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ACR Appropriateness Criteria® Second and Third Trimester Screening for Fetal Anomaly
, Betsy L Sussman1, Prajna Chopra2
1The University of Vermont Medical Center, Burlington, Vermont.
Summary
The Appropriateness Criteria offer guidelines for fetal anomaly screening in the second and third trimesters. These evidence-based recommendations cover low-risk, high-risk, and ultrasounds with soft markers or detected anomalies.
Area of Science:
- Medical Imaging
- Obstetrics
- Radiology
Background:
- Presents the Appropriateness Criteria for imaging screening of second and third trimester fetuses.
- Addresses screening for low-risk, high-risk, and fetuses with detected soft markers or major anomalies on ultrasound.
Framework:
- Utilizes evidence-based guidelines from the American College of Radiology.
- Incorporates annual review by a multidisciplinary expert panel.
- Employs methodologies like RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation (GRADE).
Implementation:
- Guidelines are developed through extensive analysis of current medical literature.
- Appropriateness of imaging and treatment procedures are rated for specific clinical scenarios.
- Expert opinion supplements evidence when data is lacking or equivocal.
Implications:
- Aims to optimize imaging screening protocols for fetal anomalies.
- Provides a structured approach for clinical decision-making in prenatal imaging.
- Enhances the appropriate use of diagnostic imaging in obstetrics.
