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 Journal of the American College of Radiology Pub Date : 2024-11-01 DOI:10.1016/j.jacr.2024.08.017
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引用次数: 0

摘要

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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ACR Appropriateness Criteria® Endometriosis
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.
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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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