ACR Appropriateness Criteria® Acute Pancreatitis

Expert Panel on Gastrointestinal Imaging

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Acute pancreatitis (AP) is divided into two types: interstitial edematous and necrotizing. AP severity is classified clinically into mild, moderately severe, and severe, depending on the presence and persistence of organ failure and local or systemic complications. The revised Atlanta classification divides the clinical course of AP into an early (first week) and late phase (after first week) and the clinical phase determines the role of imaging. Imaging has a limited role in the early phase. In the early phase with typical presentations of AP, ultrasound is usually the only appropriate modality and is used for the detection of gallstones. CT and MRI are appropriate in the early phase in equivocal presentations. In the late phase (or at least 48-72 hours after presentation), CT and MRI play a primary role in the imaging of patients with AP for evaluation of etiology, complications, extent of disease, intervention, and follow-up; CT is particularly useful in patients with suspected acute hemorrhage. 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)S316-S330
JournalJournal of the American College of Radiology
Volume16
Issue number11
DOIs
StatePublished - Nov 2019

Fingerprint

Pancreatitis
Guidelines
Expert Testimony
Gallstones
Radiology
Hemorrhage
Therapeutics

Keywords

  • Acute pancreatitis
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • Atlanta Classification
  • AUC
  • Epigastric pain
  • Interstitial edematous pancreatitis
  • Necrotizing pancreatitis
  • Peripancreatic fluid collection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Acute Pancreatitis. / Expert Panel on Gastrointestinal Imaging.

In: Journal of the American College of Radiology, Vol. 16, No. 11, 11.2019, p. S316-S330.

Research output: Contribution to journalArticle

Expert Panel on Gastrointestinal Imaging. / ACR Appropriateness Criteria® Acute Pancreatitis. In: Journal of the American College of Radiology. 2019 ; Vol. 16, No. 11. pp. S316-S330.
@article{b562b7403a8349a2856755334cf4cbe9,
title = "ACR Appropriateness Criteria{\circledR} Acute Pancreatitis",
abstract = "Acute pancreatitis (AP) is divided into two types: interstitial edematous and necrotizing. AP severity is classified clinically into mild, moderately severe, and severe, depending on the presence and persistence of organ failure and local or systemic complications. The revised Atlanta classification divides the clinical course of AP into an early (first week) and late phase (after first week) and the clinical phase determines the role of imaging. Imaging has a limited role in the early phase. In the early phase with typical presentations of AP, ultrasound is usually the only appropriate modality and is used for the detection of gallstones. CT and MRI are appropriate in the early phase in equivocal presentations. In the late phase (or at least 48-72 hours after presentation), CT and MRI play a primary role in the imaging of patients with AP for evaluation of etiology, complications, extent of disease, intervention, and follow-up; CT is particularly useful in patients with suspected acute hemorrhage. 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.",
keywords = "Acute pancreatitis, Appropriate Use Criteria, Appropriateness Criteria, Atlanta Classification, AUC, Epigastric pain, Interstitial edematous pancreatitis, Necrotizing pancreatitis, Peripancreatic fluid collection",
author = "{Expert Panel on Gastrointestinal Imaging} and Porter, {Kristin K.} and Atif Zaheer and Kamel, {Ihab R.} and Horowitz, {Jeanne M.} and Hina Arif-Tiwari and Bartel, {Twyla B.} and Bashir, {Mustafa R.} and Camacho, {Marc A.} and Cash, {Brooks D.} and Victoria Chernyak and Alan Goldstein and Grajo, {Joseph R.} and Samir Gupta and Hindman, {Nicole M.} and Aya Kamaya and McNamara, {Michelle M.} and Carucci, {Laura R.}",
year = "2019",
month = "11",
doi = "10.1016/j.jacr.2019.05.017",
language = "English (US)",
volume = "16",
pages = "S316--S330",
journal = "Journal of the American College of Radiology",
issn = "1558-349X",
publisher = "Elsevier BV",
number = "11",

}

TY - JOUR

T1 - ACR Appropriateness Criteria® Acute Pancreatitis

AU - Expert Panel on Gastrointestinal Imaging

AU - Porter, Kristin K.

AU - Zaheer, Atif

AU - Kamel, Ihab R.

AU - Horowitz, Jeanne M.

AU - Arif-Tiwari, Hina

AU - Bartel, Twyla B.

AU - Bashir, Mustafa R.

AU - Camacho, Marc A.

AU - Cash, Brooks D.

AU - Chernyak, Victoria

AU - Goldstein, Alan

AU - Grajo, Joseph R.

AU - Gupta, Samir

AU - Hindman, Nicole M.

AU - Kamaya, Aya

AU - McNamara, Michelle M.

AU - Carucci, Laura R.

PY - 2019/11

Y1 - 2019/11

N2 - Acute pancreatitis (AP) is divided into two types: interstitial edematous and necrotizing. AP severity is classified clinically into mild, moderately severe, and severe, depending on the presence and persistence of organ failure and local or systemic complications. The revised Atlanta classification divides the clinical course of AP into an early (first week) and late phase (after first week) and the clinical phase determines the role of imaging. Imaging has a limited role in the early phase. In the early phase with typical presentations of AP, ultrasound is usually the only appropriate modality and is used for the detection of gallstones. CT and MRI are appropriate in the early phase in equivocal presentations. In the late phase (or at least 48-72 hours after presentation), CT and MRI play a primary role in the imaging of patients with AP for evaluation of etiology, complications, extent of disease, intervention, and follow-up; CT is particularly useful in patients with suspected acute hemorrhage. 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 - Acute pancreatitis (AP) is divided into two types: interstitial edematous and necrotizing. AP severity is classified clinically into mild, moderately severe, and severe, depending on the presence and persistence of organ failure and local or systemic complications. The revised Atlanta classification divides the clinical course of AP into an early (first week) and late phase (after first week) and the clinical phase determines the role of imaging. Imaging has a limited role in the early phase. In the early phase with typical presentations of AP, ultrasound is usually the only appropriate modality and is used for the detection of gallstones. CT and MRI are appropriate in the early phase in equivocal presentations. In the late phase (or at least 48-72 hours after presentation), CT and MRI play a primary role in the imaging of patients with AP for evaluation of etiology, complications, extent of disease, intervention, and follow-up; CT is particularly useful in patients with suspected acute hemorrhage. 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 - Acute pancreatitis

KW - Appropriate Use Criteria

KW - Appropriateness Criteria

KW - Atlanta Classification

KW - AUC

KW - Epigastric pain

KW - Interstitial edematous pancreatitis

KW - Necrotizing pancreatitis

KW - Peripancreatic fluid collection

UR - http://www.scopus.com/inward/record.url?scp=85073172134&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073172134&partnerID=8YFLogxK

U2 - 10.1016/j.jacr.2019.05.017

DO - 10.1016/j.jacr.2019.05.017

M3 - Article

C2 - 31685100

AN - SCOPUS:85073172134

VL - 16

SP - S316-S330

JO - Journal of the American College of Radiology

JF - Journal of the American College of Radiology

SN - 1558-349X

IS - 11

ER -