instruction stringlengths 128 1.06k | appropriateness stringclasses 4
values | evidence stringlengths 2 90k | strength_of_evidence stringclasses 7
values | opa stringclasses 3
values | opb stringclasses 4
values | opc stringclasses 4
values | opd stringclasses 4
values | cop stringclasses 4
values |
|---|---|---|---|---|---|---|---|---|
Judge the appropriateness of administering a Magnetic Resonance Imaging head without Intravenous contrast on a patient with the following characteristics: child. Six months of age or older. Papilledema detected on the ophthalmologic examination or signs of raised intracranial pressure. Initial imaging. | may be appropriate | [{'PMID': 27585209, 'Study Quality': '4'}, {'PMID': 23966248, 'Study Quality': '4', 'title': 'Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children.', 'abstract': 'The pseudotumor cerebri syndrome (PTCS) may be primary (idiopathic intracranial hypertension) or arise from an identifiabl... | limited | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | C |
Determine the appropriateness of administering a Computed Tomography neck without Intravenous contrast on a patient with the following characteristics: unilateral isolated palatal or vocal cord paralysis or both (vagal nerve, CN X). Initial imaging. | may be appropriate | [{'PMID': 27670956, 'Study Quality': '4', 'title': 'Repeat Imaging in Idiopathic Unilateral Vocal Fold Paralysis: Is It Necessary?', 'abstract': 'OBJECTIVE: Imaging plays a critical role in the evaluation of patients presenting with unilateral vocal fold paresis or paralysis of unknown etiology. In those with idiopathi... | strong | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | A |
Scrutinize the appropriateness of providing a Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body on a patient with the following characteristics: ovarian cancer screening. Premenopausal. High risk (personal history or family history or known or suspected genetic predisposition or elevated CA... | usually not appropriate | [] | expert consensus | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | D |
Judge the appropriateness of administering a Midline catheter on a patient with the following characteristics: device selection: Acutely ill patient requiring infusion of vesicant medication, hemodynamic monitoring, and frequent blood draws for 2 weeks or shorter. | may be appropriate | [{'PMID': 34553435, 'Study Quality': '2'}, {'PMID': 24811603, 'Study Quality': '1'}] | strong | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | A |
Investigate the appropriateness of performing a Computed Tomography maxillofacial with Intravenous contrast on a patient with the following characteristics: pain with upper jaw manipulation or pain overlying zygoma or zygomatic deformity or facial elongation or malocclusion or infraorbital nerve paresthesia. Suspect mi... | usually not appropriate | [{'PMID': 29320322, 'Study Quality': '4'}, {'PMID': 30454777, 'Study Quality': '4'}, {'PMID': 28941512, 'Study Quality': '4'}, {'PMID': 27618328, 'Study Quality': '4'}, {'PMID': 27761894, 'Study Quality': '4'}, {'PMID': 24183372, 'Study Quality': '4'}, {'PMID': 23322824, 'Study Quality': '4'}, {'PMID': 22472677, 'Study... | limited | usually appropriate | may be appropriate | usually not appropriate | may be appropriate (disagreement) | C |
Determine the appropriateness of executing a Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography skull base to mid-thigh on a patient with the following characteristics: chronic dyspnea. Suspected disease of the pleura or chest wall. Initial imaging. | usually not appropriate | [] | expert consensus | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | D |
Scrutinize the appropriateness of providing a Fluoroscopy contrast enema on a patient with the following characteristics: palpable abdominal mass. Suspected abdominal wall mass. Initial imaging. | usually not appropriate | [{'PMID': 25064764, 'Study Quality': '4', 'title': 'Soft-tissue masses in the abdominal wall.', 'abstract': 'Masses involving the abdominal wall arise from a large number of aetiologies. This article will describe a diagnostic approach, imaging features of the most common causes of abdominal wall masses, and highly spe... | expert consensus | may be appropriate | usually not appropriate | usually appropriate | may be appropriate (disagreement) | B |
Scrutinize the appropriateness of providing a Magnetic Resonance Angiography head and neck without Intravenous contrast on a patient with the following characteristics: new focal neurologic defect, fixed or worsening. Longer than 6 hours. Suspected stroke. | usually appropriate | [] | not specified | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | A |
Survey the appropriateness of delivering a Magnetic Resonance Imaging hand without and with Intravenous contrast on a patient with the following characteristics: initial radiographs showing metacarpophalangeal, proximal interphalangeal, or distal interphalangeal joint malalignment in the absence of fracture. Next imagi... | usually not appropriate | [{'PMID': 11818612, 'Study Quality': '3', 'title': 'MR imaging of the metacarpophalangeal joints of the fingers: part II. Detection of simulated injuries in cadavers.', 'abstract': 'PURPOSE: To evaluate and compare conventional magnetic resonance (MR) imaging and MR arthrography in the diagnosis of the most common trau... | limited | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | A |
Review the appropriateness of conducting a Magnetic Resonance Imaging hip without Intravenous contrast on a patient with the following characteristics: chronic hip pain. Suspect impingement or dysplasia. Radiographs negative or nondiagnostic. Next imaging study. | usually appropriate | [{'PMID': 15800516, 'Study Quality': '2', 'title': 'Magnetic resonance imaging of the hip: detection of labral and chondral abnormalities using noncontrast imaging.', 'abstract': 'PURPOSE: Traditional imaging techniques have limited ability to detect subtle chondral and labral injuries of the hip. We performed a retros... | strong | usually not appropriate | may be appropriate (disagreement) | usually appropriate | may be appropriate | C |
Analyze the appropriateness of providing a Radiography chest on a patient with the following characteristics: known or suspected infective endocarditis. Additional imaging to direct patient management or treatment. | may be appropriate | [{'PMID': 6519077, 'Study Quality': '2', 'title': 'Prosthetic valve endocarditis: clinical findings and management.', 'abstract': 'Prosthetic valve endocarditis (PVE) was shown in 46 patients out of a group of 2163 carrying prosthetic heart valves. The cumulative rate of early PVE was 1.4% and 1.5% for PVE occurring be... | expert consensus | may be appropriate | usually not appropriate | may be appropriate (disagreement) | usually appropriate | A |
Consider the appropriateness of providing a Magnetic Resonance Angiography head without Intravenous contrast on a patient with the following characteristics: child. Clinical presentation suggestive of acute stroke, known or suspected high-flow vascular anomaly. Initial imaging. | usually appropriate | [{'PMID': 25063989, 'Study Quality': '3'}] | expert consensus | usually appropriate | usually not appropriate | may be appropriate | may be appropriate (disagreement) | A |
