ACR Appropriateness Criteria ((R)) Abdominal Aortic Aneurysm Follow-up (Without Repair)
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Authors
Expert Panel on Vascular ImagingCollard, Michael
Sutphin, Patrick D.
Kalva, Sanjeeva P.
Majdalany, Bill S.
Collins, Jeremy D.
Eldrup-Jorgensen, Jens
Francois, Christopher J.
Ganguli, Suvranu
Gunn, Andrew J.
Kendi, A. Tuba
Khaja, Minhajuddin S.
Obara, Piotr
Reis, Stephen P.
Vijay, Kanupriya
Dill, Karin E.
UMass Chan Affiliations
Department of RadiologyDocument Type
Journal ArticlePublication Date
2019-05-01Keywords
AUCAbdominal aortic aneurysm
Abdominal prevention and control
Aortic aneurysm
Aortic rupture
Appropriate Use Criteria
Appropriateness Criteria
CT angiography
MR angiography
Ultrasound
Cardiovascular Diseases
Health Services Administration
Health Services Research
Radiology
Therapeutics
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Show full item recordAbstract
Abdominal aortic aneurysm (AAA) is defined as aneurysmal dilation of the abdominal aorta to 3 cm or greater. A high degree of morbidity and mortality is associated with AAA rupture, and imaging surveillance plays an essential role in mitigating the risk of rupture. Aneurysm size and growth rate are factors associated with the risk of rupture, thus surveillance imaging studies must be accurate and reproducible to characterize aneurysm size. Ultrasound, CT angiography, and MR angiography provide an accurate and reproducible assessment of size, while radiographs and aortography provide limited evaluation. 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):S2-S6. doi: 10.1016/j.jacr.2019.02.005. Link to article on publisher's site
DOI
10.1016/j.jacr.2019.02.005Permanent Link to this Item
http://hdl.handle.net/20.500.14038/48359PubMed ID
31054747Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.jacr.2019.02.005