ACR Appropriateness Criteria® Chronic Extremity Joint Pain—Suspected Inflammatory Arthritis
Abstract Evaluation for suspected inflammatory arthritis as a cause for chronic extremity joint pain often relies on imaging. This review first discusses the characteristic osseous and soft tissue abnormalities seen with inflammatory arthritis and how they may be imaged. It is essential that imaging...
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| Veröffentlicht in: | Journal of the American College of Radiology 2017-05, Vol.14 (5), p.S81-S89 |
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| creator | Jacobson, Jon A., MD Roberts, Catherine C., MD Bencardino, Jenny T., MD Appel, Marc, MD Arnold, Erin, MD Baccei, Steven J., MD Cassidy, R. Carter, MD Chang, Eric Y., MD Fox, Michael G., MD Greenspan, Bennett S., MD, MS Gyftopoulos, Soterios, MD Hochman, Mary G., MD, MBA Mintz, Douglas N., MD Newman, Joel S., MD Rosenberg, Zehava S., MD Shah, Nehal A., MD Small, Kirstin M., MD Weissman, Barbara N., MD |
| description | Abstract Evaluation for suspected inflammatory arthritis as a cause for chronic extremity joint pain often relies on imaging. This review first discusses the characteristic osseous and soft tissue abnormalities seen with inflammatory arthritis and how they may be imaged. It is essential that imaging results are interpreted in the context of clinical and serologic results to add specificity as there is significant overlap of imaging findings among the various types of arthritis. This review provides recommendations for imaging evaluation of specific types of inflammatory arthritis, including rheumatoid arthritis, seronegative spondyloarthropathy, gout, calcium pyrophosphate dihydrate disease (or pseudogout), and erosive osteoarthritis. 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. |
| doi_str_mv | 10.1016/j.jacr.2017.02.006 |
| format | Article |
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Carter, MD ; Chang, Eric Y., MD ; Fox, Michael G., MD ; Greenspan, Bennett S., MD, MS ; Gyftopoulos, Soterios, MD ; Hochman, Mary G., MD, MBA ; Mintz, Douglas N., MD ; Newman, Joel S., MD ; Rosenberg, Zehava S., MD ; Shah, Nehal A., MD ; Small, Kirstin M., MD ; Weissman, Barbara N., MD</creator><creatorcontrib>Jacobson, Jon A., MD ; Roberts, Catherine C., MD ; Bencardino, Jenny T., MD ; Appel, Marc, MD ; Arnold, Erin, MD ; Baccei, Steven J., MD ; Cassidy, R. Carter, MD ; Chang, Eric Y., MD ; Fox, Michael G., MD ; Greenspan, Bennett S., MD, MS ; Gyftopoulos, Soterios, MD ; Hochman, Mary G., MD, MBA ; Mintz, Douglas N., MD ; Newman, Joel S., MD ; Rosenberg, Zehava S., MD ; Shah, Nehal A., MD ; Small, Kirstin M., MD ; Weissman, Barbara N., MD ; Expert Panel on Musculoskeletal Imaging</creatorcontrib><description>Abstract Evaluation for suspected inflammatory arthritis as a cause for chronic extremity joint pain often relies on imaging. This review first discusses the characteristic osseous and soft tissue abnormalities seen with inflammatory arthritis and how they may be imaged. It is essential that imaging results are interpreted in the context of clinical and serologic results to add specificity as there is significant overlap of imaging findings among the various types of arthritis. This review provides recommendations for imaging evaluation of specific types of inflammatory arthritis, including rheumatoid arthritis, seronegative spondyloarthropathy, gout, calcium pyrophosphate dihydrate disease (or pseudogout), and erosive osteoarthritis. 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.</description><identifier>ISSN: 1546-1440</identifier><identifier>EISSN: 1558-349X</identifier><identifier>DOI: 10.1016/j.jacr.2017.02.006</identifier><identifier>PMID: 28473097</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Appropriate Use Criteria ; Appropriateness Criteria ; Arthralgia - diagnostic imaging ; Arthralgia - etiology ; arthritis ; Arthritis - complications ; Arthritis - diagnostic imaging ; AUC ; Chronic Pain - diagnostic imaging ; Chronic Pain - etiology ; Extremities - diagnostic imaging ; extremity ; Humans ; MRI ; radiography ; Radiology ; Societies, Medical ; ultrasound ; United States</subject><ispartof>Journal of the American College of Radiology, 2017-05, Vol.14 (5), p.S81-S89</ispartof><rights>American College of Radiology</rights><rights>2017 American College of Radiology</rights><rights>Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-19f8f4ee9bbdb8a3595eaa1b5cf2b66f6d1c24b8473491abe9b4da30492caf593</citedby><cites>FETCH-LOGICAL-c455t-19f8f4ee9bbdb8a3595eaa1b5cf2b66f6d1c24b8473491abe9b4da30492caf593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1546144017301837$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28473097$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jacobson, Jon