Consider the appropriateness of undertaking a Image-guided core biopsy breast on a patient with the following characteristics: adult female, 40 years of age or older. Palpable breast mass. Mammography findings are suspicious or highly suggestive of malignancy (BI-RADS 4 or 5). Next imaging study. | usually not appropriate | [{'PMID': 17924407, 'Study Quality': '3', 'title': 'A comparative analysis of core needle biopsy and fine-needle aspiration cytology in the evaluation of palpable and mammographically detected suspicious breast lesions.', 'abstract': 'The present study was undertaken to compare the efficacy of needle core biopsy (NCB) ... | limited | may be appropriate | usually not appropriate | usually appropriate | may be appropriate (disagreement) | B |
Investigate the appropriateness of performing a Radiography abdomen and pelvis on a patient with the following characteristics: suspected deep pelvic hernia including obturator, sciatic, or perineal. Initial imaging. | usually not appropriate | [{'PMID': 22138700, 'Study Quality': '4'}, {'PMID': 24078001, 'Study Quality': '4'}, {'PMID': 26985818, 'Study Quality': '4'}] | not specified | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | A |
Examine the appropriateness of offering a Ultrasound area of interest on a patient with the following characteristics: child. Established diagnosis of vascular malformation presenting with new or persistent signs or symptoms. Initial imaging. | may be appropriate | [{'PMID': 26444594, 'Study Quality': '3'}] | expert consensus | may be appropriate | usually appropriate | may be appropriate (disagreement) | usually not appropriate | A |
Analyze the appropriateness of providing a Computed Tomography abdomen without and with Intravenous contrast on a patient with the following characteristics: suspected acute pyelonephritis. History of renal stones or renal obstruction. Initial imaging. | may be appropriate (disagreement) | [{'PMID': 18203942, 'Study Quality': '4', 'title': 'Pyelonephritis: radiologic-pathologic review.', 'abstract': 'Urinary tract infections are the most common urologic disease in the United States and annually account for over 7 million office and 1 million emergency department visits. In adults, diagnosis of urinary tr... | expert opinion | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | B |
Survey the appropriateness of delivering a Computed Tomography chest with Intravenous contrast on a patient with the following characteristics: confirmed diffuse lung disease without acute clinical deterioration. Routine follow-up imaging clinically indicated. | may be appropriate | [{'PMID': 8153310, 'Study Quality': '2', 'title': 'Chronic diffuse infiltrative lung disease: determination of the diagnostic value of clinical data, chest radiography, and CT and Bayesian analysis.', 'abstract': 'PURPOSE: To assess the value of clinical, chest radiographic, and computed tomographic (CT) findings in cl... | strong | usually not appropriate | usually appropriate | may be appropriate (disagreement) | may be appropriate | D |
Appraise the appropriateness of delivering a Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography skull base to mid-thigh on a patient with the following characteristics: nontraumatic chest wall pain. Suspected infectious or inflammatory condition. Secondary evaluation after normal chest radiograph. Next... | may be appropriate | [{'PMID': 25917543, 'Study Quality': '4'}, {'PMID': 30205705, 'Study Quality': 'Not Assessed'}, {'PMID': 23359660, 'Study Quality': '4'}, {'PMID': 17954662, 'Study Quality': '4'}] | moderate | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | C |
Gauge the appropriateness of executing a Magnetic Resonance Imaging head without and with Intravenous contrast on a patient with the following characteristics: unilateral isolated weakness of the facial expression, paralysis of the facial expression, hemifacial spasm, or Bell palsy (facial nerve, CN VII). Initial imagi... | usually appropriate | [{'PMID': 22784861, 'Study Quality': '3', 'title': 'Clinical feasibility of temporal bone magnetic resonance imaging as a prognostic tool in idiopathic acute facial palsy.', 'abstract': 'OBJECTIVE: To assess the feasibility of temporal bone magnetic resonance imaging for evaluating the severity and prognosis of idiopat... | strong | usually appropriate | may be appropriate | usually not appropriate | may be appropriate (disagreement) | A |
Measure the appropriateness of undertaking a Magnetic Resonance Imaging head without Intravenous contrast on a patient with the following characteristics: follow-up for clinically localized renal cell carcinoma; post radical or partial nephrectomy. | usually not appropriate | [{'PMID': 23665399, 'Study Quality': '4', 'title': 'Follow-up for Clinically Localized Renal Neoplasms: AUA Guideline.', 'abstract': 'PURPOSE: The purpose of this guideline is to provide a clinical framework for follow-up of clinically localized renal neoplasms undergoing active surveillance, or following definitive th... | limited | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | A |
Weigh the appropriateness of administering a Computed Tomography head without and with Intravenous contrast on a patient with the following characteristics: child. Nontraumatic subarachnoid hemorrhage (SAH) detected by noncontrast Computed Tomography Next imaging study. | usually not appropriate | [{'PMID': 24156863, 'Study Quality': '4'}] | limited | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | D |
Measure the appropriateness of undertaking a Ultrasound chest on a patient with the following characteristics: recent pneumonia with suspected parapneumonic effusion or empyema. Initial imaging. | may be appropriate (disagreement) | [{'PMID': 19933660, 'Study Quality': '3'}, {'PMID': 11762545, 'Study Quality': '2'}, {'PMID': 30675767, 'Study Quality': '2'}, {'PMID': 27709281, 'Study Quality': '3'}, {'PMID': 19616366, 'Study Quality': '2'}, {'PMID': 11127008, 'Study Quality': '2'}, {'PMID': 33033148, 'Study Quality': '4'}, {'PMID': 27613540, 'Study... | expert opinion | usually appropriate | usually not appropriate | may be appropriate | may be appropriate (disagreement) | D |
Investigate the appropriateness of performing a Ultrasound duplex Doppler abdomen on a patient with the following characteristics: known multiorgan system arterial occlusions. Suspected embolic etiology. Next imaging study to determine source. | may be appropriate | [{'PMID': 21482138, 'Study Quality': '4'}] | limited | usually appropriate | may be appropriate | usually not appropriate | may be appropriate (disagreement) | B |
