TY - JOUR
T1 - ACR appropriateness criteria® on renal failure
AU - Remer, Erick M.
AU - Papanicolaou, Nicholas
AU - Casalino, David D.
AU - Bishoff, Jay T.
AU - Blaufox, M. Donald
AU - Coursey, Courtney A.
AU - Dighe, Manjiri
AU - Eberhardt, Steven C.
AU - Goldfarb, Stanley
AU - Harvin, Howard J.
AU - Heilbrun, Marta E.
AU - Leyendecker, John R.
AU - Nikolaidis, Paul
AU - Oto, Aytekin
AU - Preminger, Glenn M.
AU - Raman, Steven S.
AU - Sheth, Sheila
AU - Vikram, Raghunandan
AU - Weinfeld, Robert M.
N1 - Publisher Copyright:
© 2014 American College of Radiology. All rights reserved.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Imaging plays a role in the management of patients with acute kidney injury or chronic kidney disease. However, clinical circumstances strongly impact the appropriateness of imaging use. In patients with newly detected renal dysfunction, ultrasonography can assess for reversible causes, assess renal size and echogenicity, and thus, establish the chronicity of disease. Urinary obstruction can be detected, but imaging is most useful in high-risk groups or in patients in whom there is a strong clinical suspicion for obstruction. Computed tomography, computed tomography or magnetic resonance arteriography, and percutaneous ultrasound-guided renal biopsy are valuable in other clinical situations. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
AB - Imaging plays a role in the management of patients with acute kidney injury or chronic kidney disease. However, clinical circumstances strongly impact the appropriateness of imaging use. In patients with newly detected renal dysfunction, ultrasonography can assess for reversible causes, assess renal size and echogenicity, and thus, establish the chronicity of disease. Urinary obstruction can be detected, but imaging is most useful in high-risk groups or in patients in whom there is a strong clinical suspicion for obstruction. Computed tomography, computed tomography or magnetic resonance arteriography, and percutaneous ultrasound-guided renal biopsy are valuable in other clinical situations. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
KW - Acute kidney injury
KW - Appropriateness criteria
KW - Chronic kidney disease
KW - Ultrasound
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U2 - 10.1016/j.amjmed.2014.05.014
DO - 10.1016/j.amjmed.2014.05.014
M3 - Review article
C2 - 24865874
AN - SCOPUS:84912088448
SN - 0002-9343
VL - 127
SP - 1041-1048.e1
JO - American Journal of Medicine
JF - American Journal of Medicine
IS - 11
ER -