
81 (30247978) 1
86 (29513924) 4
95 (29629794) 3
105 (31096431) 4
100 (3008614... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0006_5cdec5c0 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 89 (26286018) 3
1 (27355535) 4
13 (19416801) 2
37 (10493676) 2
22 (25837448) 4
41 (8970049) 2
85 (23203670) 1
88 (24925836) 2
96 (24703519) 3
97 (18806131) 2
102 (18034343) 3
103 (24034836) 4
MRI sacroiliac joints without IV
contrast Usually
appropriate Strong O 0 mSv O 0 mSv
[ped] 9 9 0 0 0 0 1 1 1 4 8
References Stud... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0007_165cac3d | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 76 (30544144) 3
94 (30097454) 2
81 (30247978) 1
86 (29513924) 4
95 (29629794) 3
105 (31096431) 4
100 (30086145) 2
91 (29177804) 2
111 (28749173) 2
109 (28593478) 3
45 (28283515) 2
3 (28110981) 4
99 (27994095) 2
101 (27908306) 2
106 (27865027) 3
92 (27651143) 2
90 (26709251) 2
82 (26681230) 4
89 (26286018) 3
1 (27355535... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0008_487927e3 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | MRI sacroiliac joints and spine
area of interest without IV contrastUsually
appropriate Strong O 0 mSv O 0 mSv
[ped] 8 8 1 0 0 0 1 2 2 3 6
References Study Quality
107 (19446974) 2
59 (22736088) 4
63 (18006539) 3
129 (22595499) 2
110 (20032094) 3
108 (23418080) 4
9 (15650011) 2
123 (22586174) 4
116 (19019894) 3
117 (22... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0009_7bcc17b1 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 22 (25837448) 4
113 (24451240) 2
115 (24574227) 4
120 (19565558) 2
121 (25510605) 2
125 (15458963) 3
126 (12687557) 3
127 (16206370) 2
128 (15778243) 2
MRI sacroiliac joints and spine
area of interest without and with
IV contrast
Usually
appropriate Strong O 0 mSv O 0 mSv
[ped] 7 7 0 0 0 1 2 1 5 5 2
References Study Qu... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0010_494af6f0 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 3 (28110981) 4
61 (27889235) 4
119 (27483411) 4
62 (27608795) 4
122 (26669910) 3
89 (26286018) 3
124 (26275972) 4
1 (27355535) 4
12 (18562734) 3
22 (25837448) 4
113 (24451240) 2
115 (24574227) 4
120 (19565558) 2
121 (25510605) 2
125 (15458963) 3
126 (12687557) 3
127 (16206370) 2
128 (15778243) 2
CT sacroiliac joints wi... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0011_2b317446 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 43 (12759287) 2
44 (17610316) 3
CT sacroiliac joints and spine area
of interest without IV contrast May be
appropriate Limited Varies Varies 5 5 0 0 0 1 12 1 2 0 0
References Study Quality
59 (22736088) 4
63 (18006539) 3
54 (23842966) 4
19 (19297344) 3
49 (29538011) 4
58 (29127092) 3
60 (28663306) 4
61 (27889235) 4
62 ... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0012_027ff8bc | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 22 (25837448) 4
41 (8970049) 2
50 (20395643) 3
51 (6229308) 4
52 (25649319) 2
CT sacroiliac joints without and
with IV contrast Usually not
appropriate Strong ☢☢☢☢ 10-30
mSv 1 1 12 0 1 1 1 0 0 0 0
References Study Quality
55 (17939334) 2
47 (22081446) 2
54 (23842966) 4
19 (19297344) 3
56 (30351251) 1
45 (28283515) 2
3 ... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0013_edaf5b25 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 1 (27355535) 4
22 (25837448) 4
43 (12759287) 2
44 (17610316) 3
US sacroiliac joints Usually not
appropriate Strong O 0 mSv O 0 mSv
[ped] 1 1 11 1 1 1 0 1 0 0 0
References Study Quality
130 (10470902) 3
133 (22552315) 2
132 (17216679) 3
136 (30099591) Good
131 (24914033) 2
22 (25837448) 4
134 (15934066) 1
135 (19565547)... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0014_67dc7b83 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 59 (22736088) 4
63 (18006539) 3
54 (23842966) 4
19 (19297344) 3
49 (29538011) 4
58 (29127092) 3
60 (28663306) 4
61 (27889235) 4
62 (27608795) 4
22 (25837448) 4
Fluoride PET/CT skull base to
mid-thigh Usually not
appropriate Strong ☢☢☢☢ 10-30