Survey the appropriateness of delivering a Magnetic Resonance Angiography chest without and with Intravenous contrast on a patient with the following characteristics: acute nonspecific chest pain; low probability of coronary artery disease. Initial imaging. | usually not appropriate | [{'PMID': 27533160, 'Study Quality': '4', 'title': 'Acute Aortic Dissection and Intramural Hematoma: A Systematic Review.', 'abstract': 'IMPORTANCE: Acute aortic syndrome (AAS), a potentially fatal pathologic process within the aortic wall, should be suspected in patients presenting with severe thoracic pain and hypert... | limited | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | D |
Assess how appropriate it would be to perform a Red Blood Cells scan abdomen and pelvis on a patient with the following characteristics: adult. Endoscopy confirms nonvariceal upper gastrointestinal bleeding without a clear source. Initial imaging. | may be appropriate | [{'PMID': 23789659, 'Study Quality': '4', 'title': 'Multiphase CT enterography evaluation of small-bowel vascular lesions.', 'abstract': 'OBJECTIVE: By use of multiphase CT enterography (CTE), small-bowel vascular lesions associated with gastrointestinal bleeding can be classified into three categories--angioectasias, ... | expert consensus | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | A |
Measure the appropriateness of undertaking a Ultrasound echocardiography transesophageal on a patient with the following characteristics: known or suspected congenital heart disease in the adult. | usually appropriate | [{'PMID': 2044558, 'Study Quality': '4', 'title': 'The role of transoesophageal echocardiography in adolescents and adults with congenital heart defects.', 'abstract': "Between April 1985 and December 1989, outpatient transoesophageal echocardiography was performed in 133 adolescent and adult patients (14% of all outpa... | moderate | usually appropriate | may be appropriate (disagreement) | usually not appropriate | may be appropriate | A |
Gauge the appropriateness of executing a Magnetic Resonance Imaging breast without Intravenous contrast on a patient with the following characteristics: newly diagnosed. Clinical stage I-IIA (early stage) breast cancer at presentation. Evaluation for locoregional disease (includes invasive ductal carcinoma [IDC], or in... | usually not appropriate | [{'PMID': 22751517, 'Study Quality': '4'}] | expert consensus | may be appropriate | usually not appropriate | may be appropriate (disagreement) | usually appropriate | B |
Judge the appropriateness of administering a Computed Tomography spine area of interest without and with Intravenous contrast on a patient with the following characteristics: acute onset myelopathy. Initial imaging. | usually not appropriate | [{'PMID': 19525791, 'Study Quality': '3', 'title': 'Clinical usefulness of CT-myelogram comparing with the MRI in degenerative cervical spinal disorders: is CTM still useful for primary diagnostic tool?', 'abstract': "STUDY DESIGN: A radiographic review of 50 patients (29 radiculopathy and 21 myelopathy) who had underg... | limited | may be appropriate | usually not appropriate | may be appropriate (disagreement) | usually appropriate | B |
Evaluate the appropriateness of carrying out a Venous sampling parathyroid on a patient with the following characteristics: adult or child. Tertiary hyperparathyroidism. Initial imaging. | usually not appropriate | [{'PMID': 30193297, 'Study Quality': '4'}, {'PMID': 20870706, 'Study Quality': '4'}] | limited | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | A |
Appraise the appropriateness of delivering a Magnetic Resonance Venography head without and with Intravenous contrast on a patient with the following characteristics: adult. Known cervical vascular dissection or injury. Surveillance imaging. | usually not appropriate | [] | expert consensus | may be appropriate | usually not appropriate | usually appropriate | may be appropriate (disagreement) | B |
Determine the appropriateness of administering a Sestamibi dual-phase scan with Single Photon Emission Computed Tomography or Single-photon Emission Computed Tomography / Computed Tomography neck on a patient with the following characteristics: adult or child. Primary hyperparathyroidism, recurrent or persistent after ... | usually appropriate | [{'PMID': 27318765, 'Study Quality': '2'}, {'PMID': 20957360, 'Study Quality': '2'}] | strong | may be appropriate | usually appropriate | usually not appropriate | may be appropriate (disagreement) | B |
Weigh the appropriateness of administering a Radiography chest on a patient with the following characteristics: chest pain, low to intermediate probability for acute coronary syndrome. Initial imaging. | usually appropriate | [{'PMID': 24595499, 'Study Quality': '2', 'title': 'Validation of a clinical decision rule: chest X-ray in patients with chest pain and possible acute coronary syndrome.', 'abstract': 'Current literature suggests that a large proportion of chest X-rays (CXRs) performed in emergency department (ED) patients with chest p... | limited | usually not appropriate | may be appropriate | may be appropriate (disagreement) | usually appropriate | D |
Examine the appropriateness of offering a Computed Tomography abdomen and pelvis without and with Intravenous contrast on a patient with the following characteristics: microhematuria. Patients with risk factors, without any of the following: history of recent vigorous exercise, or presence of infection or viral illness... | may be appropriate | [{'PMID': 17222650, 'Study Quality': '3', 'title': 'The role of computerized tomographic urography in the initial evaluation of hematuria.', 'abstract': 'PURPOSE: We determined the usefulness of computerized tomographic urography for the initial evaluation of patients with hematuria as an alternative to excretory urogr... | expert consensus | usually not appropriate | may be appropriate | may be appropriate (disagreement) | usually appropriate | B |
Inspect the appropriateness of conducting a Magnetic Resonance Angiography neck without Intravenous contrast on a patient with the following characteristics: suspected cerebral vasospasm. Initial imaging. | usually not appropriate | [{'PMID': 28365434, 'Study Quality': 'Good'}] | expert consensus | may be appropriate | usually not appropriate | may be appropriate (disagreement) | usually appropriate | B |
Weigh the appropriateness of administering a Anticoagulation adjunctive therapy on a patient with the following characteristics: past medical history significant for diabetes mellitus, hypertension, and smoking. Increasing claudication of right lower extremity involving right buttock for last 3 months. Computed Tomogra... | usually not appropriate | [] | not specified | usually appropriate | may be appropriate | may be appropriate (disagreement) | usually not appropriate | D |
Evaluate the appropriateness of carrying out a Sestamibi scan and pertechnetate thyroid scan on a patient with the following characteristics: adult or child. Primary hyperparathyroidism, recurrent or persistent after parathyroid surgery. Initial imaging. | usually appropriate | [{'PMID': 24674300, 'Study Quality': '2'}, {'PMID': 25454737, 'Study Quality': '2'}, {'PMID': 27329424, 'Study Quality': '2'}, {'PMID': 23868155, 'Study Quality': '2'}, {'PMID': 29063298, 'Study Quality': '2'}] | expert consensus | usually not appropriate | usually appropriate | may be appropriate (disagreement) | may be appropriate | B |
