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    ACR Appropriateness Criteria(R) Liver Lesion-Initial Characterization

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    Authors
    Expert Panel on Gastrointestinal Imaging
    Chernyak, Victoria
    Goldstein, Alan J.
    UMass Chan Affiliations
    Department of Radiology
    Document Type
    Journal Article
    Publication Date
    2020-11-01
    Keywords
    AUC
    Appropriate Use Criteria
    Appropriateness Criteria
    Hepatocellular carcinoma
    Liver lesion
    Liver mass
    Liver metastases
    Liver nodule
    Analytical, Diagnostic and Therapeutic Techniques and Equipment
    Digestive System Diseases
    Health Services Administration
    Neoplasms
    Radiology
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    Link to Full Text
    https://doi.org/10.1016/j.jacr.2020.09.005
    Abstract
    Incidental liver masses are commonly identified on imaging performed for other indications. Since the prevalence of benign focal liver lesions in adults is high, even in patients with primary malignancy, accurate characterization of incidentally detected lesions is of paramount clinical importance. This document reviews utilization of various imaging modalities for characterization of incidentally detected liver lesions, discussed in the context of several clinical scenarios. For each clinical scenario, a summary of current evidence supporting the use of a given diagnostic modality is reported. 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

    Expert Panel on Gastrointestinal Imaging, Chernyak V, Horowitz JM, Kamel IR, Arif-Tiwari H, Bashir MR, Cash BD, Farrell J, Goldstein A, Grajo JR, Gupta S, Hindman NM, Kamaya A, McNamara MM, Porter KK, Solnes LB, Srivastava PK, Zaheer A, Carucci LR. ACR Appropriateness Criteria® Liver Lesion-Initial Characterization. J Am Coll Radiol. 2020 Nov;17(11S):S429-S446. doi: 10.1016/j.jacr.2020.09.005. PMID: 33153555. Link to article on publisher's site

    DOI
    10.1016/j.jacr.2020.09.005
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/48472
    PubMed ID
    33153555
    Notes

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

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    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jacr.2020.09.005
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