mSv 1 1 10 1 2 1 1 0 0 0 0
References Study Quality
73 (20505935) 3
64 (224719... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0015_62447c66 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | Variant 3: Inflammatory back pain. Suspected axial spondyloarthritis. Negative radiographs and negative MRI of the sacroiliac joints. Next imaging study.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
Radiography spine area of interest Usually
appropriate Li... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0016_23d808e1 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 115 (24574227) 4
120 (19565558) 2
121 (25510605) 2
125 (15458963) 3
126 (12687557) 3
127 (16206370) 2
128 (15778243) 2
MRI spine area of interest without
and with IV contrast Usually
appropriate Strong O 0 mSv O 0 mSv
[ped] 8 8 0 0 0 1 1 2 3 2 7
References Study Quality
59 (22736088) 4
63 (18006539) 3
129 (22595499) 2
... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0017_77fa962d | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 121 (25510605) 2
125 (15458963) 3
126 (12687557) 3
127 (16206370) 2
128 (15778243) 2
CT spine area of interest without
IV contrast Usually
appropriate Limited Varies Varies 7 7 0 0 0 0 5 2 5 1 2
References Study Quality
59 (22736088) 4
63 (18006539) 3
54 (23842966) 4
19 (19297344) 3
49 (29538011) 4
58 (29127092) 3
60 (... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0018_6bf52b21 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | CT spine area of interest without
and with IV contrast Usually not
appropriate Limited Varies Varies 1 1 11 0 1 1 1 0 1 0 0
References Study Quality
59 (22736088) 4
63 (18006539) 3
54 (23842966) 4
19 (19297344) 3
49 (29538011) 4
58 (29127092) 3
60 (28663306) 4
3 (28110981) 4
61 (27889235) 4
62 (27608795) 4
1 (27355535)... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0019_c6e58401 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | Fluoride PET/CT skull base to
mid-thigh Usually not
appropriate Strong ☢☢☢☢ 10-30
mSv 1 1 10 1 2 1 1 0 0 0 0
References Study Quality
73 (20505935) 3
64 (22471910) 3
67 (31088514) 1
70 (30620270) 2
65 (29329443) 1
71 (29067775) 4
66 (27137206) 3
68 (26136491) 2
69 (22788874) 2
72 (26053386) 4
US spine area of interest ... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0020_6f921a83 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 143 (28085226) 2
141 (26990518) 4
29 (29860356) 4
148 (30625261) 4
22 (25837448) 4
144 (21622969) 2
145 (26903442) 4
146 (26663907) 4
150 (9870884) 2
Radiography sacroiliac joints Usually
appropriate Strong ☢☢ 0.1-1mSv 7 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
30 (31436026) 4
149 (30220240) Good
147 (28970213) ... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0021_7d212f05 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 142 (28684556) 4
143 (28085226) 2
141 (26990518) 4
29 (29860356) 4
148 (30625261) 4
22 (25837448) 4
144 (21622969) 2
145 (26903442) 4
146 (26663907) 4
150 (9870884) 2
Radiography sacroiliac joints and
spine area of interest Usually
appropriate Strong ☢☢☢ 1-10
mSv 7 7 0 0 0 2 2 2 3 2 4
References Study Quality
30 (31436... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0022_f6a40e7b | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | MRI sacroiliac joints without IV
contrast May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 6 6 0 1 0 1 4 2 3 2 2
References Study Quality
107 (19446974) 2
110 (20032094) 3
108 (23418080) 4
30 (31436026) 4
111 (28749173) 2
109 (28593478) 3
22 (25837448) 4
137 (20191486) 2
138 (16208659) 4
MRI sacroiliac joints and spine
... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0023_81e41db1 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 140 (16082639) 2
MRI sacroiliac joints without and
with IV contrast May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 5 5 0 1 0 4 4 5 0 1 1
References Study Quality
107 (19446974) 2
110 (20032094) 3
108 (23418080) 4
30 (31436026) 4
111 (28749173) 2
