在之前的成像-未知原因上进行ACR适当性标准®水缩
, Pat Whitworth1, Kelsey G Courtney2
1Thomas F. Frist, Jr. College of Medicine, Belmont University, Nashville, Tennessee.
Journal of the American College of Radiology : JACR
|June 1, 2024
概括
液态的初始成像取决于患者的症状和怀孕状态. 选择包括CT泌尿图,MRI泌尿图,MAG3扫描或超声波,怀孕更喜欢非电离方法.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 评估水缩症需要仔细考虑临床背景.
- 根据患者表现 (症状与无症状) 和特定人群 (例如孕妇) 的情况,成像选择有很大差异.
研究的目的:
- 概述未知病因的水溶解的适当初始成像策略.
- 根据临床情景,提供基于证据的指导来选择基于临床情景的成像方法.
主要方法:
- 美国放射学学院适当性标准的审查.
- 对同行评审的医学文献进行系统分析.
- 应用已建立的证据分级方法 (例如,GRADE) 和专家共识 (RAND/UCLA适当性方法).
主要成果:
- 对于无症状患者:建议进行CT泌尿图 (CTU),MR泌尿图 (MRU) 或MAG3成像.
- 对于有症状的患者:CTU,MRI,MAG3扫描或多普勒超声波是可行的.
- 对于孕妇患者:最好采用多普勒超声波;无对比度的MRI是一种替代方案,避免辐射和加多.
结论:
- 对于水缩的成像选择高度依赖上下文.
- 指导方针强调了特定于患者和特定于病情的成像选择.
- 基于证据的标准和专家的共识为最佳诊断途径的建议提供信息.
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