American College of Radiology
ACR Appropriateness Criteria®

Imaging of Deep Inferior Epigastric Arteries for Surgical Planning (Breast Reconstruction Surgery)

Variant 1: Imaging of deep inferior epigastric arteries for surgical planning (breast reconstruction surgery).
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
CTA abdomen and pelvis with IV contrast Usually appropriate ☢☢☢☢☢ 30-100 mSv 9 9 0 0 0 0 1 0 0 0 12
MRA abdomen and pelvis without and with IV contrast Usually appropriate O 0 mSv O 0 mSv [ped] 7 7 0 0 1 0 0 3 6 3 0
MRA abdomen and pelvis without IV contrast May be appropriate O 0 mSv O 0 mSv [ped] 5 5 0 0 2 4 4 2 1 0 0
CT abdomen and pelvis with IV contrast Usually not appropriate ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 3 3 2 4 2 4 0 0 0 0 1
Arteriography abdomen and pelvis Usually not appropriate ☢☢☢☢ 10-30 mSv 3 3 2 4 1 1 4 1 0 0 0
US color Doppler abdomen and pelvis Usually not appropriate O 0 mSv O 0 mSv [ped] 3 3 0 5 3 1 3 0 0 0 0
MRI abdomen and pelvis without IV contrast Usually not appropriate O 0 mSv O 0 mSv [ped] 2 2 5 3 2 3 0 0 0 0 0
MRI abdomen and pelvis without and with IV contrast Usually not appropriate O 0 mSv O 0 mSv [ped] 2 2 3 4 2 1 2 0 1 0 0
CT abdomen and pelvis without IV contrast Usually not appropriate ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 2 2 5 4 1 2 0 1 0 0 0
CT abdomen and pelvis without and with IV contrast Usually not appropriate ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 2 2 2 6 3 0 1 0 0 1 0
Please refer to the supporting documentation for a more complete discussion of the concepts and their definitions below.
Final Tabulations:
A histogram of the number of panel members who rated the recommendation as noted in the column heading (ie, 1, 2, 3, …etc.)
Disagree:
The variation of the individual ratings from the median rating indicates panel disagreement on the final recommendation.
References:
Lists the references associated with the recommendation
SQ:
Study Quality (1, 2, 3, 4, Good M or Inadequate M) of the references listed.
RRL:
Information on the Relative Radiation Level (RRL) designations can be found here.