Survey the appropriateness of delivering a Computed Tomography enteroclysis on a patient with the following characteristics: known Crohn disease, suspected acute exacerbation. | may be appropriate | [{'PMID': 16304016, 'Study Quality': '2', 'title': "Diagnostic value of CT enteroclysis compared with conventional enteroclysis in patients with Crohn's disease.", 'abstract': "OBJECTIVE: The objective of our study was to assess the diagnostic value of CT enteroclysis compared with conventional enteroclysis in patients... | strong | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | C |
Evaluate the appropriateness of carrying out a Bone scan shoulder on a patient with the following characteristics: chronic shoulder pain. Suspect biceps tendon abnormality. Initial radiographs normal or inconclusive. Next imaging study. | usually not appropriate | [{'PMID': 21367551, 'Study Quality': '2'}] | expert consensus | may be appropriate | usually not appropriate | usually appropriate | may be appropriate (disagreement) | B |
Scrutinize the appropriateness of providing a Magnetic Resonance Imaging orbits face neck with Intravenous contrast on a patient with the following characteristics: suspected or diagnosed cancer of the paranasal sinuses or nasal cavity. Initial staging. | usually not appropriate | [{'PMID': 32113152, 'Study Quality': '4'}] | expert consensus | may be appropriate | usually appropriate | may be appropriate (disagreement) | usually not appropriate | D |
Evaluate the appropriateness of performing a Computed Tomography abdomen and pelvis without Intravenous contrast on a patient with the following characteristics: acute pelvic pain in the reproductive age group. Nongynecological etiology suspected, ß-hCG negative (either urine or serum). Initial imaging. | usually appropriate | [{'PMID': 17377025, 'Study Quality': '2', 'title': 'Low-dose versus standard-dose CT protocol in patients with clinically suspected renal colic.', 'abstract': "OBJECTIVE: The purpose of our study was to compare a low-dose abdominal CT protocol, delivering a dose of radiation close to the dose delivered by abdominal rad... | strong | usually not appropriate | usually appropriate | may be appropriate (disagreement) | may be appropriate | B |
Review the appropriateness of conducting a Magnetic Resonance Imaging fetal without and with Intravenous contrast on a patient with the following characteristics: second and third trimester screening for fetal anomaly. Low-risk pregnancy. Initial imaging. | usually not appropriate | [] | expert consensus | usually appropriate | may be appropriate (disagreement) | usually not appropriate | may be appropriate | C |
Assess how appropriate it would be to perform a Magnetic Resonance Imaging lumbar spine without and with Intravenous contrast on a patient with the following characteristics: subacute or chronic low back pain with or without radiculopathy. No red flags. No prior management. Initial imaging. | usually not appropriate | [{'PMID': 21282698, 'Study Quality': '4', 'title': 'Diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians.', 'abstract': 'Diagnostic imaging is indicated for patients with low back pain only if they have severe progressive neurologic deficits or signs or symptom... | strong | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | D |
Review the appropriateness of conducting a Radiography chest abdomen pelvis on a patient with the following characteristics: asymptomatic abdominal aortic aneurysm surveillance (without repair). | usually not appropriate | [] | expert consensus | may be appropriate | usually not appropriate | may be appropriate (disagreement) | usually appropriate | B |
Evaluate the appropriateness of performing a Computed Tomography chest abdomen pelvis without Intravenous contrast on a patient with the following characteristics: colorectal cancer. Staging for distant metastases. Initial imaging. | may be appropriate | [{'PMID': 20392584, 'Study Quality': '2', 'title': 'Preoperative detection of colorectal liver metastases in fatty liver: MDCT or MRI?', 'abstract': 'OBJECTIVE: To compare the diagnostic value of multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) in the preoperative detection of colorectal li... | strong | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | B |
Investigate the appropriateness of performing a Computed Tomography Venography head with Intravenous contrast on a patient with the following characteristics: primary migraine or tension-type headache. Normal neurologic examination. Initial imaging. | usually not appropriate | [] | expert consensus | usually appropriate | usually not appropriate | may be appropriate (disagreement) | may be appropriate | B |
Analyze the appropriateness of providing a Computed Tomography head and paranasal sinuses without and with Intravenous contrast on a patient with the following characteristics: child. Sinusitis with clinical concern of orbital or intracranial complications. Initial imaging. | usually not appropriate | [{'PMID': 3174990, 'Study Quality': '3', 'title': 'Fungal sinusitis: diagnosis with CT and MR imaging.', 'abstract': 'Of 293 patients who underwent computed tomography (CT), surgery, and pathologic examination for chronic sinusitis, 25 had a diagnosis of fungal sinusitis at pathologic examination. Of these, 22 had foci... | limited | usually appropriate | usually not appropriate | may be appropriate (disagreement) | may be appropriate | B |
Assess how appropriate it would be to perform a Dual-energy X-ray Absorptiometry VFA on a patient with the following characteristics: follow-up imaging of patients demonstrated to have risk for fracture or surveillance of established low bone mineral density. | usually not appropriate | [{'PMID': 31400968, 'Study Quality': '4', 'title': 'Executive Summary of the 2019 ISCD Position Development Conference on Monitoring Treatment, DXA Cross-calibration and Least Significant Change, Spinal Cord Injury, Peri-prosthetic and Orthopedic Bone Health, Transgender Medicine, and Pediatrics.', 'abstract': 'To answ... | limited | usually appropriate | may be appropriate (disagreement) | usually not appropriate | may be appropriate | C |
Determine the appropriateness of executing a Computed Tomography pelvis with Intravenous contrast on a patient with the following characteristics: acute pelvic pain in the reproductive age group. Gynecological etiology suspected, ß-hCG negative (either serum or urine). Initial imaging. | usually not appropriate | [] | expert consensus | usually not appropriate | may be appropriate | may be appropriate (disagreement) | usually appropriate | A |
Assess how appropriate it would be to perform a Magnetic Resonance Imaging abdomen and pelvis without and with Intravenous contrast on a patient with the following characteristics: acute pelvic pain in the reproductive age group. Gynecological etiology suspected, ß-hCG positive (either serum or urine). Initial imaging. | usually not appropriate | [{'PMID': 24660723, 'Study Quality': '4', 'title': 'Beyond ultrasound: CT and MRI of ectopic pregnancy.', 'abstract': 'OBJECTIVE: Although ultrasound is the primary modality used in the diagnosis of ectopic pregnancy, various forms of this condition and their complications may occasionally be further evaluated with MRI... | expert consensus | usually appropriate | usually not appropriate | may be appropriate (disagreement) | may be appropriate | B |