109 (28593478) 3
22 (25837448) 4
137 (20191486) 2
138 (16208659) 4
MRI sa... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0024_97c7bbd2 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 139 (17407241) 3
140 (16082639) 2
CT sacroiliac joints without IV
contrast Usually not
appropriate Limited ☢☢☢ 1-10
mSv 3 3 5 2 1 3 3 0 1 0 0
References Study Quality
22 (25837448) 4
CT sacroiliac joints and spine area
of interest without IV contrast Usually not
appropriate Limited Varies Varies 3 3 4 2 8 0 1 0 1 0 0
R... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0025_6c1b3227 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | appropriate Limited O 0 mSv O 0 mSv
[ped] 1 1 11 3 0 0 1 0 0 0 0
References Study Quality
132 (17216679) 3 |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0026_d286fd04 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 158 (26321072) 3
159 (23385982) 4
CT sacroiliac joints and spine area
of interest without and with IV
contrast
Usually not
appropriate Limited Varies Varies 1 1 12 1 2 0 0 0 0 0 0
References Study Quality
49 (29538011) 4
58 (29127092) 3
22 (25837448) 4
CT sacroiliac joints and spine area
of interest with IV contrast Us... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0027_2e6d0d13 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 10 mSv
[ped]
1 1 10 1 4 0 0 0 0 0 0
US sacroiliac joints and spine area
of interest Usually not
appropriate Limited O 0 mSv O 0 mSv
[ped] 1 1 11 3 0 0 1 0 0 0 0
References Study Quality
132 (17216679) 3
158 (26321072) 3
159 (23385982) 4
Variant 5: Axial spondyloarthritis with spine ankylosis. Suspected fracture. Initia... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0028_d5878825 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
CT spine area of interest without
IV contrast Usually
appropriate Limited Varies Varies 9 9 0 0 0 0 1 1 0 1 12
References Study Quality
34 (16155161) 3
33 (18791749) 4
31 (19304705) 4
35 (20421858) 4
32 (2881687... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0029_08d2c21c | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 22 (25837448) 4
160 (18421455) 4
161 (15191110) 4
CT spine area of interest without
and with IV contrast Usually not
appropriate Limited Varies Varies 1 1 12 1 2 0 0 0 0 0 0
References Study Quality
34 (16155161) 3
33 (18791749) 4
31 (19304705) 4
35 (20421858) 4
32 (28816877) 4
22 (25837448) 4
160 (18421455) 4
161 (151... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0030_ad7bfa8a | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | 35 (20421858) 4
162 (31054754) 4
32 (28816877) 4
22 (25837448) 4
160 (18421455) 4
161 (15191110) 4
Fluoride PET/CT skull base to
mid-thigh Usually not
appropriate
Expert
Consensus
☢☢☢☢ 10-30
mSv 1 1 14 1 0 0 0 0 0 0 0
Bone scan with SPECT or
SPECT/CT spine area of interest Usually not
appropriate
Expert
Consensus
☢☢☢ 1... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0031_e12a52c8 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | Appendix Key
A more complete discussion of the items presented below can be found by accessing the supporting documents at the designated hyperlinks.
Appropriateness Category: The panel's recommendation for a procedure based on the assessment of the risks and benefits of performing the
procedure for the specified clini... |
Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx_0032_2983ddb5 | Inflammatory_Back_Pain_Known_or_Suspected_Axial_Spondyloarthropathy_Apdx | procedure.
Rating: The final rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Median: The median rating (1-9 scale) for the procedure as determined by the panel during rating rounds.
Final tabulations: A histogram showing the number of panel members who rated the procedure as noted ... |
Female_Breast_Cancer_Screening_Apdx_0000_5cc48dbf | Female_Breast_Cancer_Screening_Apdx | American College of Radiology
ACR Appropriateness Criteria®
Female Breast Cancer Screening
Variant 1: Adult female. Breast cancer screening. Average risk.
