ACR Appropriateness Criteria® Diffuse Lung Disease

Expert Panel on Thoracic Imaging

Research output: Contribution to journalArticlepeer-review

Abstract

Diffuse lung disease, frequently referred to as interstitial lung disease, encompasses numerous disorders affecting the lung parenchyma. The potential etiologies of diffuse lung disease are broad with several hundred established clinical syndromes and pathologies currently identified. Imaging plays a critical role in diagnosis and follow-up of many of these diseases, although multidisciplinary discussion is the current standard for diagnosis of several DLDs. This document aims to establish guidelines for evaluation of diffuse lung diseases for 1) initial imaging of suspected diffuse lung disease, 2) initial imaging of suspected acute exacerbation or acute deterioration in cases of confirmed diffuse lung disease, and 3) clinically indicated routine follow-up of confirmed diffuse lung disease without acute deterioration. 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 include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)S320-S329
JournalJournal of the American College of Radiology
Volume18
Issue number11
DOIs
StatePublished - Nov 2021

Keywords

  • AUC
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • DLD
  • Diffuse lung disease
  • High-resolution CT (HRCT)
  • ILD
  • Interstitial lung disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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