ACR Appropriateness Criteria® Acute Onset of Scrotal Pain-Without Trauma, Without Antecedent Mass: 2024 Update

IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of the American College of Radiology Pub Date : 2024-11-01 DOI:10.1016/j.jacr.2024.08.011
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Abstract

Acute scrotum is a medical emergency that requires prompt accurate diagnosis to appropriately triage potentially surgical conditions. Numerous differential diagnoses with overlapping clinical presentations make this a diagnostic challenge. Ultrasound is the established first-line imaging modality for acute scrotal disease and can be used to diagnose most scrotal disorders promptly and with high accuracy.
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 Appropriateness Criteria® 《急性发作性阴囊疼痛--无外伤、无前驱肿块:2024 年更新版》(ACR Appriateness Criteria® Acute Onset of Scrotal Pain-Without Trauma, Without Antecedent Mass: 2024 Update)。
急性阴囊炎是一种内科急症,需要及时做出准确诊断,以便对潜在的手术病症进行适当分流。众多的鉴别诊断和重叠的临床表现使诊断成为一项挑战。超声波是治疗急性阴囊疾病的公认一线成像方式,可用于及时、准确地诊断大多数阴囊疾病。美国放射学会适当性标准是针对特定临床病症的循证指南,每年由一个多学科专家小组进行审查。指南的制定和修订过程支持对同行评审期刊上的医学文献进行系统分析。既定的方法原则,如 "建议评估、发展和评价分级"(GRADE),被用来评估证据。兰德/加州大学洛杉矶分校《适宜性方法用户手册》提供了确定特定临床情况下成像和治疗程序适宜性的方法。在缺乏同行评议文献或文献模棱两可的情况下,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
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.
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