Examine the appropriateness of offering a Computed Tomography Angiography coronary arteries with Intravenous contrast on a patient with the following characteristics: dyspnea due to suspected valvular heart disease. Ischemia excluded. Initial imaging. | usually not appropriate | [{'PMID': 29101983, 'Study Quality': '4', 'title': 'ACR Appropriateness Criteria® Imaging for Transcatheter Aortic Valve Replacement.', 'abstract': 'Aortic stenosis is a common valvular condition with increasing prevalence in aging populations. When severe and symptomatic, the downstream prognosis is poor without surgi... | limited | usually not appropriate | usually appropriate | may be appropriate (disagreement) | may be appropriate | A |
Analyze the appropriateness of providing a Magnetic Resonance Imaging abdomen without and with Intravenous contrast with MRCP on a patient with the following characteristics: abnormal liver function tests. Cholestatic predominance. Elevated alkaline phosphatase with or without elevated gamma-glutamyl transpeptidase. In... | usually appropriate | [{'PMID': 26205638, 'Study Quality': '3'}, {'PMID': 18722735, 'Study Quality': '4'}, {'PMID': 24780789, 'Study Quality': '3'}, {'PMID': 25030459, 'Study Quality': '3'}] | limited | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | A |
Judge the appropriateness of administering a Computed Tomography coronary calcium on a patient with the following characteristics: suspected inflammatory cardiomyopathy. Ischemic cardiomyopathy already excluded. Initial imaging. | usually not appropriate | [] | expert consensus | usually not appropriate | may be appropriate | may be appropriate (disagreement) | usually appropriate | A |
Appraise the appropriateness of delivering a Magnetic Resonance Imaging head and orbits without Intravenous contrast on a patient with the following characteristics: child. Vision loss and suspected optic pathway tumor, with or without a history of neurofibromatosis type 1. Initial imaging. | usually not appropriate | [{'PMID': 30904949, 'Study Quality': '2'}, {'PMID': 29789890, 'Study Quality': '3'}, {'PMID': 31739524, 'Study Quality': '4'}, {'PMID': 28257299, 'Study Quality': '4'}] | limited | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | D |
Survey the appropriateness of delivering a Magnetic Resonance arthrography knee on a patient with the following characteristics: adult or child greater than or equal to 5 years of age. Chronic knee pain. Initial knee radiograph negative or demonstrates joint effusion. Next imaging procedure. | may be appropriate | [{'PMID': 24751528, 'Study Quality': '4', 'title': 'Clinical imaging assessments of knee osteoarthritis in the elderly: a mini-review.', 'abstract': 'Knee osteoarthritis (OA) in the elderly is one of the most common degenerative age-related joint diseases leading to typical degradation of articular cartilage with sever... | limited | usually not appropriate | usually appropriate | may be appropriate (disagreement) | may be appropriate | D |
Weigh the appropriateness of administering a Magnetic Resonance Imaging breast without and with Intravenous contrast on a patient with the following characteristics: female. Newly diagnosed breast cancer, 2 cm or less, with clinical node-negative. Initial imaging of the axilla following diagnostic mammography or DBT. | usually not appropriate | [{'PMID': 23359240, 'Study Quality': '4'}, {'PMID': 25727555, 'Study Quality': '4'}, {'PMID': 24687378, 'Study Quality': '3'}, {'PMID': 29516387, 'Study Quality': '4'}, {'PMID': -3182246, 'Study Quality': '4'}, {'PMID': 31885585, 'Study Quality': '4'}] | limited | usually appropriate | may be appropriate (disagreement) | usually not appropriate | may be appropriate | C |
Evaluate the appropriateness of performing a Arteriography with possible embolization abdomen and pelvis on a patient with the following characteristics: penetrating trauma, lower abdomen and pelvis. Suspected lower urinary tract trauma. Initial imaging. | usually not appropriate | [{'PMID': -3091864, 'Study Quality': '4', 'title': 'Effects of nutrition on plasma, liver and muscle amino acids in scalded rats.', 'abstract': 'This study set out to investigate the effect of three different parenterally administered diets on the free amino acid (AA) levels in the plasma, muscle, and liver of scalded ... | limited | may be appropriate | usually not appropriate | may be appropriate (disagreement) | usually appropriate | B |
Judge the appropriateness of administering a Computed Tomography head perfusion with Intravenous contrast on a patient with the following characteristics: known high-flow vascular malformation (AVM/AVF). Surveillance monitoring. | usually not appropriate | [{'PMID': 22107856, 'Study Quality': '4'}, {'PMID': 23615081, 'Study Quality': '2'}] | expert consensus | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | D |
Inspect the appropriateness of conducting a Ultrasound abdomen with Intravenous contrast on a patient with the following characteristics: follow-up for clinically localized renal cell carcinoma; post ablation. | may be appropriate | [{'PMID': 27569091, 'Study Quality': '2', 'title': 'Contrast-enhanced ultrasound for assessment of therapeutic response after percutaneous radiofrequency ablation of small renal tumors.', 'abstract': 'PURPOSE: The purpose of this study was to evaluate the efficacy of contrast-enhanced ultrasound (CEUS) in the assessmen... | strong | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | A |
Gauge the appropriateness of executing a Magnetic Resonance Imaging abdomen and pelvis without and with Intravenous contrast on a patient with the following characteristics: initial staging of pure seminoma testicular cancer. Diagnosed by orchiectomy. | usually appropriate | [{'PMID': 6539790, 'Study Quality': '3', 'title': 'Comparison of NMR and CT imaging in the evaluation of metastatic retroperitoneal lymphadenopathy from testicular carcinoma.', 'abstract': 'Twenty-five patients with nonseminomatous germ cell carcinoma of the testis underwent CT and nuclear magnetic resonance (NMR) of t... | strong | usually appropriate | may be appropriate (disagreement) | usually not appropriate | may be appropriate | A |
Evaluate the appropriateness of performing a Discography and post-discography Computed Tomography lumbar spine on a patient with the following characteristics: acute low back pain with or without radiculopathy. No red flags. No prior management. Initial imaging. | usually not appropriate | [] | expert consensus | may be appropriate | usually not appropriate | usually appropriate | may be appropriate (disagreement) | B |
