ACR logo

Appropriateness Criteria

Reference Study Type Patients/Events Study Objective(Purpose of Study) Study Results Study Quality
1. American College of Radiology. ACR Appropriateness Criteria®: Acute Chest Pain-Suspected Aortic Dissection. Available at: https://acsearch.acr.org/docs/69402/Narrative/. 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 a specific clinical condition. No abstract available. 4
2. Batlle JC, Kirsch J, Bolen MA, et al. ACR Appropriateness Criteria® Chest Pain-Possible Acute Coronary Syndrome. J Am Coll Radiol 2020;17:S55-S69. 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 chest pain-possible acute coronary syndrome. No results stated in abstract. 4
3. Akers SR, Panchal V, Ho VB, et al. ACR Appropriateness Criteria R Chronic Chest Pain-High Probability of Coronary Artery Disease. [Review]. J. Am. Coll. Radiol.. 14(5S):S71-S80, 2017 May. 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 chronic chest pain, high probability of coronary artery disease/ No results stated in abstract. 4
4. American College of Radiology. ACR Appropriateness Criteria®: Nontraumatic Aortic Disease. Available at: https://acsearch.acr.org/docs/3082597/Narrative/. 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 a specific clinical condition. No abstract available. 4
5. Porter KK, Zaheer A, Kamel IR, et al. ACR Appropriateness Criteria® Acute Pancreatitis. J Am Coll Radiol 2019;16:S316-S30. 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 acute pancreatitis. No results stated in abstract. 4
6. Jobe BA, Richter JE, Hoppo T, et al. Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the Esophageal Diagnostic Advisory Panel. J Am Coll Surg. 217(4):586-97, 2013 Oct. Review/Other-Dx N/A To review data and personal experience with regard to appropriate preoperative evaluation for antireflux surgery and to construct an evidence and experience-based consensus that has practical application. The presence of reflux symptoms alone is not sufficient to support a diagnosis of GERD before antireflux surgery. Esophageal objective testing is required to physiologically and anatomically evaluate the presence and severity of GERD in all patients being considered for surgical intervention. It is critical to document the presence of abnormal distal esophageal acid exposure, especially when antireflux surgery is considered, and reflux-related symptoms should be severe enough to outweigh the potential side effects of fundoplication. Each testing modality has a specific role in the diagnosis and workup of GERD, and no single test alone can provide the entire clinical picture. Results of testing are combined to document the presence and extent of the disease and assist in planning the operative approach. 4
7. Kitchin DR, Lubner MG, Menias CO, Santillan CS, Pickhardt PJ. MDCT diagnosis of gastroduodenal ulcers: key imaging features with endoscopic correlation. [Review]. Abdom Imaging. 40(2):360-84, 2015 Feb. Review/Other-Dx N/A To present an overview of the CT findings of both uncomplicated and complicated PUD, as well as several diagnostic pitfalls which can result in misdiagnosis from peptic ulcer mimics, to help facilitate improved recognition of PUD on abdominal CT, No results stated in abstract. 4
8. Baghdanian AH, Baghdanian AA, Puppala S, Tana M, Ohliger MA. Imaging Manifestations of Peptic Ulcer Disease on Computed Tomography. [Review]. Semin Ultrasound CT MR. 39(2):183-192, 2018 Apr. Review/Other-Dx N/A To highlight imaging features of uncomplicated PUD on CT imaging in order to allow for early detection of this disease process on imaging and the prevention of potential high-grade complications by recommending esophagogastroduodenoscopy. No results stated in abstract. 4
9. Lambert L, Grusova G, Burgetova A, Matras P, Lambertova A, Kuchynka P. The predictive value of computed tomography in the detection of reflux esophagitis in patients undergoing upper endoscopy. Clin Imaging. 49:97-100, 2018 May - Jun. Observational-Dx 72 RE patients; 108 matched patients without RE To evaluate for distal esophageal wall characteristics. In RE patients the distal esophageal wall thickness was greater (5.2+/-2.0mm) compared to patients without RE (3.5+/-1.2mm, p<0.0001) with AUC of 0.78 and 56% sensitivity, 88% specificity for a 5.0mm cut-off. 3
