TY - JOUR
T1 - ACR Appropriateness Criteria® Diffuse Lung Disease
AU - Expert Panel on Thoracic Imaging
AU - Hobbs, Stephen B.
AU - Chung, Jonathan H.
AU - Walker, Christopher M.
AU - Bang, Tami J.
AU - Carter, Brett W.
AU - Christensen, Jared D.
AU - Danoff, Sonye K.
AU - Kandathil, Asha
AU - Madan, Rachna
AU - Moore, William H.
AU - Shah, Sachin D.
AU - Kanne, Jeffrey P.
N1 - Publisher Copyright:
© 2021 American College of Radiology
PY - 2021/11
Y1 - 2021/11
N2 - 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.
AB - 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.
KW - AUC
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - DLD
KW - Diffuse lung disease
KW - High-resolution CT (HRCT)
KW - ILD
KW - Interstitial lung disease
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U2 - 10.1016/j.jacr.2021.08.008
DO - 10.1016/j.jacr.2021.08.008
M3 - Article
C2 - 34794591
AN - SCOPUS:85119053172
SN - 1546-1440
VL - 18
SP - S320-S329
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -