ACR Appropriateness Criteria ® Right Lower Quadrant Pain-Suspected Appendicitis

Expert Panel on Gastrointestinal Imaging:

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Appendicitis remains the most common surgical pathology responsible for right lower quadrant (RLQ) abdominal pain presenting to emergency departments in the United States, where the incidence continues to increase. Appropriate imaging in the diagnosis of appendicitis has resulted in decreased negative appendectomy rate from as high as 25% to approximately 1% to 3%. Contrast-enhanced CT remains the primary and most appropriate imaging modality to evaluate this patient population. MRI is approaching CT in sensitivity and specificity as this technology becomes more widely available and utilization increases. Unenhanced MRI and ultrasound remain the diagnostic procedures of choice in the pregnant patient. MRI and ultrasound continue to perform best in the hands of experts. 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)S373-S387
JournalJournal of the American College of Radiology
Volume15
Issue number11
DOIs
StatePublished - Nov 2018

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Appendicitis
Pain
Guidelines
Surgical Pathology
Appendectomy
Expert Testimony
Radiology
Abdominal Pain
Hospital Emergency Service
Ultrasonography
Technology
Sensitivity and Specificity
Incidence
Therapeutics
Population

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Expert Panel on Gastrointestinal Imaging:. / ACR Appropriateness Criteria ® Right Lower Quadrant Pain-Suspected Appendicitis In: Journal of the American College of Radiology. 2018 ; Vol. 15, No. 11. pp. S373-S387.
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abstract = "Appendicitis remains the most common surgical pathology responsible for right lower quadrant (RLQ) abdominal pain presenting to emergency departments in the United States, where the incidence continues to increase. Appropriate imaging in the diagnosis of appendicitis has resulted in decreased negative appendectomy rate from as high as 25{\%} to approximately 1{\%} to 3{\%}. Contrast-enhanced CT remains the primary and most appropriate imaging modality to evaluate this patient population. MRI is approaching CT in sensitivity and specificity as this technology becomes more widely available and utilization increases. Unenhanced MRI and ultrasound remain the diagnostic procedures of choice in the pregnant patient. MRI and ultrasound continue to perform best in the hands of experts. 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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ACR Appropriateness Criteria ® Right Lower Quadrant Pain-Suspected Appendicitis . / Expert Panel on Gastrointestinal Imaging:.

In: Journal of the American College of Radiology, Vol. 15, No. 11, 11.2018, p. S373-S387.

Research output: Contribution to journalArticle

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AU - Expert Panel on Gastrointestinal Imaging:

AU - Garcia, Evelyn M.

AU - Camacho, Marc A.

AU - Karolyi, Daniel R.

AU - Kim, David H.

AU - Cash, Brooks D.

AU - Chang, Kevin J.

AU - Feig, Barry W.

AU - Fowler, Kathryn J.

AU - Kambadakone, Avinash R.

AU - Lambert, Drew L.

AU - Levy, Angela D.

AU - Marin, Daniele

AU - Moreno, Courtney

AU - Peterson, Christine M.

AU - Scheirey, Christopher D.

AU - Siegel, Alan

AU - Smith, Martin P.

AU - Weinstein, Stefanie

AU - Carucci, Laura R.

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N2 - Appendicitis remains the most common surgical pathology responsible for right lower quadrant (RLQ) abdominal pain presenting to emergency departments in the United States, where the incidence continues to increase. Appropriate imaging in the diagnosis of appendicitis has resulted in decreased negative appendectomy rate from as high as 25% to approximately 1% to 3%. Contrast-enhanced CT remains the primary and most appropriate imaging modality to evaluate this patient population. MRI is approaching CT in sensitivity and specificity as this technology becomes more widely available and utilization increases. Unenhanced MRI and ultrasound remain the diagnostic procedures of choice in the pregnant patient. MRI and ultrasound continue to perform best in the hands of experts. 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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