根据ACR的适当性标准,慢性手和手腕疼痛:2023年更新
, J Derek Stensby1, Michael G Fox2
1University of Missouri Health Care, Columbia, Missouri.
Journal of the American College of Radiology : JACR
|June 1, 2024
概括
慢性手和手腕疼痛的评估通常始于X光照. 图像选择取决于患者的表现,体检和差异诊断,以专家标准为指导.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 慢性手和手腕疼痛是由于复杂的解剖学而存在的诊断挑战.
- 在手和手腕的紧结构中存在许多潜在的疼痛发生器.
研究的目的:
- 概述慢性手和手腕疼痛的诊断方法.
- 强调基于临床因素的成像和模式选择的作用.
主要方法:
- 对患者表现,体检和差异诊断进行评估,以指导成像.
- 美国放射学学院适用性标准的应用.
- 使用基于证据的方法,如建议评估,开发和评估 (GRADE) 的评级.
主要成果:
- 放射学通常是慢性手或手腕疼痛的初始成像研究.
- 成像方式的选择以临床表现和差异诊断为指导.
- 当文献有限时,专家意见作为主要证据来源.
结论:
- 一种系统的方法,将临床评估与基于证据的指导方针相结合,对于评估慢性手和手腕疼痛至关重要.
- 适当的成像选择优化了诊断产量和患者护理.
- 美国放射学学院的适当性标准为基于证据的成像决策提供了一个框架.
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