Gauge the appropriateness of executing a Magnetic Resonance Venography head without Intravenous contrast on a patient with the following characteristics: known acute subarachnoid hemorrhage (SAH) on Computed Tomography Next imaging study. | usually not appropriate | [{'PMID': 31685104, 'Study Quality': '4', 'title': 'ACR Appropriateness Criteria® Headache.', 'abstract': 'Headache is one of the most common human afflictions. In most cases, headaches are benign and idiopathic, and resolve spontaneously or with minor therapeutic measures. Imaging is not required for many types of hea... | expert consensus | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | A |
Weigh the appropriateness of administering a Magnetic Resonance Angiography abdomen and pelvis without Intravenous contrast on a patient with the following characteristics: suspected acute mesenteric ischemia. Initial imaging. | usually not appropriate | [{'PMID': 9084082, 'Study Quality': '4', 'title': 'Gadolinium-enhanced ultrafast three-dimensional spoiled gradient-echo MR imaging of the abdominal aorta and visceral and iliac vessels.', 'abstract': 'Gadolinium-enhanced ultrafast three-dimensional (3D) spoiled gradient-echo magnetic resonance (MR) imaging is a noninv... | strong | usually appropriate | usually not appropriate | may be appropriate (disagreement) | may be appropriate | B |
Determine the appropriateness of executing a Magnetic Resonance Angiography neck without Intravenous contrast on a patient with the following characteristics: suspected or diagnosed cancer of the paranasal sinuses or nasal cavity. Initial staging. | usually not appropriate | [{'PMID': 32113152, 'Study Quality': '4'}] | expert consensus | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | D |
Consider the appropriateness of providing a Permanent biliary metallic stent on a patient with the following characteristics: initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis. | usually not appropriate | [{'PMID': 28834389, 'Study Quality': '1', 'title': 'Indications and techniques of biliary drainage for acute cholangitis in updated Tokyo Guidelines 2018.', 'abstract': 'The Tokyo Guidelines 2013 (TG13) include new topics in the biliary drainage section. From these topics, we describe the indications and new techniques... | limited | may be appropriate | usually appropriate | usually not appropriate | may be appropriate (disagreement) | C |
Gauge the appropriateness of executing a Computed Tomography head without Intravenous contrast on a patient with the following characteristics: adult. Chronic recurrent vertigo. Associated with other brainstem neurologic deficits. Initial imaging. | may be appropriate | [] | expert consensus | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | C |
Determine the appropriateness of executing a Magnetic Resonance Imaging brachial plexus without and with Intravenous contrast on a patient with the following characteristics: brachial plexopathy, traumatic (not perinatal). Initial imaging. | usually appropriate | [{'PMID': 22071340, 'Study Quality': '3', 'title': 'Diagnostic accuracy of MRI in adults with suspect brachial plexus lesions: a multicentre retrospective study with surgical findings and clinical follow-up as reference standard.', 'abstract': 'OBJECTIVE: To evaluate brachial plexus MRI accuracy with surgical findings ... | limited | may be appropriate | usually appropriate | usually not appropriate | may be appropriate (disagreement) | B |
Weigh the appropriateness of administering a Arteriography chest abdomen pelvis on a patient with the following characteristics: suspected medium-vessel vasculitis (MVV). Initial imaging. | usually appropriate | [{'PMID': 30698353, 'Study Quality': '4'}, {'PMID': 25241888, 'Study Quality': '4'}] | limited | usually appropriate | may be appropriate | usually not appropriate | may be appropriate (disagreement) | A |
Probe the appropriateness of offering a Computed Tomography Angiography coronary arteries with Intravenous contrast on a patient with the following characteristics: child or adult. Repaired tetralogy of Fallot or pulmonary valve stenosis with concern for pulmonary valve dysfunction or branch pulmonary artery stenosis. ... | may be appropriate | [{'PMID': 24468055, 'Study Quality': '4'}] | expert consensus | usually not appropriate | may be appropriate | may be appropriate (disagreement) | usually appropriate | B |
Consider the appropriateness of providing a Magnetic Resonance Imaging abdomen and pelvis without and with Intravenous contrast on a patient with the following characteristics: major blunt trauma. Hemodynamically stable. Pregnant patient. Initial imaging. | usually not appropriate | [{'PMID': 23624596, 'Study Quality': 'Inadequate'}, {'PMID': 2783289, 'Study Quality': '3'}] | expert consensus | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | C |
Measure the appropriateness of undertaking a Computed Tomography Angiography head with Intravenous contrast on a patient with the following characteristics: adult. Known intraparenchymal hemorrhage. No history of trauma. Follow-up imaging study. | usually appropriate | [{'PMID': 34794589, 'Study Quality': '4'}, {'PMID': 19910545, 'Study Quality': '3'}, {'PMID': 24136645, 'Study Quality': '2'}, {'PMID': 25177839, 'Study Quality': '2'}, {'PMID': 19342546, 'Study Quality': '1'}, {'PMID': 30193811, 'Study Quality': '2'}] | strong | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | A |
Measure the appropriateness of undertaking a Ultrasound echocardiography transthoracic resting on a patient with the following characteristics: suspected arrhythmogenic cardiomyopathy (arrhythmia of ventricular origin). Ischemic cardiomyopathy already excluded. Initial imaging. | usually appropriate | [{'PMID': 27798758, 'Study Quality': '2', 'title': 'Incremental value of contrast echocardiography in the diagnosis of left ventricular noncompaction.', 'abstract': 'Contrast echocardiography with left ventricular opacification (LVO) improves the definition of endocardium in two-dimensional echocardiography (2DE). This... | strong | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | C |
Weigh the appropriateness of administering a Ultrasound echocardiography transesophageal on a patient with the following characteristics: adult. Presenting with shortness of breath, or hemothorax, or hemoptysis. Patient has history of epistaxis and family history of hereditary hemorrhagic telangiectasia (HHT). Suspecte... | usually not appropriate | [{'PMID': 2212350, 'Study Quality': '3'}, {'PMID': 8181373, 'Study Quality': '4'}] | limited | usually appropriate | usually not appropriate | may be appropriate (disagreement) | may be appropriate | B |
Appraise the appropriateness of delivering a Magnetic Resonance Imaging chest without and with Intravenous contrast on a patient with the following characteristics: acute respiratory illness in immunocompromised patients. Cough, dyspnea, chest pain, or fever. Initial Imaging. | usually not appropriate | [{'PMID': 19393494, 'Study Quality': '4', 'title': 'Diagnostic approach of pulmonary disease in the HIV negative immunocompromised host.', 'abstract': 'The advances in medicine have resulted in increasing number of immunocompromised patients with complications related to their underlying disease or the treatment of the... | limited | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | C |
