ACR Appropriateness Criteria ® Jaundice

Expert Panel on Gastrointestinal Imaging

Research output: Contribution to journalArticle

Abstract

Jaundice is the end result of myriad causes, which makes the role of imaging in this setting particularly challenging. In the United States, the most common causes of all types of jaundice fall into four categories including hepatitis, alcoholic liver disease, blockage of the common bile duct by a gallstone or tumor, and toxic reaction to a drug or medicinal herb. Clinically, differentiating between the various potential etiologies of jaundice requires a detailed history, targeted physical examination, and pertinent laboratory studies, the results of which allow the physician to categorize the type of jaundice into mechanical or nonmechanical causes. Imaging modalities used to evaluate the jaundiced patient (all etiologies) include abdominal ultrasound (US), CT, MR cholangiopancreatography, endoscopic retrograde cholangiopancreatography and endoscopic US. 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)S126-S140
JournalJournal of the American College of Radiology
Volume16
Issue number5
DOIs
StatePublished - May 1 2019

Fingerprint

Jaundice
Guidelines
Alcoholic Liver Diseases
Obstructive Jaundice
Endoscopic Retrograde Cholangiopancreatography
Poisons
Expert Testimony
Gallstones
Medicinal Plants
Radiology
Hepatitis
Physical Examination
History
Physicians
Therapeutics
Pharmaceutical Preparations
Neoplasms

Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • Choledocholithiasis
  • Gallstone
  • Hepatitis
  • Hyperbilirubinemia
  • Jaundice
  • Liver disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria ® Jaundice . / Expert Panel on Gastrointestinal Imaging.

In: Journal of the American College of Radiology, Vol. 16, No. 5, 01.05.2019, p. S126-S140.

Research output: Contribution to journalArticle

Expert Panel on Gastrointestinal Imaging. / ACR Appropriateness Criteria ® Jaundice In: Journal of the American College of Radiology. 2019 ; Vol. 16, No. 5. pp. S126-S140.
@article{63c84c64a7fb402abb49a5b8eecd612c,
title = "ACR Appropriateness Criteria {\circledR} Jaundice",
abstract = "Jaundice is the end result of myriad causes, which makes the role of imaging in this setting particularly challenging. In the United States, the most common causes of all types of jaundice fall into four categories including hepatitis, alcoholic liver disease, blockage of the common bile duct by a gallstone or tumor, and toxic reaction to a drug or medicinal herb. Clinically, differentiating between the various potential etiologies of jaundice requires a detailed history, targeted physical examination, and pertinent laboratory studies, the results of which allow the physician to categorize the type of jaundice into mechanical or nonmechanical causes. Imaging modalities used to evaluate the jaundiced patient (all etiologies) include abdominal ultrasound (US), CT, MR cholangiopancreatography, endoscopic retrograde cholangiopancreatography and endoscopic US. 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 = "Appropriate Use Criteria, Appropriateness Criteria, AUC, Choledocholithiasis, Gallstone, Hepatitis, Hyperbilirubinemia, Jaundice, Liver disease",
author = "{Expert Panel on Gastrointestinal Imaging} and Hindman, {Nicole M.} and Hina Arif-Tiwari and Kamel, {Ihab R.} and Al-Refaie, {Waddah B.} and Bartel, {Twyla B.} and Cash, {Brooks D.} and Victoria Chernyak and Alan Goldstein and Grajo, {Joseph R.} and Horowitz, {Jeanne M.} and Aya Kamaya and McNamara, {Michelle M.} and Porter, {Kristin K.} and Srivastava, {Pavan K.} and Atif Zaheer and Carucci, {Laura R.}",
year = "2019",
month = "5",
day = "1",
doi = "10.1016/j.jacr.2019.02.012",
language = "English (US)",
volume = "16",
pages = "S126--S140",
journal = "Journal of the American College of Radiology",
issn = "1558-349X",
publisher = "Elsevier BV",
number = "5",

}

TY - JOUR

T1 - ACR Appropriateness Criteria ® Jaundice

AU - Expert Panel on Gastrointestinal Imaging

AU - Hindman, Nicole M.

AU - Arif-Tiwari, Hina

AU - Kamel, Ihab R.

AU - Al-Refaie, Waddah B.

AU - Bartel, Twyla B.

AU - Cash, Brooks D.

AU - Chernyak, Victoria

AU - Goldstein, Alan

AU - Grajo, Joseph R.

AU - Horowitz, Jeanne M.

AU - Kamaya, Aya

AU - McNamara, Michelle M.

AU - Porter, Kristin K.

AU - Srivastava, Pavan K.

AU - Zaheer, Atif

AU - Carucci, Laura R.

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Jaundice is the end result of myriad causes, which makes the role of imaging in this setting particularly challenging. In the United States, the most common causes of all types of jaundice fall into four categories including hepatitis, alcoholic liver disease, blockage of the common bile duct by a gallstone or tumor, and toxic reaction to a drug or medicinal herb. Clinically, differentiating between the various potential etiologies of jaundice requires a detailed history, targeted physical examination, and pertinent laboratory studies, the results of which allow the physician to categorize the type of jaundice into mechanical or nonmechanical causes. Imaging modalities used to evaluate the jaundiced patient (all etiologies) include abdominal ultrasound (US), CT, MR cholangiopancreatography, endoscopic retrograde cholangiopancreatography and endoscopic US. 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 - Jaundice is the end result of myriad causes, which makes the role of imaging in this setting particularly challenging. In the United States, the most common causes of all types of jaundice fall into four categories including hepatitis, alcoholic liver disease, blockage of the common bile duct by a gallstone or tumor, and toxic reaction to a drug or medicinal herb. Clinically, differentiating between the various potential etiologies of jaundice requires a detailed history, targeted physical examination, and pertinent laboratory studies, the results of which allow the physician to categorize the type of jaundice into mechanical or nonmechanical causes. Imaging modalities used to evaluate the jaundiced patient (all etiologies) include abdominal ultrasound (US), CT, MR cholangiopancreatography, endoscopic retrograde cholangiopancreatography and endoscopic US. 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 - Appropriate Use Criteria

KW - Appropriateness Criteria

KW - AUC

KW - Choledocholithiasis

KW - Gallstone

KW - Hepatitis

KW - Hyperbilirubinemia

KW - Jaundice

KW - Liver disease

UR - http://www.scopus.com/inward/record.url?scp=85064509599&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064509599&partnerID=8YFLogxK

U2 - 10.1016/j.jacr.2019.02.012

DO - 10.1016/j.jacr.2019.02.012

M3 - Article

VL - 16

SP - S126-S140

JO - Journal of the American College of Radiology

JF - Journal of the American College of Radiology

SN - 1558-349X

IS - 5

ER -