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ACR Appropriateness Criteria® Nontraumatic Aortic Disease

, Andrew J Gunn1, Sanjeeva P Kalva2

  • 1University of Alabama at Birmingham, Birmingham, Alabama, Director, Interventional Oncology, Director, Ambulatory Clinic, Assistant Program Director, Diagnostic Radiology Residency, Assistant Program Director, Interventional Radiology Residency, University of Alabama at Birmingham, Member, American College of Radiology-Radiologic Society of North America Patient Information Committee.

Journal of the American College of Radiology : JACR
|May 7, 2021
PubMed

Insights

Selecting the right imaging test for nontraumatic aortic disease is crucial. The American College of Radiology Appropriateness Criteria offer evidence-based guidance for optimal diagnostic imaging selection.

Area of Science:

  • Radiology and Medical Imaging
  • Cardiovascular Diseases

Background:

  • Nontraumatic aortic diseases encompass diverse etiologies, including congenital, inflammatory, infectious, metabolic, neoplastic, and degenerative conditions.
  • Accurate diagnosis, treatment planning, and therapeutic response assessment rely heavily on various imaging modalities like radiography, ultrasound, echocardiography, CT, MRI, and nuclear medicine.

Framework:

  • The American College of Radiology (ACR) Appropriateness Criteria provide evidence-based guidelines for selecting diagnostic imaging examinations.
  • These guidelines are developed and annually reviewed by multidisciplinary expert panels, incorporating extensive medical literature analysis.
  • Methodologies such as RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation (GRADE) are used to rate procedure appropriateness.

Implementation:

  • The ACR criteria aim to guide physicians in choosing the most suitable diagnostic imaging examination for nontraumatic aortic diseases.
  • Selection of imaging modalities should be based on the best available evidence, considering the strengths and weaknesses of each in specific clinical scenarios.
  • Expert opinion may supplement evidence when data is lacking or equivocal to recommend appropriate imaging or treatment.

Implications:

  • Facilitates informed decision-making for physicians in diagnosing and managing nontraumatic aortic diseases.
  • Promotes the use of evidence-based practices in medical imaging for aortic conditions.
  • Aims to optimize patient care by ensuring the selection of the most appropriate diagnostic imaging examinations.

Keywords:
AUCAortaAortic atherosclerosisAortic infectionAortic inflammationAortic neoplasmAppropriate Use CriteriaAppropriateness CriteriaCongenital aortic

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