학술논문
ACR Appropriateness Criteria® Liver Lesion-Initial Characterization.
Document Type
Academic Journal
Author
Chernyak V; Montefiore Medical Center, Bronx, New York. Electronic address: vichka17@hotmail.com.; Horowitz JM; Panel Vice-Chair, Northwestern University, Chicago, Illinois.; Kamel IR; Panel Chair, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Arif-Tiwari H; University of Arizona, Banner University Medical Center, Tucson, Arizona.; Bashir MR; Duke University Medical Center, Durham, North Carolina.; Cash BD; University of Texas Health Science Center at Houston and McGovern Medical School, Houston, Texas; American Gastroenterological Association.; Farrell J; Interventional Endoscopy and Pancreatic Diseases, New Haven, Connecticut; American Gastroenterological Association.; Goldstein A; UMass Medical School, Worcester, Massachusetts.; Grajo JR; University of Florida College of Medicine, Gainesville, Florida.; Gupta S; Rush University Medical Center, Chicago, Illinois; American College of Surgeons.; Hindman NM; New York University Medical Center, New York, New York.; Kamaya A; Stanford University Medical Center, Stanford, California.; McNamara MM; University of Alabama Medical Center, Birmingham, Alabama.; Porter KK; University of Alabama Medical Center, Birmingham, Alabama.; Solnes LB; Johns Hopkins Bayview Medical Center, Baltimore, Maryland.; Srivastava PK; University of Illinois College of Medicine, Chicago, Illinois; American College of Physicians.; Zaheer A; Johns Hopkins Hospital, Baltimore, Maryland.; Carucci LR; Specialty Chair, Virginia Commonwealth University Medical Center, Richmond, Virginia.
Source
Publisher: Elsevier Country of Publication: United States NLM ID: 101190326 Publication Model: Print Cited Medium: Internet ISSN: 1558-349X (Electronic) Linking ISSN: 15461440 NLM ISO Abbreviation: J Am Coll Radiol Subsets: MEDLINE
Subject
Language
English
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.
(Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
(Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.)