ACR Appropriateness Criteria ® Chronic Dyspnea-Noncardiovascular Origin

Expert Panel on Thoracic Imaging:

    Research output: Contribution to journalArticlepeer-review

    10 Scopus citations

    Abstract

    Chronic dyspnea may result from a variety of disorders of cardiovascular, pulmonary, gastrointestinal, neuromuscular, systemic, and psychogenic etiology. This article discusses guidelines for the initial imaging of six variants for chronic dyspnea of noncardiovascular origin: (1) Chronic dyspnea of unclear etiology; (2) Chronic dyspnea with suspected chronic obstructive pulmonary disease; (3) Chronic dyspnea with suspected central airways disease; (4) Chronic dyspnea with suspected interstitial lung disease; (5) Chronic dyspnea with suspected disease of the pleura or chest wall; and (6) Chronic dyspnea with suspected diaphragm dysfunction. 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)S291-S301
    JournalJournal of the American College of Radiology
    Volume15
    Issue number11
    DOIs
    StatePublished - Nov 2018

    Keywords

    • AUC
    • Appropriateness Criteria
    • Appropriateness Use Criteria
    • Central airways
    • Chronic dyspnea
    • Chronic obstructive pulmonary disease
    • Diaphragm motion
    • Interstitial lung disease
    • Noncardiovascular dyspnea
    • Pleural disease

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

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