ACR Appropriateness Criteria® Nontraumatic Chest Wall Pain

Expert Panel on Thoracic Imaging

Research output: Contribution to journalArticlepeer-review

Abstract

Chest pain is a common reason that patients may present for evaluation in both ambulatory and emergency department settings, and is often of musculoskeletal origin in the former. Chest wall syndrome collectively describes the various entities that can contribute to chest wall pain of musculoskeletal origin and may affect any chest wall structure. Various imaging modalities may be employed for the diagnosis of nontraumatic chest wall conditions, each with variable utility depending on the clinical scenario. We review the evidence for or against use of various imaging modalities for the diagnosis of nontraumatic chest wall pain. 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)S394-S405
JournalJournal of the American College of Radiology
Volume18
Issue number11
DOIs
StatePublished - Nov 2021

Keywords

  • AUC
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • Chest wall metastasis
  • Chest wall pain
  • Chest wall syndrome
  • Sternal insufficiency fracture
  • Sternal osteomyelitis
  • costochondritis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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