根据ACR的适当性标准® 脉动性腹部质量,怀疑腹腔大动脉动脉瘤:2023年更新
, David S Wang1, Jody Shen2
1Stanford University Medical Center, Stanford, California.
Journal of the American College of Radiology : JACR
|December 1, 2023
概括
腹腔大动脉动脉瘤 (AAA) 是一种危险的大动脉扩张. 本综述指导了可疑AAA诊断的适当成像,确保及时有效的患者护理.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 放射学 放射学是一门学科.
背景情况:
- 腹腔大动脉瘤 (AAA) 涉及大动脉扩张 (≥3.0厘米),进展到破裂风险.
- AAA通常无症状,但可能呈现为脉动性腹部质量.
- 图像对诊断疑似AAA的成像至关重要.
研究的目的:
- 审查初始AAA评估的成像程序的适当性.
- 为疑似AAA诊断提供基于证据的指导方针.
主要方法:
- 对同行评审的医学文献进行系统分析.
- 应用RAND/UCLA适当性方法.
- 在文献缺乏或模两可的情况下,利用专家意见.
主要成果:
- 该文件审查了各种成像模式的相对适当性.
- 准则是基于证据评估,使用诸如GRADE.这样的原则.
- 针对特定的临床情景制定了建议.
结论:
- 适当的成像选择对于疑似AAA诊断至关重要.
- 美国放射学学院的适当性标准提供基于证据的指导.
- 多学科的方法确保了指导方针的相关性和准确性.
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