Determine the appropriateness of administering a Magnetic Resonance Imaging head with Intravenous contrast on a patient with the following characteristics: pain with upper jaw manipulation or pain overlying zygoma or zygomatic deformity or facial elongation or malocclusion or infraorbital nerve paresthesia. Suspect mid... | usually not appropriate | [{'PMID': 32224001, 'Study Quality': '2'}, {'PMID': 31345487, 'Study Quality': '4'}, {'PMID': 33958108, 'Study Quality': '4'}] | limited | usually appropriate | may be appropriate | may be appropriate (disagreement) | usually not appropriate | D |
Consider the appropriateness of providing a Computed Tomography Angiography abdomen and pelvis without and with Intravenous contrast on a patient with the following characteristics: lower gastrointestinal tract bleeding. Colonoscopy localized the bleeding site and treatment was attempted. Ongoing or recurrent bleeding.... | may be appropriate (disagreement) | [] | expert opinion | usually not appropriate | usually appropriate | may be appropriate (disagreement) | may be appropriate | C |
Evaluate the appropriateness of performing a Magnetic Resonance Imaging area of interest without and with Intravenous contrast on a patient with the following characteristics: suspect primary bone tumor. Benign radiographic features. Not osteoid osteoma. Next imaging study. | may be appropriate | [{'PMID': -3145589, 'Study Quality': '4', 'title': '[An individual nursing care plan for CVA patients. General starting points].', 'abstract': None, 'publication': 'TVZ'}] | limited | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | A |
Examine the appropriateness of offering a Magnetic Resonance Angiography neck without and with Intravenous contrast on a patient with the following characteristics: adult. Prior ischemic infarct. Surveillance imaging. | may be appropriate (disagreement) | [{'PMID': 34024117, 'Study Quality': '4'}, {'PMID': 31662037, 'Study Quality': '4'}, {'PMID': 26077590, 'Study Quality': '2'}, {'PMID': 26077583, 'Study Quality': '4'}, {'PMID': 22498329, 'Study Quality': '2'}] | expert opinion | usually not appropriate | may be appropriate (disagreement) | usually appropriate | may be appropriate | B |
Evaluate the appropriateness of carrying out a Fluoride Positron Emission Tomography/Computed Tomography whole body on a patient with the following characteristics: metastatic prostate cancer treated by systemic therapy (androgen deprivation therapy [ADT], chemotherapy, immunotherapy). Follow-up. | may be appropriate (disagreement) | [{'PMID': 31127357, 'Study Quality': 'Good', 'title': 'Comparison of PSMA-PET/CT, choline-PET/CT, NaF-PET/CT, MRI, and bone scintigraphy in the diagnosis of bone metastases in patients with prostate cancer: a systematic review and meta-analysis.', 'abstract': "OBJECTIVE: A systematic review and meta-analysis to compare... | expert opinion | usually appropriate | usually not appropriate | may be appropriate (disagreement) | may be appropriate | C |
Scrutinize the appropriateness of providing a Computed Tomography chest and abdomen without and with Intravenous contrast on a patient with the following characteristics: congenital aortic disease. Initial imaging. | usually not appropriate | [] | expert consensus | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | D |
Gauge the appropriateness of executing a Ultrasound echocardiography transthoracic resting on a patient with the following characteristics: confirmed new-onset heart failure with reduced ejection fraction of uncertain etiology: ischemic versus nonischemic. | usually not appropriate | [{'PMID': 16098295, 'Study Quality': '2'}, {'PMID': 19609896, 'Study Quality': '2'}, {'PMID': 17336751, 'Study Quality': '2'}] | moderate | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | D |
Analyze the appropriateness of providing a Magnetic Resonance Angiography coronary arteries without Intravenous contrast on a patient with the following characteristics: chronic chest pain; high probability of coronary artery disease. Known ischemic heart disease with no prior definitive treatment. Initial imaging. | usually not appropriate | [{'PMID': 23833284, 'Study Quality': '2', 'title': 'Additive value of magnetic resonance coronary angiography in a comprehensive cardiac magnetic resonance stress-rest protocol for detection of functionally significant coronary artery disease: a pilot study.', 'abstract': 'BACKGROUND: Cardiovascular magnetic resonance ... | strong | usually appropriate | may be appropriate | usually not appropriate | may be appropriate (disagreement) | C |
Probe the appropriateness of offering a Magnetic Resonance Imaging breast without and with Intravenous contrast on a patient with the following characteristics: adult female, younger than 30 years of age. Palpable breast mass. Ultrasound findings benign (BI-RADS 2). Next imaging study. | usually not appropriate | [{'PMID': 28754486, 'Study Quality': '3', 'title': 'What is the yield of breast MRI in the assessment of palpable breast findings?', 'abstract': 'AIM: To examine the contribution of magnetic resonance imaging (MRI) to characterise palpable breast masses after conventional imaging was found to be non-contributory.\nMATE... | limited | usually not appropriate | may be appropriate | may be appropriate (disagreement) | usually appropriate | A |
Consider the appropriateness of providing a Computed Tomography abdomen and pelvis without and with Intravenous contrast on a patient with the following characteristics: surveillance of GTN, including refractory, relapsed, or quiescent GTN. | may be appropriate (disagreement) | [{'PMID': 23803756, 'Study Quality': '4'}, {'PMID': 20495216, 'Study Quality': '4'}] | expert opinion | may be appropriate | usually appropriate | usually not appropriate | may be appropriate (disagreement) | D |
Gauge the appropriateness of executing a Computed Tomography abdomen and pelvis without Intravenous contrast on a patient with the following characteristics: gross hematuria. Initial imaging. | may be appropriate | [] | expert consensus | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | A |
Evaluate the appropriateness of performing a Magnetic Resonance Angiography chest without and with Intravenous contrast on a patient with the following characteristics: preintervention planning for transcatheter aortic valve replacement: assessment of supravalvular aorta and vascular access. Initial imaging. | may be appropriate | [{'PMID': 25552490, 'Study Quality': '3', 'title': 'Transfemoral access assessment for transcatheter aortic valve replacement: evidence-based application of computed tomography over invasive angiography.', 'abstract': 'BACKGROUND: Although computed tomography (CT) is commonly used for iliofemoral evaluation for transfe... | expert consensus | may be appropriate | usually appropriate | usually not appropriate | may be appropriate (disagreement) | A |