10. Moosavi A, Raji H, Teimoori M, Ghourchian S. Air column in esophagus and symptoms of gastroesophageal reflux disease. BMC med. imaging. 12:2, 2012 Jan 25. Observational-Dx 44 patients To determine the correlation between the appearance of air bubbles on imaging and Gastroesophageal Reflux Disease (GERD) symptoms. The average age of the subjects was 59 and the male to female ratio was 0.83. We found a significant relationship between the presence of GERD symptoms, the size of air bubbles and esophageal dilation (ED) on the CT scan. 4
11. Lee D, Park MH, Shin BS, Jeon GS. Multidetector CT diagnosis of non-traumatic gastroduodenal perforation. Journal of Medical Imaging & Radiation Oncology. 60(2):182-6, 2016 Apr. Observational-Dx 136 patients To identify reliable CT features and assess the diagnostic performance of 64-multidetector CT (MDCT) in diagnosing non-traumatic gastroduodenal perforation (GDP). The cause of GDP was peptic ulcer in 90 patients, gastric cancer in one patient, and foreign body of duodenal diverticulum in one patient. Extraluminal gas (97%) was most common CT feature of GDP, following by fluid or fat strand along gastroduodenum (89%), ascites (89%), wall defect and/or ulcer (84%), and wall thickening (72%). Of CT features, wall defect and/or ulcer showed the best positive likelihood ratios for GDP (36.83). Wall thickening also showed high positive likelihood ratios (10.52). Combined, these CT features showed 95% sensitivity and 93% specificity for localization of perforation site of GDP. 3
12. Guniganti P, Bradenham CH, Raptis C, Menias CO, Mellnick VM. CT of Gastric Emergencies. [Review]. Radiographics. 35(7):1909-21, 2015 Nov-Dec. Review/Other-Dx N/A To review the normal anatomy of the stomach and discuss emergent gastric disease with a focus on the usual clinical presentation, typical imaging appearance, and differentiating features, as well as potential imaging pitfalls. No results stated in abstract. 4
13. Tsai MK, Ding HJ, Lai HC, et al. Detection of gastroesophageal reflux esophagitis using 2-fluoro-2-deoxy-d-glucose positron emission tomography. ScientificWorldJournal. 2012:702803, 2012. Observational-Dx 408 patients To evaluate the use of noninvasive 2-fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET) to detect gastroesophageal reflux esophagitis. The SUVmax ranged from 1.30 to 3.40 in normal subjects and from 1.30 to 4.00 in subjects with gastroesophageal reflux esophagitis. In the esophagitis group, the SUVmax was 2.13 +/- 0.42 in subjects with modified LA grade M, 2.21 +/- 0.45 in subjects with LA grade A, and 2.48 +/- 0.44 in subjects with LA grade B and C gastroesophageal reflux esophagitis. One-way ANOVA and post-hoc comparison with Bonferroni correction (P value = 0.003) identified statistical differences between the three groups. 3
14. Levine MS, Rubesin SE. Diseases of the esophagus: diagnosis with esophagography. [Review] [78 refs]. Radiology. 237(2):414-27, 2005 Nov. Review/Other-Dx N/A To review of gastroesophageal reflux disease, other types of esophagitis, benign and malignant esophageal tumors, varices, lower esophageal rings, diverticula, and esophageal motility disorders, all of which can be diagnosed with the aid of esophagography. No results stated in abstract. 4
15. Creteur V, Thoeni RF, Federle MP, et al. The role of single and double-contrast radiography in the diagnosis of reflux esophagitis. Radiology. 147(1):71-5, 1983 Apr. Observational-Dx 77 patients with esophagitis;25 patient with no esophagitis To study the role of single and double-contrast radiography for the diagnosis of reflux esophagitis. The respective sensitivities were 77% for the single-contrast examination, 80% for the double-contrast examination, and 88% for the combined examination method with no significant statistical difference (P = 0.05). The sensitivity increased for all methods with an increased severity of esophagitis. False positives more frequently occurred with double-contrast radiography, leading to similar accuracy rates for all methods (74% to 77%). 2
