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ACR Appropriateness Criteria ((R)) Nonatherosclerotic Peripheral Arterial Disease
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Authors
Expert Panels on Vascular ImagingFrancois, Christopher J.
Skulborstad, Erik P.
Kalva, Sanjeeva P.
Majdalany, Bill S.
Collins, Jeremy D.
Eldrup-Jorgensen, Jens
Ferencik, Maros
Ganguli, Suvranu
Kendi, A. Tuba
Khaja, Minhajuddin S.
Obara, Piotr
Ptak, Thomas
Reis, Stephen P.
Sutphin, Patrick D.
Dill, Karin E.
UMass Chan Affiliations
Department of RadiologyDocument Type
Journal ArticlePublication Date
2019-05-01Keywords
AUCAppropriate Use Criteria
Appropriateness Criteria
External iliac artery endofibrosis
Lower-extremity vascular trauma
Peripheral arterial disease
Popliteal entrapment syndrome
Vasculitis
Cardiovascular Diseases
Diagnosis
Equipment and Supplies
Health Services Administration
Health Services Research
Radiology
Metadata
Show full item recordAbstract
A broad range of nonatherosclerotic diseases affect the peripheral arteries. The appropriate initial diagnostic imaging studies vary, depending upon the clinical presentation and suspicion of disease. Accurate vascular imaging relies upon visualization of the vessel lumen, vessel wall, and surrounding soft-tissue structures, with some modalities also offering the ability to characterize blood flow direction and velocity. Furthermore, nonvascular findings are often paramount in supporting a suspected clinical syndrome or guiding surgical management. The scenarios discussed in this document include the initial evaluation of suspected popliteal entrapment syndrome, external iliac artery endofibrosis, lower-extremity inflammatory vasculitides, dissection or connective tissue disease, noninflammatory vascular disease, and vascular trauma. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.Source
J Am Coll Radiol. 2019 May;16(5S):S174-S183. doi: 10.1016/j.jacr.2019.02.026. Link to article on publisher's site
DOI
10.1016/j.jacr.2019.02.026Permanent Link to this Item
http://hdl.handle.net/20.500.14038/48357PubMed ID
31054743Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.jacr.2019.02.026