Evaluate the appropriateness of carrying out a Radiography pelvis on a patient with the following characteristics: chronic hip pain. Initial Imaging. | usually appropriate | [{'PMID': 11567537, 'Study Quality': '4', 'title': 'Clinical assessment of the osteoarthritis patient.', 'abstract': 'It is becoming apparent that the disease process of osteoarthritis should be regarded separately from the clinical syndrome of joint pain, use-related stiffness and disability. The latter may best be ap... | limited | usually appropriate | usually not appropriate | may be appropriate (disagreement) | may be appropriate | A |
Analyze the appropriateness of providing a Ultrasound ankle on a patient with the following characteristics: adult or child 5 years of age or older. Acute trauma to the ankle. No exclusionary criteria present (eg, neurologically intact (including no peripheral neuropathy)). Patient meets the requirements for evaluation... | usually not appropriate | [] | expert consensus | may be appropriate | usually not appropriate | usually appropriate | may be appropriate (disagreement) | B |
Investigate the appropriateness of performing a Magnetic Resonance Imaging head without Intravenous contrast on a patient with the following characteristics: child. Clinical presentation suggestive of acute stroke, known or suspected low-flow vascular anomaly. Initial imaging. | usually appropriate | [{'PMID': 26272978, 'Study Quality': '4'}] | limited | may be appropriate | may be appropriate (disagreement) | usually appropriate | usually not appropriate | C |
Determine the appropriateness of executing a Computed Tomography head perfusion with Intravenous contrast on a patient with the following characteristics: child age older than 6 months. Emergent imaging for clinical presentation suggestive of acute nonsickle–cell related stroke. New focal fixed or worsening neurologic ... | usually not appropriate | [{'PMID': 22209434, 'Study Quality': '4'}] | limited | may be appropriate | usually not appropriate | may be appropriate (disagreement) | usually appropriate | B |
Assess how appropriate it would be to perform a Computed Tomography abdomen and pelvis without and with Intravenous contrast on a patient with the following characteristics: acute nonlocalized abdominal pain and fever. Postoperative patient. Initial imaging. | may be appropriate | [{'PMID': 23735667, 'Study Quality': '3', 'title': 'Postoperative fluid collections after colon resection: the\xa0utility of clinical assessment.', 'abstract': "BACKGROUND: Computed tomography (CT) scans often identify postoperative fluid collections of uncertain clinical relevance.\nMETHODS: Consecutive adult patients... | strong | may be appropriate | usually appropriate | may be appropriate (disagreement) | usually not appropriate | A |
Probe the appropriateness of offering a Magnetic Resonance Imaging head without Intravenous contrast on a patient with the following characteristics: known cerebral aneurysm; previously treated. Surveillance monitoring. | usually not appropriate | [] | expert consensus | usually not appropriate | may be appropriate (disagreement) | usually appropriate | may be appropriate | A |
Determine the appropriateness of executing a Magnetic Resonance Imaging head perfusion with Intravenous contrast on a patient with the following characteristics: adult. Known venous sinus thrombosis. Surveillance imaging. | usually not appropriate | [{'PMID': 24172883, 'Study Quality': '3'}] | limited | usually not appropriate | may be appropriate | may be appropriate (disagreement) | usually appropriate | A |
Appraise the appropriateness of delivering a Fluoroscopy upper Gastrointestinal series on a patient with the following characteristics: adult. Nonvariceal upper gastrointestinal bleeding; negative endoscopy. Initial imaging. | usually not appropriate | [] | expert consensus | usually appropriate | may be appropriate (disagreement) | usually not appropriate | may be appropriate | C |
Consider the appropriateness of providing a Medical management only on a patient with the following characteristics: initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K). | may be appropriate | [] | expert consensus | usually not appropriate | may be appropriate | usually appropriate | may be appropriate (disagreement) | B |
Inspect the appropriateness of conducting a Magnetic Resonance Venography extremity area of interest without and with Intravenous contrast on a patient with the following characteristics: abnormal skin changes associated with the upper or lower extremity hemodialysis access cannulation site, including marked thinning, ... | usually not appropriate | [] | expert consensus | usually not appropriate | may be appropriate (disagreement) | usually appropriate | may be appropriate | A |
Examine the appropriateness of offering a Computed Tomography chest without and with Intravenous contrast on a patient with the following characteristics: recent minor blunt trauma with suspected pleural effusion. Initial imaging. | usually not appropriate | [] | expert consensus | usually not appropriate | usually appropriate | may be appropriate (disagreement) | may be appropriate | A |
Consider the appropriateness of undertaking a Radiography chest on a patient with the following characteristics: suspected or diagnosed cancer of the paranasal sinuses or nasal cavity. Initial staging. | usually not appropriate | [{'PMID': 10718426, 'Study Quality': '2'}, {'PMID': 25239083, 'Study Quality': '4'}, {'PMID': 10870751, 'Study Quality': '2'}] | strong | usually appropriate | may be appropriate (disagreement) | may be appropriate | usually not appropriate | D |
Determine the appropriateness of executing a Magnetic Resonance Imaging head without and with Intravenous contrast on a patient with the following characteristics: children 1 month to 17 years of age. Generalized seizure (neurologically abnormal). Initial imaging. | may be appropriate | [] | expert consensus | may be appropriate | may be appropriate (disagreement) | usually not appropriate | usually appropriate | A |
Assess how appropriate it would be to perform a Surgical lung biopsy/resection on a patient with the following characteristics: middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer. All lesions but 1 have regressed on the current chemotherapy regimen. | may be appropriate | [] | not specified | usually not appropriate | usually appropriate | may be appropriate | may be appropriate (disagreement) | C |
Appraise the appropriateness of delivering a Radiography intravenous urography on a patient with the following characteristics: recurrent lower urinary tract infections in a female. Uncomplicated with no underlying risk factors. | usually not appropriate | [{'PMID': 19495546, 'Study Quality': '4', 'title': 'Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction.', 'abstract': 'INTRODUCTION AND HYPOTHESIS: The prevalence and clinical associations of recurrent (two or more symptomatic and medically documented in the previous 12 months) urinar... | limited | usually not appropriate | usually appropriate | may be appropriate | may be appropriate (disagreement) | A |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.