16. Koehler RE, Weyman PJ, Oakley HF. Single- and double-contrast techniques in esophagitis. AJR Am J Roentgenol. 135(1):15-9, 1980 Jul. Observational-Dx 52 patients To compare the relative efficacy of double- and single-contrast radiographs of the esophagus in the detection of esophagitis. The addition of double-contrast views to the examination increased the number of radiographic abnormalities seen and led to the radiographic detection of esophagitis in four patients in whom the diagnosis would otherwise have been missed. The use of double-contrast views did not lead to significant improvement in the overall accuracy, however, since their use was associated with an increase in the false-positive interpretation rate. Superficial mucosal irregularity, ulcers, and narrowing were the most specific radiographic abnormalities and all were detected more frequently on double-contrast views. 3
17. Rubesin SE, Levine MS, Laufer I. Double-contrast upper gastrointestinal radiography: a pattern approach for diseases of the stomach. [Review] [104 refs]. Radiology. 246(1):33-48, 2008 Jan. Review/Other-Dx N/A To review the normal radiographic anatomy of the stomach in regards to double-contast upper gastrointestinal radiography. No results stated in abstract. 4
18. National Cancer Institute. Surveillance, Epidemiology, and End Results Program. Cancer Stat Facts: Stomach Cancer.  Available at: https://seer.cancer.gov/statfacts/html/stomach.html. Review/Other-Dx N/A To review statistics and facts concerning stomach cancer. No results stated in abstract. 4
19. Millet I, Doyon FC, Pages E, Faget C, Zins M, Taourel P. CT of gastro-duodenal obstruction. [Review]. Abdom Imaging. 40(8):3265-73, 2015 Oct. Review/Other-Dx N/A To review the role of CT in diagnosing gastro-duodenal obstruction, its level, its cause by identifying intraluminal, parietal, or extrinsic process, and the presence of complication. No results stated in abstract. 4
20. Dean C, Etienne D, Carpentier B, Gielecki J, Tubbs RS, Loukas M. Hiatal hernias. [Review]. Surg Radiol Anat. 34(4):291-9, 2012 May. Review/Other-Dx N/A To review the extensive literature regarding hiatal hernias in an effort to enhance awareness and diagnosis of this pathology. No results stated in abstract. 4
21. Dempsey DT.. Barium upper GI series in adults: a surgeon's perspective. [Review]. Abdom Radiol. 43(6):1323-1328, 2018 06. Review/Other-Dx N/A To provide information regarding barium upper GI series from a surgeon's perspective. No results stated in abstract. 4
22. Fornari F, Gurski RR, Navarini D, Thiesen V, Mestriner LH, Madalosso CA. Clinical utility of endoscopy and barium swallow X-ray in the diagnosis of sliding hiatal hernia in morbidly obese patients: a study before and after gastric bypass. Obes Surg. 20(6):702-8, 2010 Jun. Observational-Dx 92 patients To assess the clinical utility of endoscopy and X-ray in the diagnosis of SHH in morbidly obese patients before and after gastric bypass (GBP). SHH was more prevalent when characterized by X-ray than endoscopy either before (33% vs. 17%; P = 0.017) or after GBP (26% vs. 7%; P = 0.001). Endoscopy showed low sensitivity (<or=40%) and high specificity (>or=94%) in diagnosing SHH. Before GBP, more patients with SHH had GERD compared to patients without SHH using either X-ray (83% vs. 58%; P = 0.016) or endoscopy (94% vs. 61%; P = 0.009). After GBP, only patients with radiologic evidence of SHH showed higher prevalence of GERD compared to patients without SHH (50% vs. 26%; P = 0.037). SHH patients also reported weekly or daily vomit more often than patients without SHH (59% vs. 32%; P = 0.026). 3
23. Katzka DA.. A gastroenterologist's perspective on the role of barium esophagography in gastroesophageal reflux disease. [Review]. Abdom Radiol. 43(6):1319-1322, 2018 06. Review/Other-Dx N/A To review the role of barium esophagography in gastroesophageal reflux disease from a gastroenterologist's perspective. No results stated in abstract. 4
24. American College of Radiology. ACR Appropriateness Criteria® Radiation Dose Assessment Introduction. Available at: https://www.acr.org/-/media/ACR/Files/Appropriateness-Criteria/RadiationDoseAssessmentIntro.pdf. Review/Other-Dx N/A To provide evidence-based guidelines on exposure of patients to ionizing radiation. No abstract available. 4
No of Rows: 24