根据ACR的适当性标准,胸部背部疼痛
, Vinil N Shah1, Matthew S Parsons2
1University of California San Francisco, San Francisco, California.
Journal of the American College of Radiology : JACR
|November 2, 2024
概括
胸部背部疼痛通常不需要立即成像. 指南建议在六周后对持续疼痛进行成像,或者如果存在"红旗"症状,确保适当的护理.
科学领域:
- 医疗成像医学成像
- 胸部脊柱状况 胸部脊柱状况
- 临床指南 临床指南
背景情况:
- 胸部背部疼痛经常与各种严重疾病有关,可能导致严重的残疾.
- 急性,不复杂的胸部背部疼痛或根结病通常不需要立即成像.
研究的目的:
- 根据临床表现概述胸部背部疼痛成像的适当使用.
- 为管理胸部背部疼痛提供基于证据的指导方针,在文献有限的情况下,结合专家的共识.
主要方法:
- 对同行评审的医学文献进行系统分析.
- 调整已建立的证据评估方法,例如对建议的评估,开发和评估 (GRADE) 的评级.
- 使用RAND/UCLA适当性方法来评估成像和治疗程序.
主要成果:
- 通常不建议对无并发症的急性胸部背部疼痛进行成像.
- 考虑成像包括在保守治疗六周后持续疼痛.
- 建议在患有"红旗"症状或特定风险因素 (例如癌症,感染,创伤,骨髓病,先前融合) 的患者进行早期成像.
结论:
- 胸部背部疼痛的成像决定应以临床表现和"红旗"指标为指导.
- 遵守既定的指导方针可以确保适当和及时的诊断成像.
- 当证据稀缺时,专家共识在制定建议方面发挥着至关重要的作用.
关键词:
的 AUC AUC 的 AUC.适宜性标准 适宜性标准适当的使用标准.癌症 癌症 癌症 癌症 癌症影像成像技术 影像成像技术骨髓病变是一种骨髓病变.根基病变是一种根基病变.脊髓融合是指脊髓的融合.胸部背部疼痛 胸部背部疼痛更多相关视频
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