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ACR Appropriateness Criteria® Anorectal Disease
, Angela D Levy1, Peter S Liu2
1Medstar Georgetown University Hospital, Washington, District of Columbia.
Journal of the American College of Radiology : JACR
|November 19, 2021
Summary
This review guides initial imaging choices for anorectal conditions like fistulas and inflammation. It rates imaging modality appropriateness for specific clinical scenarios to aid diagnosis and treatment selection.
Area of Science:
- Radiology
- Gastroenterology
- Colorectal Surgery
Background:
- Guidelines are needed for selecting initial imaging in anorectal conditions.
- Four clinical scenarios are addressed: perianal abscess/fistula, rectovaginal/rectovesicular fistula, proctitis/pouchitis, and post-surgical complications.
- Current literature review informs imaging modality selection.
Framework:
- Utilizes the American College of Radiology Appropriateness Criteria.
- Employs RAND/UCLA Appropriateness Method and GRADE for evidence rating.
- Incorporates expert opinion when evidence is limited or equivocal.
Implementation:
- Rates imaging appropriateness (usually appropriate, may be appropriate, usually not appropriate) for each scenario.
- Focuses on initial imaging selection for suspected inflammatory disease or postoperative complications.
- Provides evidence-based recommendations for diagnostic imaging.
Implications:
- Aids clinicians in choosing the most appropriate imaging modality.
- Improves diagnostic accuracy and patient management for anorectal diseases.
- Supports standardized, evidence-based practice in anorectal imaging.
Keywords:
AUCAnorectal fistula/abscessAppropriate Use CriteriaAppropriateness CriteriaIleal pouch anal anastomosis (IPAA)Pouchitis/proctitisRectal fistulaRectovaginalRectovescicularMore Related Videos
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