ACR Appropriateness Criteria® Pelvic Floor Dysfunction in Females

Expert Panel on GYN and OB Imaging

Research output: Contribution to journalArticlepeer-review


Palpable scrotal abnormalities are caused by a variety of disorders, ranging from indolent benign conditions to aggressive tumors, and infectious and vascular processes. In these patients the diagnostic workup typically begins with a complete clinical, history, and physical examinations, including analysis of risk factors. If imaging is required, ultrasound examination is the diagnostic modality of choice. In few select patients with very large scrotal masses, MRI may be appropriate. However, the use of gadolinium-based contrast should be evaluated critically depending on specific patient factors. 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)S114-S120
JournalJournal of the American College of Radiology
Issue number5
StatePublished - May 2022


  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • Scrotal imaging
  • Scrotal mass
  • Testicular imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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