Expert Panel on Thoracic Imaging, Rachna Madan MBBS , Raquelle H. El Alam MD , Christopher M. Walker MD , Tami J. Bang MD , Twyla B. Bartel DO, MBA , Kiran Batra MD , Anupama G. Brixey MD , Jared D. Christensen MD, MBA , Christian W. Cox MD , Anne V. Gonzalez MD, MSc , Brent P. Little MD , Natalie S. Lui MD , Hannah Maxfield MD , William H. Moore MD , Angel Qin MD , Girish S. Shroff MD , Kazuhiro Yasufuku MD, PhD , Jonathan H. Chung MD
{"title":"ACR Appropriateness Criteria® Lung Cancer-Surveillance After Therapy","authors":"Expert Panel on Thoracic Imaging, Rachna Madan MBBS , Raquelle H. El Alam MD , Christopher M. Walker MD , Tami J. Bang MD , Twyla B. Bartel DO, MBA , Kiran Batra MD , Anupama G. Brixey MD , Jared D. Christensen MD, MBA , Christian W. Cox MD , Anne V. Gonzalez MD, MSc , Brent P. Little MD , Natalie S. Lui MD , Hannah Maxfield MD , William H. Moore MD , Angel Qin MD , Girish S. Shroff MD , Kazuhiro Yasufuku MD, PhD , Jonathan H. Chung MD","doi":"10.1016/j.jacr.2025.02.025","DOIUrl":null,"url":null,"abstract":"<div><div>This document reviews the evidence supporting different imaging modalities and techniques used to evaluate patients with a history of lung cancer. It focuses on the imaging evaluation of patients treated for stage I-III non–small-cell lung cancer and small-cell lung cancer, whether using individual modalities or combinations. Guidelines for both routine surveillance of stage I-III lung cancer and for the evaluation of suspected recurrence or disease progression are provided.</div><div>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.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages S319-S342"},"PeriodicalIF":4.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American College of Radiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1546144025001310","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
This document reviews the evidence supporting different imaging modalities and techniques used to evaluate patients with a history of lung cancer. It focuses on the imaging evaluation of patients treated for stage I-III non–small-cell lung cancer and small-cell lung cancer, whether using individual modalities or combinations. Guidelines for both routine surveillance of stage I-III lung cancer and for the evaluation of suspected recurrence or disease progression are provided.
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.
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.