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Appropriateness Criteria

Reference Study Type Patients/Events Study Objective(Purpose of Study) Study Results Study Quality
1. Niell BL, Jochelson MS, Amir T, et al. ACR Appropriateness Criteria R Female Breast Cancer Screening: 2023 Update. Journal of the American College of Radiology. 21(6S):S126-S143, 2024 Jun.J. Am. Coll. Radiol.. 21(6S):S126-S143, 2024 Jun. Review/Other-Dx N/A Evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for female breast cancer screening. No results stated in abstract. 4
2. Brown A, Lourenco AP, Niell BL, et al. ACR Appropriateness Criteria® Transgender Breast Cancer Screening. J Am Coll Radiol 2021;18:S502-S15. Review/Other-Dx N/A Evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for transgender breast cancer screening. No results stated in abstract. 4
3. Middleton MS.. MR evaluation of breast implants. [Review]. Radiol Clin North Am. 52(3):591-608, 2014 May. Review/Other-Dx N/A To describe the rationale and indications for breast implant-related magnetic resonance (MR) imaging, alone or in combination with breast cancer-related MR imaging. No results stated in abstract. 4
No of Rows: 3
Definitions of Study Quality Categories
The study is well-designed and accounts for common biases. The source has all 8 diagnostic study quality elements present. The source has 5 or 6 therapeutic study quality elements
The study is moderately well-designed and accounts for most common biases. The source has 6 or 7 diagnostic study quality elements The source has 3 or 4 therapeutic study quality elements
There are important study design limitations. The source has 3, 4, or 5 diagnostic study quality elements The source has 1 or 2 therapeutic study quality elements
The study is not useful as primary evidence. The article may not be a clinical study or the study design is invalid, or conclusions are based on expert consensus. For example:
  1. The study does not meet the criteria for or is not a hypothesis-based clinical study (e.g., a book chapter or case report or case series description);
  2. The study may synthesize and draw conclusions about several studies such as a literature review article or book chapter but is not primary evidence;
  3. The study is an expert opinion or consensus document.
The source has 0, 1, or 2 diagnostic study quality elements present. The source has zero (0) therapeutic study quality elements.
  • Good quality – the study design, methods, analysis, and results are valid and the conclusion is supported.
  • Inadequate quality – the study design, analysis, and results lack the methodological rigor to be considered a good meta-analysis study.
n/a n/a
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