ACR 适当性标准® 左下象限疼痛:2023年更新
, Stefanie Weinstein1, David H Kim2
1University of California, San Francisco, San Francisco, California.
Journal of the American College of Radiology : JACR
|December 1, 2023
概括
本文档概述了在诊断左下象限疼痛时使用医学成像的指导方针,特别是在怀疑分炎及其并发症时. 它强调了基于证据的标准,以进行适当的成像选择,以确定紧急情况.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 临床指南 临床指南
背景情况:
- 左下象限疼痛具有广泛的差异诊断,从良性到危及生命的疾病.
- 医学成像对于诊断至关重要,除了患者病史,体检和实验室测试外.
- 识别危及生命的异常需要适当的成像策略.
研究的目的:
- 为在左下象限疼痛的初始评估中适当使用成像提出指导方针.
- 针对疑似膜炎及其并发症的成像程序.
- 以基于证据的标准为基础,为临床决策提供信息.
主要方法:
- 使用美国放射学学院的适当性标准.
- 包括对同行评审医学文献的系统分析.
- 采用已建立的方法,如推评估,开发和评估的评级 (GRADE) 和RAND/UCLA适当性方法.
- 当文献缺乏或模两可时,考虑专家意见.
主要成果:
- 提供基于证据的建议,用于左下象限疼痛的成像.
- 描述了适合用于膜炎及其并发症的成像使用.
- 支持基于临床情景的成像程序的系统选择.
结论:
- 适当的成像对于诊断左下象限疼痛和疑似膜炎至关重要.
- 这些指导方针有助于准确及时诊断,区分良性和突发性疾病.
- 坚持基于证据的标准优化了患者护理和资源利用.
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