Patient-Friendly Summary of the ACR Appropriateness Criteria: Suspected Appendicitis—Child

ACR Appropriateness Criteria® Suspected Physical Abuse-Child.

The youngest children, particularly in the first year of life, are the most vulnerable to physical abuse. Skeletal survey is the universal screening examination in children 24 months of age and younger. Fractures occur in over half of abused children. Rib fractures may be the only abnormality in about 30%. A repeat limited skeletal survey after 2 weeks can detect additional fractures and can pr...

Patient-Friendly Summary of the ACR Appropriateness Criteria Acute Onset Flank Pain-Suspicion of Stone Disease (Urolithiasis).

American College of Radiology ACR Appropriateness Criteria Suspected Pulmonary Embolism

US duplex Doppler lower extremity 3 This procedure has a low yield in the absence of symptoms of DVT. O CT chest without IV contrast 2 ☢☢☢ Tc-99m V/Q scan lung 2 ☢☢☢ CTA chest with IV contrast with CT venography lower extremities 2 ☢☢☢ MRA chest without and with IV contrast 2 O US echocardiography transthoracic resting 2 O CT chest without and with IV contrast 1 ☢☢☢ Arteriography pulmonary with...

ACR Appropriateness Criteria Clinically Suspected Pulmonary Arteriovenous Malformation.

Pulmonary arteriovenous malformations are often included in the differential diagnosis of common clinical presentations, including hypoxemia, hemoptysis, brain abscesses, and paradoxical stroke, as well as affecting 30% to 50% of patients with hereditary hemorrhagic telangiectasia (HHT). Various imaging studies are used in the diagnostic and screening settings, which have been reviewed by the A...

ACR Appropriateness Criteria® Suspected upper extremity deep vein thrombosis.

Upper-extremity venous thrombosis often presents as unilateral arm swelling. The differential diagnosis includes lesions compressing the veins and causing a functional venous obstruction, venous stenosis, an infection causing edema, obstruction of previously functioning lymphatics, or the absence of sufficient lymphatic channels to ensure effective drainage. The following recommendations are ma...