TY - JOUR
T1 - ACR Appropriateness Criteria® Workup of Pleural Effusion or Pleural Disease
AU - Expert Panel on Thoracic Imaging
AU - Morris, Michael F.
AU - Henry, Travis S.
AU - Raptis, Constantine A.
AU - Amin, Alpesh N.
AU - Auffermann, William F.
AU - Hatten, Benjamin W.
AU - Kelly, Aine Marie
AU - Lai, Andrew R.
AU - Martin, Maria D.
AU - Sandler, Kim L.
AU - Sirajuddin, Arlene
AU - Surasi, Devaki Shilpa
AU - Chung, Jonathan H.
N1 - Publisher Copyright:
© 2024 American College of Radiology
PY - 2024/6
Y1 - 2024/6
N2 - Pleural effusions are categorized as transudative or exudative, with transudative effusions usually reflecting the sequala of a systemic etiology and exudative effusions usually resulting from a process localized to the pleura. Common causes of transudative pleural effusions include congestive heart failure, cirrhosis, and renal failure, whereas exudative effusions are typically due to infection, malignancy, or autoimmune disorders. This document summarizes appropriateness guidelines for imaging in four common clinical scenarios in patients with known or suspected pleural effusion or pleural disease. 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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
AB - Pleural effusions are categorized as transudative or exudative, with transudative effusions usually reflecting the sequala of a systemic etiology and exudative effusions usually resulting from a process localized to the pleura. Common causes of transudative pleural effusions include congestive heart failure, cirrhosis, and renal failure, whereas exudative effusions are typically due to infection, malignancy, or autoimmune disorders. This document summarizes appropriateness guidelines for imaging in four common clinical scenarios in patients with known or suspected pleural effusion or pleural disease. 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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
KW - AUC
KW - Appropriateness Criteria
KW - appropriate use criteria
KW - empyema
KW - imaging
KW - parapneumonic effusion
KW - pleural disease
KW - pleural effusion
UR - http://www.scopus.com/inward/record.url?scp=85192927727&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2024.02.013
DO - 10.1016/j.jacr.2024.02.013
M3 - Article
C2 - 38823955
AN - SCOPUS:85192927727
SN - 1546-1440
VL - 21
SP - S343-S352
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 6
ER -