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    ACR Appropriateness Criteria Imaging After Shoulder Arthroplasty

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    Authors
    Gyftopoulos, Soterios
    Baccei, Steven J.
    UMass Chan Affiliations
    Department of Radiology
    Document Type
    Journal Article
    Publication Date
    2016-11-01
    Keywords
    Appropriateness Criteria
    CT
    MRI
    aseptic loosening
    periprosthetic infection
    shoulder arthroplasty
    Radiology
    
    Metadata
    Show full item record
    Link to Full Text
    https://doi.org/10.1016/j.jacr.2016.07.028
    Abstract
    There has been a rapid increase in the number of shoulder arthroplasties, including partial or complete humeral head resurfacing, hemiarthroplasty, total shoulder arthroplasty, and reverse total shoulder arthroplasty, performed in the United States over the past two decades. Imaging can play an important role in diagnosing the complications that can occur in the setting of these shoulder arthroplasties. This review is divided into two parts. The first part provides a general discussion of various imaging modalities, comprising radiography, CT, MRI, ultrasound, and nuclear medicine, and their role in providing useful, treatment-guiding information. The second part focuses on the most appropriate imaging algorithms for shoulder arthroplasty complications such as aseptic loosening, infection, fracture, rotator cuff tendon tear, and nerve injury. The evidence-based ACR Appropriateness Criteria guidelines offered in this report were reached via an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (the RAND/UCLA Appropriateness Method and the Grading of Recommendations Assessment, Development, and Evaluation) for rating the appropriateness of imaging and treatment procedures for specific clinical scenarios. Further analysis and review of the guidelines were performed by a multidisciplinary expert panel. In those instances in which there was insufficient or equivocal data for recommending the appropriate imaging algorithm, expert opinion may have supplemented the available evidence.
    Source
    J Am Coll Radiol. 2016 Nov;13(11):1324-1336. doi: 10.1016/j.jacr.2016.07.028. Link to article on publisher's site
    DOI
    10.1016/j.jacr.2016.07.028
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/48111
    PubMed ID
    27814833
    Notes

    Full author list omitted for brevity. For the full list of authors, see article.

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    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jacr.2016.07.028
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