ACR updates Appropriateness Criteria

The American College of Radiology (ACR) has added 19 new and updated topics to its Appropriateness Criteria (ACR AC). 

The ACR AC includes 270 diagnostic imaging and interventional radiology topics with more than 1,300 clinical variants covering 4,000 clinical scenarios and 203 patient-friendly summaries, the college noted. The update includes 13 new and six revised topics. All topics include a narrative, evidence table, and literature search summary. 

The new topics include the following: 

  • Abdominal Pain – Child 

  • Chest Pain – Child 

  • Chronic Pancreatitis 

  • Demyelinating Diseases 

  • Evaluation of Cardiac Masses 

  • Imaging After Liver Transplant 

  • Ingested or Aspirated Foreign Body – Child 

  • Joint Pain: Idiopathic Arthritis-Child 

  • Preprocedural Chest or Cardiac Imaging for Cardiothoracic Surgery 

  • Staging and Follow-up of Gastric Cancer 

  • Staging and Follow-up of Melanoma 

  • Staging and Follow-up of Pancreatic Neuroendocrine Tumors 

  • Thoracic Venous Occlusions-Suspected Superior Vena Cava Syndrome 

Revised topics include the following: 

  • Breast Implant Evaluation 

  • Chronic Foot Pain 

  • Major Blunt Trauma 

  • Postmenopausal Subacute or Chronic Pelvic Pain 

  • Radiologic Management of Pulmonary Nodules and Masses 

  • Suspected Physical Abuse-Child

The guidelines are developed and reviewed annually by expert panels in diagnostic imaging and interventional radiology. Spanish translations of the ACR AC are now available from Colegio Interamericano de Radiología for 185 topics, with more Spanish versions to be posted on a rolling basis, ACR noted.

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