Procedure Appropriateness
Category SOE Adults RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
Mammography screening Usually
appropriate Strong ☢☢ 0.1... |
Female_Breast_Cancer_Screening_Apdx_0001_cf08e70a | Female_Breast_Cancer_Screening_Apdx | 6 (-3196037) 4
3 (37150275) 4
31 (20868890) 4
10 (38687505) 4
9 (38687503) 4
Digital breast tomosynthesis
screening Usually
appropriate Strong ☢☢ 0.1-1mSv 9 9 0 0 0 0 0 0 0 0 0
References Study Quality
17 (25058084) 3
18 (24918774) 3
19 (23901124) 3
22 (25313245) 2
24 (23297332) 1
32 (28516226) Good
23 (29869961) 1
29... |
Female_Breast_Cancer_Screening_Apdx_0002_97909c68 | Female_Breast_Cancer_Screening_Apdx | 6 (-3196037) 4
31 (20868890) 4
10 (38687505) 4
9 (38687503) 4
3 (37150275) 4
MRI breast without and with IV
contrast May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 5 5 0 0 0 0 0 0 0 0 0
References Study Quality
45 (28221097) 1
46 (31774954) Good
13 (34794600) 4
47 (3528677) 4
31 (20868890) 4
US breast May be
appropria... |
Female_Breast_Cancer_Screening_Apdx_0003_65347174 | Female_Breast_Cancer_Screening_Apdx | 48 (32096852) 1
13 (34794600) 4
31 (20868890) 4
Mammography with IV contrast Usually not
appropriate Limited ☢☢ 0.1-1mSv 3 3 0 0 0 0 0 0 0 0 0
References Study Quality
13 (34794600) 4
MRI breast without IV contrast Usually not
appropriate
Expert
Consensus O 0 mSv O 0 mSv
[ped] 1 1 0 0 0 0 0 0 0 0 0
Sestamibi MBI Usual... |
Female_Breast_Cancer_Screening_Apdx_0004_74ce422d | Female_Breast_Cancer_Screening_Apdx | 2 (24450666) 3
29 (29571797) 2
39 (29267146) 4
42 (28411671) 4
40 (27754936) 4
5 (26501536) 4
38 (25413699) Inadequate
34 (25415718) 4
35 (21257850) 4
36 (33141657) 3
43 (33223001) 4
37 (33650900) 3
11 (34154984) 4
30 (16775176) Good
6 (-3196037) 4
3 (37150275) 4
31 (20868890) 4
10 (38687505) 4
9 (38687503) 4
Digital b... |
Female_Breast_Cancer_Screening_Apdx_0005_1128dfb8 | Female_Breast_Cancer_Screening_Apdx | 27 (28083822) 1
5 (26501536) 4
26 (25599513) 2
38 (25413699) Inadequate
34 (25415718) 4
21 (30107542) Good
35 (21257850) 4
20 (31078459) 1
25 (30777808) 3
36 (33141657) 3
28 (32721031) 3
43 (33223001) 4
37 (33650900) 3
11 (34154984) 4
30 (16775176) Good
33 (33706172) Good
6 (-3196037) 4
3 (37150275) 4
31 (20868890) 4
1... |
Female_Breast_Cancer_Screening_Apdx_0006_000e32bc | Female_Breast_Cancer_Screening_Apdx | 74 (31221620) 3
69 (25794083) 4
73 (32303988) Inadequate
MRI breast without and with IV
contrast abbreviated May be
appropriate Strong O 0 mSv O 0 mSv
[ped] 6 6 0 0 0 0 0 0 0 0 0
References Study Quality
81 (28506511) 4
80 (25454099) 2
77 (24958821) 2
48 (32096852) 1
56 (33434108) 3
78 (33620293) 3
79 (31206889) 3
US b... |
Female_Breast_Cancer_Screening_Apdx_0007_8ee6a6fb | Female_Breast_Cancer_Screening_Apdx | Mammography with IV contrast May be
appropriate Strong ☢☢ 0.1-1mSv 5 5 0 0 0 0 0 0 0 0 0
References Study Quality
64 (30240292) 2
65 (31453765) 2
62 (33787291) 3
63 (31092346) 2
66 (39509749) 2
Sestamibi MBI Usually not
appropriate Limited ☢☢☢ 1-10
mSv 3 3 0 0 0 0 0 0 0 0 0
References Study Quality
50 (31880677) 4
51 ... |
Female_Breast_Cancer_Screening_Apdx_0008_0a0b3301 | Female_Breast_Cancer_Screening_Apdx | 92 (27444927) 4
91 (21079137) 4
90 (31233143) 3
89 (19176458) Good
88 (26908327) Inadequate
44 (26204111) 4
43 (33223001) 4
42 (28411671) 4
41 (28648873) 4
40 (27754936) 4
39 (29267146) 4
38 (25413699) Inadequate
37 (33650900) 3
36 (33141657) 3
35 (21257850) 4
34 (25415718) 4
30 (16775176) Good
29 (29571797) 2
11 (3415... |
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