Suspected Pulmonary Hypertension

Posted on

Revised 2016 American College of Radiology ACR Appropriateness Criteria® Suspected Pulmonary Hypertension   Variant 1: Suspected pulmonary hypertension. Radiologic Procedure Rating Comments RRL* Catheterization and echocardiography are US echocardiography transthoracic resting 9 complementary examinations. Both O should be performed. Echocardiography is typically performed before catheterization. Catheterization and echocardiography are Catheterization right heart 9 complementary examinations. […]

Suspected Pulmonary Embolism

Posted on

Revised 2016 American College of Radiology ACR Appropriateness Criteria® Suspected Pulmonary Embolism   Variant 1:                         Suspected pulmonary embolism. Intermediate probability with a negative D-dimer or low pretest probability.   Radiologic Procedure Rating Comments RRL* X-ray chest 9 ☢ This procedure should be optimized for pulmonary arterial enhancement. This CTA chest with IV contrast 5 procedure […]

Screening for Pulmonary Metastases

Posted on

Date of origin: 1995 Last review date: 2013   American College of Radiology ACR Appropriateness Criteria®   Clinical Condition:         Screening for Pulmonary Metastases   Variant 1:                         Primary malignancy: bone and soft-tissue sarcoma.   Radiologic Procedure Rating Comments RRL* CT chest without IV contrast 9 Perform this procedure for an initial ☢ ☢ ☢ evaluation or […]

Routine Chest Radiography

Posted on

Date of origin: 2000 Last review date: 2015 American College of Radiology ACR Appropriateness Criteria® Clinical Condition: Routine Chest Radiography Variant 1: No clinical concern on basis of history or physical examination. Radiologic Procedure Rating Comments RRL* X-ray chest routine preoperative 3 ☢ X-ray chest routine admission 3 ☢ X-ray chest routine outpatient 2 ☢ […]

Rib Fractures

Posted on

Date of origin: 1995 Last review date: 2014 American College of Radiology ACR Appropriateness Criteria® Clinical Condition: Rib Fractures Variant 1: Adult. Suspected rib fractures from minor blunt trauma (injury confined to ribs). Radiologic Procedure Rating Comments RRL* X-ray chest 8 Obtain PA view. ☢ X-ray rib views 5 ☢ ☢ ☢ CT chest without […]

Radiographically Detected Solitary Pulmonary Nodule

Posted on

Date of origin: 1995 Last review date: 2012 American College of Radiology ACR Appropriateness Criteria® Clinical Condition: Radiographically Detected Solitary Pulmonary Nodule Variant 1: Solid nodule  1 cm, low clinical suspicion for cancer. Radiologic Procedure Rating Comments RRL* CT chest without IV contrast 8 To detect occult calcifications, fat, ☢☢☢ bronchus sign, etc. FDG-PET/CT whole […]

Occupational Lung Diseases

Posted on

Date of origin: 2014 American College of Radiology ACR Appropriateness Criteria® Clinical Condition: Occupational Lung Diseases Variant 1: Silica exposure, suspected silicosis. Radiologic Procedure Rating Comments RRL* X-ray chest and CT chest without contrast ☢ X-ray chest 9 are complementary. Both should be performed. X-ray chest and CT chest without contrast ☢☢☢ CT chest without […]

Non-invasive Clinical Staging of Bronchogenic Carcinoma

Posted on

Date of origin: 2005 Last review date: 2013 American College of Radiology ACR Appropriateness Criteria®   Clinical Condition:         Non-invasive Clinical Staging of Bronchogenic Carcinoma   Variant 1:                         Non–small-cell lung carcinoma.   Radiologic Procedure Rating Comments RRL* CT chest without IV contrast 9 Through adrenal glands. ☢ ☢ ☢ Through adrenal glands. See text. There CT […]

Intensive Care Unit Patients

Posted on

Date of origin: 1995 Last review date: 2014 American College of Radiology ACR Appropriateness Criteria®   Clinical Condition:         Intensive Care Unit Patients   Variant 1:                         Admission or transfer to ICU.   Radiologic Procedure Rating Comments RRL* X-ray chest portable 7 ☢ Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative […]

Imaging of Possible Tuberculosis

Posted on

American College of Radiology ACR Appropriateness Criteria® Imaging of Possible Tuberculosis   Variant 1:                         Suspect active tuberculosis.   Radiologic Procedure Rating Comments RRL* X-ray chest 9 ☢ CT chest without IV contrast 7 This procedure is recommended if x-ray is ☢ ☢ ☢ equivocal. CT chest with IV contrast 6 ☢ ☢ ☢ CT chest […]