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ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension ACR 适当性标准® 疑似颅内低血压的成像。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.020
Expert Panel on Neurological Imaging, Vincent M. Timpone MD , Matthew S. Parsons MD , Daniel J. Boulter MD , Judah Burns MD , Rami W. Eldaya MD, MBA , Jonathan A. Grossberg MD , Alvand Hassankhani MD , Troy A. Hutchins MD , Adam G. Kelly MD , Majid A. Khan MD , A. Orlando Ortiz MD, MBA , Christopher A. Potter MD , Vinil N. Shah MD , Richard D. Shih MD , Chadwick L. Wright MD, PhD , Bruno Policeni MD, MBA
The clinical syndrome of intracranial hypotension refers to the symptoms caused by cerebrospinal fluid hypovolemia and is primarily characterized by postural headaches, but can be associated with a multitude of other neurological symptoms. Imaging plays a critical role in helping to establish a diagnosis of intracranial hypotension, localize the source of cerebrospinal fluid leak, and assist in directing targeted treatments. Using the best available evidence, this document provides diagnostic imaging recommendations for the workup of intracranial hypotension across various clinical presentations.
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.
颅内低血压临床综合征是指脑脊液容量不足引起的症状,主要表现为姿势性头痛,但也可能伴有其他多种神经系统症状。影像学检查在帮助确定颅内低血压的诊断、定位脑脊液漏的来源以及协助指导针对性治疗方面起着至关重要的作用。本文件利用现有的最佳证据,为不同临床表现的颅内压低症提供了影像学诊断建议。美国放射学会适宜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不明确的情况下,专家可能是制定建议的主要证据来源。
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引用次数: 0
Association of Scholarly Impact to Industrial Contributions Among Academic Interventional Radiologists 学术介入放射科医生的学术影响力与行业贡献之间的关联。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.06.012
Mahee Islam MD , Jasmine Lee BS , Bunchhin Huy BS , Srinidhi Shanmugasundaram MD , Abhishek Kumar MD , Pratik Shukla MD

Objective

The Physician Sunshine Act of 2010 aimed to increase public awareness of physician-industry relationships. Our objective was to evaluate whether there is an association between scholarly impact and industry funding among academic interventional radiologists.

Methods

A database from a prior study with our group was used in which we had investigated H-indices among US interventional radiologists; academic rank, gender, institution, and geographic location were obtained. The Scopus database was queried to determine all physicians’ H-index. The CMS Open Payments database was used to determine industry payments from 2015 to 2021 for each interventional radiologist.

Results

H-index and professor rank positively and significantly correlated with industrial funding (H-index coefficient = $6,977, P < .001 and professor rank coefficient = $183,902, P = .003). Industry funding was found to be significantly different between all ranks. Among 830 academic interventional radiologists, the mean industrial funding of male physicians was $130,034, which was significantly higher than female physicians’ $28,166 (P = .00013). By academic rank, male primary investigators of associate professor and unranked position had higher industrial funding than female primary investigators (Wilcoxon test, P = .029 and P= .039, respectively). Professor and assistant professor ranks had no significant difference in industrial funding between male and female physicians (Wilcoxon’s test, P = .080 and P = .053, respectively).

