ACR Appropriateness Criteria® Thoracic Aortic Aneurysm or Dissection-Treatment Planning and Follow-Up: 2024 Update

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2025-05-01 DOI:10.1016/j.jacr.2025.02.019

Expert Panel on Vascular Imaging and Interventional Radiology, Beth Ripley MD, PhD , Matthew J. Scheidt MD , Ayaz Aghayev MD , Charles Y. Kim MD , Sandeep S. Hedgire MD , Osmanuddin Ahmed MD , Sarah Ahmad MD , Rachel E. Clough MD, PhD , Randall R. DeMartino MD, MS , Maros Ferencik MD, PhD, MCR , G. Chad Hughes MD , Alan K. Klitzke MD , Scott D. Steenburg MD , Richard Thomas MD, MBBS , Bryan J. Wells MD , Stephen J. Wolf MD , Jason W. Pinchot MD , Bill S. Majdalany MD

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引用次数: 0

Abstract

Diseases of the thoracic aorta include two broad categories: aneurysmal dilation involving all three layers of the intact aortic wall, and acute aortic syndromes, wherein at least one layer of the aortic wall is disrupted, such as in aortic dissection. These diseases carry a variable risk of subsequent aortic rupture, which is associated with high morbidity and mortality. Imaging is critical in the diagnosis, surveillance, and treatment of this constellation of diseases.

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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

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ACR适宜性标准®胸主动脉瘤或夹层-治疗计划和随访：2024更新

胸主动脉疾病包括两大类：动脉瘤性扩张，包括完整主动脉壁的所有三层；急性主动脉综合征，其中至少一层主动脉壁被破坏，如主动脉夹层。这些疾病具有随后主动脉破裂的可变风险，这与高发病率和死亡率相关。影像在这一系列疾病的诊断、监测和治疗中至关重要。美国放射学会适当性标准是针对特定临床条件的循证指南，每年由多学科专家小组审查。指南的制定和修订过程支持对同行评议期刊的医学文献进行系统分析。已建立的方法原则，如建议分级评估，发展和评估或GRADE适用于评估证据。兰德/加州大学洛杉矶分校适当方法用户手册提供了确定特定临床情况下成像和治疗程序的适当性的方法。在同行评议文献缺乏或模棱两可的情况下，专家可能是制定建议的主要证据来源。

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来源期刊

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.