ACR Appropriateness Criteria® Suspected Liver Metastases

Expert Panel on Gastrointestinal Imaging

    Research output: Contribution to journalArticle

    8 Scopus citations

    Abstract

    Liver metastases are the most common malignant liver tumors. The accurate and early detection and characterization of liver lesions is the key to successful treatment strategies. Increasingly, surgical resection in combination with chemotherapy is effective in significantly improving survival if all metastases are successfully resected. MRI and multiphase CT are the primary imaging modalities in the assessment of liver metastasis, with the relative preference toward multiphase CT or MRI depending upon the clinical setting (ie, surveillance or presurgical planning). The optimization of imaging parameters is a vital factor in the success of either modality. PET/CT, intraoperative ultrasound are used to supplement CT and MRI. 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)S314-S325
    JournalJournal of the American College of Radiology
    Volume14
    Issue number5
    DOIs
    StatePublished - May 2017

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    Keywords

    • AUC
    • Appropriate Use Criteria
    • Appropriateness Criteria
    • MRI
    • PET/CT
    • liver metastasis imaging
    • liver metastasis surveillance
    • liver presurgical staging
    • multidetector CT

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

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