Conclusion

Scholarly activity as defined by the H-index and academic rank seem to have a positive association with industry funding of academic interventional radiologists.
目的:2010 年《医生阳光法案》旨在提高公众对医生与行业关系的认识。我们的目的是评估学术介入放射医师的学术影响力与行业资助之间是否存在关联:我们使用了我们小组之前研究的一个数据库,在该数据库中我们调查了美国介入放射科医生的 H 指数;并获得了学术排名、性别、机构和地理位置。我们查询了 Scopus 数据库,以确定所有医生的 H 指数。利用 CMS Open Payments 数据库确定了每位介入放射科医生 2015 年至 2021 年的行业薪酬:H指数和教授级别与行业资助呈显著正相关(H指数系数=6,977美元,P < .001;教授级别系数=183,902美元,P = .003)。所有级别之间的行业资助均有明显差异。在 830 名学术介入放射科医生中,男性医生的平均行业资助为 130,034 美元,明显高于女性医生的 28,166 美元(P = .00013)。按学术职级划分,副教授和无职级的男性主要研究人员的行业资助高于女性主要研究人员(Wilcoxon 检验,P = .029 和 P= .039)。教授和助理教授级别的男女医生在工业资助方面没有显著差异(Wilcoxon 检验,P = .080 和 P = .053):结论:由 H 指数和学术级别定义的学术活动似乎与介入放射科医师的行业资助有积极的联系。
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引用次数: 0
Patient-Friendly Summary of the ACR Appropriateness Criteria®: Occupational Lung Diseases ACR Appriateness Criteria® 的患者友好摘要:职业性肺病。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.07.012
Sania Choudhary , Sonya Bhole MD
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引用次数: 0
Neurodiversity and Leadership 神经多样性与领导力
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.02.012
Diana Heldfond , Elliot K. Fishman MD , Linda C. Chu MD , Ryan C. Rizk MS , Steven P. Rowe MD, PhD
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引用次数: 0
Virtual Multidisciplinary Team Meetings: A Tool to Increase Radiology Access in Global Health Settings 虚拟多学科团队会议:增加全球医疗机构放射科就诊机会的工具。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.07.018
Benjamin Brown MD , William Pryor MD , Bip Nandi MB, BChir , Amarylis Mapurisa MD , Casey L. McAtee MD, MPH , Nmazuo Ozuah MD , Suzgo Mzumara MD , Katrina McGinty MD
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引用次数: 0
The Perils and the Promise of Whole-Body MRI: Why We May Be Debating the Wrong Things 全身核磁共振成像的危险与前景:为什么我们可能讨论错了问题?
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.025
Daniel K. Sodickson MD, PhD
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引用次数: 0
ACR Appropriateness Criteria® Multiple Gestations: 2024 Update ACR 适当性标准® 多胎妊娠:2024 年更新版。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.013
Expert Panel on GYN and OB Imaging, Priyanka Jha MD , Vickie A. Feldstein MD , Liina Poder MD , Loretta M. Strachowski MD , Dorothy I. Bulas MD , Ingrid Burger MD, PhD , Sherelle L. Laifer-Narin MD , Edward R. Oliver MD, PhD , Eileen Y. Wang MD , Carolyn M. Zelop MD , Stella K. Kang MD, MS
The incidence of twin pregnancies has been rising, largely attributable to increasing use of artificial reproductive techniques. Ultrasound plays a critical role in establishing the chorionicity and amnionicity of multiple gestations, a key predictor of the expected risk and complications, along with guiding future clinical and imaging follow-up examinations and intervals. People carrying multiple gestations will typically undergo more ultrasound examinations (and occasionally fetal MRI) than those carrying singletons, at minimum including a first trimester dating scan, nuchal translucency scan at 11 to 14 weeks, an anatomy scan at 18 to 22 weeks, and other scans in the second and third trimesters for growth and surveillance. This document clarifies the most appropriate imaging guidelines for multiple gestations for seven clinical scenarios/variants, which range from initial imaging, follow-up imaging, growth and surveillance for uncomplicated multiple gestations, and those complicated by a known abnormality or discordance between fetuses.
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.
双胎妊娠的发生率一直在上升,这主要归因于人工生殖技术的使用越来越多。超声检查在确定多胎妊娠的绒毛膜性和羊膜性方面起着至关重要的作用,是预测预期风险和并发症的关键因素,同时还能指导未来的临床和影像学随访检查及间隔时间。与单胎妊娠相比,多胎妊娠患者通常需要接受更多的超声波检查(偶尔也会进行胎儿核磁共振成像),至少包括妊娠头三个月的日期扫描、11 至 14 周的颈部透明层扫描、18 至 22 周的解剖扫描,以及妊娠第二和第三季度的其他扫描,以了解胎儿的生长发育情况并进行监测。本文件阐明了七种临床情况/变异中最合适的多胎妊娠影像学指南,包括无并发症多胎妊娠的初始影像学检查、随访影像学检查、生长发育和监测,以及因已知异常或胎儿间不一致而复杂化的多胎妊娠影像学检查。美国放射学会适宜性标准是针对特定临床情况的循证指南,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来自同行评审期刊的医学文献进行系统分析。已确立的方法原则,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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引用次数: 0
ACR Appropriateness Criteria® Endometriosis ACR 适宜性标准® 子宫内膜异位症。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.017
Expert Panel on GYN and OB Imaging, Myra K. Feldman MD , Ashish P. Wasnik MD , Megan Adamson MD , Adrian A. Dawkins MD , Elizabeth H. Dibble MD , Lisa P. Jones MD , Gayatri Joshi MD , Kira Melamud MD , Krupa K. Patel-Lippmann MD , Kimberly Shampain MD , Wendaline VanBuren MD , Stella K. Kang MD, MS
Endometriosis is a common condition impacting individuals assigned female at birth. Though incompletely understood, the disorder is caused by endometrial-like tissue located outside of the endometrial cavity, associated with inflammation and fibrosis. Clinical presentation is variable, ranging from asymptomatic to severe pelvic pain and infertility. Treatment is determined by the patient’s individualized goals and can include medical therapies to temporize symptoms or definitive surgical excision. Imaging is used to help diagnose endometriosis and for treatment planning.
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.
子宫内膜异位症是一种常见疾病,影响着出生时就被指定为女性的人。尽管人们对这种疾病的认识尚不全面,但它是由位于子宫内膜腔外的子宫内膜样组织引起的,并伴有炎症和纤维化。临床表现多种多样,从无症状到严重盆腔疼痛和不孕不育不等。治疗方法根据患者的个体化目标而定,包括暂时缓解症状的药物疗法或明确的手术切除。影像学检查有助于诊断子宫内膜异位症和制定治疗计划。美国放射学会适当性标准是针对特定临床情况的循证指南,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不明确的情况下,专家可能是制定建议的主要证据来源。
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引用次数: 0
The Scents, Sense, and Cents in Jeni’s Splendid Ice Creams: Implications for Radiology Jeni's Splendid 冰淇淋中的香味、感官和美分:对放射学的影响。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.07.017
Jeni Britton , Elliot K. Fishman MD , Steven P. Rowe MD, PhD , Linda C. Chu MD , Ryan C. Rizk BS
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引用次数: 0
ACR Appropriateness Criteria® Acute Elbow and Forearm Pain ACR Appropriateness Criteria® 急性肘部和前臂疼痛。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.012
Expert Panel on Musculoskeletal Imaging, Karen C. Chen MD , Alice S. Ha MD, MS , Roger J. Bartolotta MD , Ryan Avery MD , Matthew D. Bucknor MD , Jonathan Flug MD, MBA , Christian S. Geannette MD , Alexander David Grushky MD , Michal Hose MD , Olga Laur MD , Noah M. Raizman MD , Eric Y. Chang MD
Acute elbow pain can be the result of traumatic and atraumatic processes. Pathologic processes include osseous, ligamentous, and tendinous etiologies.
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.
急性肘部疼痛可由创伤和非创伤过程引起。病理过程包括骨性、韧带性和肌腱性病因。美国放射学会适宜性标准是针对特定临床情况的循证指南,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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引用次数: 0
期刊
Journal of the American College of Radiology
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