根据ACR适当性标准® 慢性脚疼痛:2025年更新
, Alison Schonberger1, Roger J Bartolotta2
1New York-Presbyterian Hospital, Weill Cornell Medicine, New York, New York.
Journal of the American College of Radiology : JACR
|March 12, 2026
概括
本文件指导临床医生对慢性脚疼痛进行适当的成像,包括骨关节炎和带损伤等疾病. 它使用基于证据的指导方针,以确保最好的诊断测试,以提供准确的患者护理.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 基于证据的医学基于证据的医学.
背景情况:
- 慢性脚疼痛带来了复杂的诊断挑战.
- 多种骨和软组织异常会导致持续的脚不适.
- 常见的原因包括骨关节炎,撞击,骨髓骨质损伤,状联盟,不稳定性和创伤后的后果.
研究的目的:
- 总结有关各种慢性脚疼痛病因的适当成像方法的当前证据.
- 为在特定的临床场景中选择诊断成像提供基于证据的指导方针.
- 帮助临床医生选择最有效的成像技术来评估脚疼痛.
主要方法:
- 对同行评审的医学文献进行系统分析.
- 应用已确立的方法原则,如建议评估,开发和评价 (GRADE) 的评级.
- 使用RAND/UCLA适当性方法来确定成像程序的适用性.
主要成果:
- 该文件概述了针对慢性脚疼痛的各种原因的具体成像建议.
- 基于证据的指导方针用于包括骨关节炎,撞击和带损伤在内的疾病.
- 当同行评审文献有限时,专家意见是主要来源.
结论:
- 适当使用成像模式对于诊断慢性脚疼痛至关重要.
- 基于证据的指导方针提高了诊断准确性和患者管理.
- 这些建议支持骨科成像方面的知情决策.
关键词:
它们的AUC AUC.合适使用标准 合适使用标准适宜性标准 适宜性标准脚 脚 在脚上慢性疼痛是一种慢性疼痛.影像成像技术 影像成像技术骨关节炎是一种关节炎.骨质突损伤 骨质突损伤塔尔萨尔联盟联盟更多相关视频
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