ACR Appropriateness Criteria ® Imaging of Mesenteric Ischemia

Expert Panels on Vascular Imaging and Gastrointestinal Imaging:

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Mesenteric ischemia is an uncommon condition resulting from decreased blood flow to the small or large bowel in an acute or chronic setting. Acute ischemia is associated with high rates of morbidity and mortality; however, it is difficult to diagnose clinically. Therefore, a high degree of suspicion and prompt imaging evaluation are necessary. Chronic mesenteric ischemia is less common and typically caused by atherosclerotic occlusion or severe stenosis of at least two of the main mesenteric vessels. While several imaging examination options are available for the initial evaluation of both acute and chronic mesenteric ischemia, CTA of the abdomen and pelvis is overall the most appropriate choice for both conditions. 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.

Original languageEnglish (US)
Pages (from-to)S332-S340
JournalJournal of the American College of Radiology
Volume15
Issue number11
DOIs
StatePublished - Nov 2018

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Guidelines
Expert Testimony
Pelvis
Radiology
Abdomen
Pathologic Constriction
Ischemia
Morbidity
Mortality
Mesenteric Ischemia

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Expert Panels on Vascular Imaging and Gastrointestinal Imaging:. / ACR Appropriateness Criteria ® Imaging of Mesenteric Ischemia In: Journal of the American College of Radiology. 2018 ; Vol. 15, No. 11. pp. S332-S340.
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Expert Panels on Vascular Imaging and Gastrointestinal Imaging: 2018, ' ACR Appropriateness Criteria ® Imaging of Mesenteric Ischemia ', Journal of the American College of Radiology, vol. 15, no. 11, pp. S332-S340. https://doi.org/10.1016/j.jacr.2018.09.018

ACR Appropriateness Criteria ® Imaging of Mesenteric Ischemia . / Expert Panels on Vascular Imaging and Gastrointestinal Imaging:.

In: Journal of the American College of Radiology, Vol. 15, No. 11, 11.2018, p. S332-S340.

Research output: Contribution to journalArticle

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AU - Ginsburg, Michael

AU - Obara, Piotr

AU - Lambert, Drew L.

AU - Hanley, Michael

AU - Steigner, Michael L.

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AU - Chandra, Ankur

AU - Chang, Kevin J.

AU - Gage, Kenneth L.

AU - Peterson, Christine M.

AU - Ptak, Thomas

AU - Verma, Nupur

AU - Kim, David H.

AU - Carucci, Laura R.

AU - Dill, Karin E.

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N2 - Mesenteric ischemia is an uncommon condition resulting from decreased blood flow to the small or large bowel in an acute or chronic setting. Acute ischemia is associated with high rates of morbidity and mortality; however, it is difficult to diagnose clinically. Therefore, a high degree of suspicion and prompt imaging evaluation are necessary. Chronic mesenteric ischemia is less common and typically caused by atherosclerotic occlusion or severe stenosis of at least two of the main mesenteric vessels. While several imaging examination options are available for the initial evaluation of both acute and chronic mesenteric ischemia, CTA of the abdomen and pelvis is overall the most appropriate choice for both conditions. 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.

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