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Criterios de Adecuación® del Colegio Americano de Radiología para la Infertilidad Femenina
, Wendaline VanBuren1, Myra K Feldman2
1Mayo Clinic, Rochester, Minnesota.
Journal of the American College of Radiology : JACR
|February 18, 2026
Resumen
La infertilidad, la incapacidad de concebir, afecta a muchas mujeres y requiere una evaluación cuidadosa. Las imágenes iniciales de los ovarios, el útero y las trompas de Falopio son cruciales para el diagnóstico y la planificación del tratamiento.
Área de la Ciencia:
- Medicina Reproductiva
- Imagenología Médica
- Pautas Basadas en Evidencia
Sus antecedentes:
- La infertilidad se define por plazos específicos según la edad de los intentos de concepción o la necesidad de intervención médica.
- La prevalencia de la infertilidad está aumentando a nivel mundial, lo que requiere enfoques diagnósticos efectivos.
- La evaluación inicial por imagen de los ovarios, el útero y las trompas de Falopio es vital para el manejo de la infertilidad.
Objetivo del estudio:
- Esbozar los Criterios de Adecuación del Colegio Americano de Radiología para la imagenología inicial en la infertilidad.
- Proporcionar pautas basadas en evidencia para la evaluación de la infertilidad utilizando modalidades de imagenología.
Principales métodos:
- Análisis sistemático de la literatura médica revisada por pares.
- Adaptación de principios metodológicos establecidos como GRADE para la evaluación de la evidencia.
- Utilización del Método RAND/UCLA de Adecuación para determinar la adecuación del procedimiento.
Principales resultados:
- Los Criterios de Adecuación del Colegio Americano de Radiología ofrecen pautas basadas en evidencia para la imagenología de la infertilidad.
- Las metodologías garantizan la revisión sistemática y el consenso de expertos en el desarrollo de pautas.
- La opinión de expertos sirve como fuente principal cuando la literatura es limitada.
Conclusiones:
- La imagenología juega un papel crítico en la evaluación integral de la infertilidad.
- Las pautas basadas en evidencia facilitan estrategias de imagenología diagnóstica apropiadas y efectivas.
- Los paneles de expertos multidisciplinarios garantizan la calidad y relevancia de las pautas clínicas.
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