医学
法洛四联症
适当的使用标准
适宜性标准
右心室双出口
指南
分级(工程)
心脏成像
心脏病
重症监护医学
医学文献
儿科
放射科
内科学
病理
土木工程
工程类
作者
Rajesh Krishnamurthy,Garima Suman,Sherwin S Chan,Jacobo Kirsch,Ramesh S. Iyer,Michael A. Bolen,Richard K. Brown,Ahmed H. El-Sherief,Maurício S. Galizia,Kate Hanneman,Joe Y. Hsu,Veronica Lenge de Rosen,Prabhakar Rajiah,Rahul D. Renapurkar,Raymond R. Russell,Margaret M. Samyn,Jody Shen,Todd C. Villines,Jessica Wall,Cynthia K. Rigsby,Suhny Abbara
标识
DOI:10.1016/j.jacr.2023.08.018
摘要
Pediatric heart disease is a large and diverse field with an overall prevalence estimated at 6 to 13 per 1,000 live births. This document discusses appropriateness of advanced imaging for a broad range of variants. Diseases covered include tetralogy of Fallot, transposition of great arteries, congenital or acquired pediatric coronary artery abnormality, single ventricle, aortopathy, anomalous pulmonary venous return, aortopathy and aortic coarctation, with indications for advanced imaging spanning the entire natural history of the disease in children and adults, including initial diagnosis, treatment planning, treatment monitoring, and early detection of complications. 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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