Show simple item record

dc.contributor.authorExpert Panel on Gastrointestinal Imaging
dc.contributor.authorFabrega-Foster, Kelly
dc.contributor.authorKamel, Ihab R.
dc.contributor.authorGoldstein, Alan J.
dc.date2022-08-11T08:10:49.000
dc.date.accessioned2022-08-23T17:21:03Z
dc.date.available2022-08-23T17:21:03Z
dc.date.issued2020-05-01
dc.date.submitted2020-06-17
dc.identifier.citation<p>Expert Panel on Gastrointestinal Imaging, Fábrega-Foster K, Kamel IR, Horowitz JM, Arif-Tiwari H, Bashir MR, Chernyak V, Goldstein A, Grajo JR, Hindman NM, Kamaya A, McNamara MM, Porter KK, Scheiman JM, Solnes LB, Srivastava PK, Zaheer A, Carucci LR. ACR Appropriateness Criteria® Pancreatic Cyst. J Am Coll Radiol. 2020 May;17(5S):S198-S206. doi: 10.1016/j.jacr.2020.01.021. PMID: 32370963. <a href="https://doi.org/10.1016/j.jacr.2020.01.021">Link to article on publisher's site</a></p>
dc.identifier.issn1546-1440 (Linking)
dc.identifier.doi10.1016/j.jacr.2020.01.021
dc.identifier.pmid32370963
dc.identifier.urihttp://hdl.handle.net/20.500.14038/48437
dc.description.abstractIncidental pancreatic cysts are increasingly detected on imaging studies performed for unrelated indications and may be incompletely characterized on these studies. Adequate morphological characterization is critical due to the small risk of malignant degeneration associated with neoplastic pancreatic cysts, as well as the risk of associated pancreatic adenocarcinoma. For all pancreatic cysts, both size and morphology determine management. Specifically, imaging detection of features, such as pancreatic ductal communication and presence or absence of worrisome features or high-risk stigmata, have important management implications. The recommendations in this publication determine the appropriate initial imaging study to further evaluate a pancreatic cyst that was incidentally detected on a nondedicated imaging study. The recommendations are designed to maximize the yield of diagnostic information in order to better risk-stratify pancreatic cysts and assist in guiding future management. 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.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=32370963&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1016/j.jacr.2020.01.021
dc.subjectAUC
dc.subjectAppropriate Use Criteria
dc.subjectAppropriateness Criteria
dc.subjectIncidental pancreatic cyst
dc.subjectIntraductal papillary mucinous neoplasm
dc.subjectNeoplastic pancreatic cyst
dc.subjectPancreatic cyst
dc.subjectPancreatic cyst associated malignancy
dc.subjectDiagnosis
dc.subjectDigestive System Diseases
dc.subjectHealth Services Administration
dc.subjectNeoplasms
dc.subjectRadiology
dc.subjectTherapeutics
dc.titleACR Appropriateness Criteria(R) Pancreatic Cyst
dc.typeJournal Article
dc.source.journaltitleJournal of the American College of Radiology : JACR
dc.source.volume17
dc.source.issue5S
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/radiology_pubs/544
dc.identifier.contextkey18142184
html.description.abstract<p>Incidental pancreatic cysts are increasingly detected on imaging studies performed for unrelated indications and may be incompletely characterized on these studies. Adequate morphological characterization is critical due to the small risk of malignant degeneration associated with neoplastic pancreatic cysts, as well as the risk of associated pancreatic adenocarcinoma. For all pancreatic cysts, both size and morphology determine management. Specifically, imaging detection of features, such as pancreatic ductal communication and presence or absence of worrisome features or high-risk stigmata, have important management implications. The recommendations in this publication determine the appropriate initial imaging study to further evaluate a pancreatic cyst that was incidentally detected on a nondedicated imaging study. The recommendations are designed to maximize the yield of diagnostic information in order to better risk-stratify pancreatic cysts and assist in guiding future management. 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.</p>
dc.identifier.submissionpathradiology_pubs/544
dc.contributor.departmentDepartment of Radiology
dc.source.pagesS198-S206


Files in this item

Thumbnail
Name:
Publisher version

This item appears in the following Collection(s)

Show simple item record