ACR Appropriateness Criteria Crohn Disease

David H. Kim, Laura R. Carucci, Mark E. Baker, Brooks D. Cash, Jonathan R. Dillman, Barry W. Feig, Kathryn J. Fowler, Kenneth L. Gage, Richard B. Noto, Martin P. Smith, Vahid Yaghmai, Judy Yee, Tasneem Lalani

Research output: Contribution to journalReview article

24 Citations (Scopus)

Abstract

Crohn disease is a chronic inflammatory disorder involving the gastrointestinal tract, characterized by episodic flares and times of remission. Underlying structural damage occurs progressively, with recurrent bouts of inflammation. The diagnosis and management of this disease process is dependent on several clinical, laboratory, imaging, endoscopic, and histologic factors. In recent years, with the maturation of CT enterography, and MR enterography, imaging has played an increasingly important role in relation to Crohn Disease. In addition to these specialized examination modalities, ultrasound and routine CT have potential uses. Fluoroscopy, radiography, and nuclear medicine may be less beneficial depending on the clinical scenario. The imaging modality best suited to evaluating this disease may change, depending on the target population, severity of presentation, and specific clinical situation. This document presents seven clinical scenarios (variants) in both the adult and pediatric populations and rates the appropriateness of the available imaging options. They are summarized in a consolidated table, and the underlying rationale and supporting literature are presented in the accompanying narrative. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three 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 in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)1048-1057e4
JournalJournal of the American College of Radiology
Volume12
Issue number10
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Crohn Disease
Guidelines
Health Services Needs and Demand
Fluoroscopy
Nuclear Medicine
Expert Testimony
Disease Management
Radiography
Gastrointestinal Tract
Pediatrics
Inflammation
Population

Keywords

  • Appropriateness Criteria
  • Crohn disease
  • CT
  • imaging
  • MR
  • ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Kim, D. H., Carucci, L. R., Baker, M. E., Cash, B. D., Dillman, J. R., Feig, B. W., ... Lalani, T. (2015). ACR Appropriateness Criteria Crohn Disease. Journal of the American College of Radiology, 12(10), 1048-1057e4. https://doi.org/10.1016/j.jacr.2015.07.005

ACR Appropriateness Criteria Crohn Disease. / Kim, David H.; Carucci, Laura R.; Baker, Mark E.; Cash, Brooks D.; Dillman, Jonathan R.; Feig, Barry W.; Fowler, Kathryn J.; Gage, Kenneth L.; Noto, Richard B.; Smith, Martin P.; Yaghmai, Vahid; Yee, Judy; Lalani, Tasneem.

In: Journal of the American College of Radiology, Vol. 12, No. 10, 01.01.2015, p. 1048-1057e4.

Research output: Contribution to journalReview article

Kim, DH, Carucci, LR, Baker, ME, Cash, BD, Dillman, JR, Feig, BW, Fowler, KJ, Gage, KL, Noto, RB, Smith, MP, Yaghmai, V, Yee, J & Lalani, T 2015, 'ACR Appropriateness Criteria Crohn Disease', Journal of the American College of Radiology, vol. 12, no. 10, pp. 1048-1057e4. https://doi.org/10.1016/j.jacr.2015.07.005
Kim DH, Carucci LR, Baker ME, Cash BD, Dillman JR, Feig BW et al. ACR Appropriateness Criteria Crohn Disease. Journal of the American College of Radiology. 2015 Jan 1;12(10):1048-1057e4. https://doi.org/10.1016/j.jacr.2015.07.005
Kim, David H. ; Carucci, Laura R. ; Baker, Mark E. ; Cash, Brooks D. ; Dillman, Jonathan R. ; Feig, Barry W. ; Fowler, Kathryn J. ; Gage, Kenneth L. ; Noto, Richard B. ; Smith, Martin P. ; Yaghmai, Vahid ; Yee, Judy ; Lalani, Tasneem. / ACR Appropriateness Criteria Crohn Disease. In: Journal of the American College of Radiology. 2015 ; Vol. 12, No. 10. pp. 1048-1057e4.
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