A., MD</creatorcontrib><creatorcontrib>Roberts, Catherine C., MD</creatorcontrib><creatorcontrib>Bencardino, Jenny T., MD</creatorcontrib><creatorcontrib>Appel, Marc, MD</creatorcontrib><creatorcontrib>Arnold, Erin, MD</creatorcontrib><creatorcontrib>Baccei, Steven J., MD</creatorcontrib><creatorcontrib>Cassidy, R. Carter, MD</creatorcontrib><creatorcontrib>Chang, Eric Y., MD</creatorcontrib><creatorcontrib>Fox, Michael G., MD</creatorcontrib><creatorcontrib>Greenspan, Bennett S., MD, MS</creatorcontrib><creatorcontrib>Gyftopoulos, Soterios, MD</creatorcontrib><creatorcontrib>Hochman, Mary G., MD, MBA</creatorcontrib><creatorcontrib>Mintz, Douglas N., MD</creatorcontrib><creatorcontrib>Newman, Joel S., MD</creatorcontrib><creatorcontrib>Rosenberg, Zehava S., MD</creatorcontrib><creatorcontrib>Shah, Nehal A., MD</creatorcontrib><creatorcontrib>Small, Kirstin M., MD</creatorcontrib><creatorcontrib>Weissman, Barbara N., MD</creatorcontrib><creatorcontrib>Expert Panel on Musculoskeletal Imaging</creatorcontrib><title>ACR Appropriateness Criteria® Chronic Extremity Joint Pain—Suspected Inflammatory Arthritis</title><title>Journal of the American College of Radiology</title><addtitle>J Am Coll Radiol</addtitle><description>Abstract Evaluation for suspected inflammatory arthritis as a cause for chronic extremity joint pain often relies on imaging. This review first discusses the characteristic osseous and soft tissue abnormalities seen with inflammatory arthritis and how they may be imaged. It is essential that imaging results are interpreted in the context of clinical and serologic results to add specificity as there is significant overlap of imaging findings among the various types of arthritis. This review provides recommendations for imaging evaluation of specific types of inflammatory arthritis, including rheumatoid arthritis, seronegative spondyloarthropathy, gout, calcium pyrophosphate dihydrate disease (or pseudogout), and erosive osteoarthritis. 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.</description><subject>Appropriate Use Criteria</subject><subject>Appropriateness Criteria</subject><subject>Arthralgia - diagnostic imaging</subject><subject>Arthralgia - etiology</subject><subject>arthritis</subject><subject>Arthritis - complications</subject><subject>Arthritis - diagnostic imaging</subject><subject>AUC</subject><subject>Chronic Pain - diagnostic imaging</subject><subject>Chronic Pain - etiology</subject><subject>Extremities - diagnostic imaging</subject><subject>extremity</subject><subject>Humans</subject><subject>MRI</subject><subject>radiography</subject><subject>Radiology</subject><subject>Societies, Medical</subject><subject>ultrasound</subject><subject>United States</subject><issn>1546-1440</issn><issn>1558-349X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS1UxAwDL8CiyrKbpLbj_FhClUbRFFpVKmJAYoXlODeqQ_6wHdTseIg-Bw_RR-FJcDRtF12wsi2dc3zPdxF6R3BEMElPm6iRykQUkyzCNMI4fYHWJEnyMGb829FyZ2lIGMMr9NraBmOaZXn-Cq1ozrIY82yNvm-Lz8F2HM0wGi0d9GBtUBjtwD_v_wTFjRl6rYLdrTPQaTcHl4PuXfBJ6v7v77v9ZEdQDqrgoq9b2XXSDWYOtsbd-Axt36CXtWwtvH04N-jr-e5L8TG8uv5wUWyvQsWSxIWE13nNAHhZVmUu44QnICUpE1XTMk3rtCKKsnKZmnEiSy9klYwx41TJOuHxBp0ccn2RnxNYJzptFbSt7GGYrCA5TzHDjKVeSg9SZQZrDdTCN--kmQXBYuEqGrFwFQtXganwXL3p-CF_KjuoniyPIL3g_UEAvuUvDUZYpaFXUGnjAYlq0P_PP3tmV6323GX7A2awzTCZ3vMTRFhvEPtls8tiif-d5HEW_wOVl6Gq</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Jacobson, Jon A., MD</creator><creator>Roberts, Catherine C., MD</creator><creator>Bencardino, Jenny T., MD</creator><creator>Appel, Marc, MD</creator><creator>Arnold, Erin, MD</creator><creator>Baccei, Steven J., MD</creator><creator>Cassidy, R. Carter, MD</creator><creator>Chang, Eric Y., MD</creator><creator>Fox, Michael G., MD</creator><creator>Greenspan, Bennett S., MD, MS</creator><creator>Gyftopoulos, Soterios, MD</creator><creator>Hochman, Mary G., MD, MBA</creator><creator>Mintz, Douglas N., MD</creator><creator>Newman, Joel S., MD</creator><creator>Rosenberg, Zehava S., MD</creator><creator>Shah, Nehal A., MD</creator><creator>Small, Kirstin M., MD</creator><creator>Weissman, Barbara N., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>ACR Appropriateness Criteria® Chronic Extremity Joint Pain—Suspected Inflammatory Arthritis</title><author>Jacobson, Jon A., MD ; Roberts, Catherine C., MD ; Bencardino, Jenny T., MD ; Appel, Marc, MD ; Arnold, Erin, MD ; Baccei, Steven J., MD ; Cassidy, R. 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Carter, MD</au><au>Chang, Eric Y., MD</au><au>Fox, Michael G., MD</au><au>Greenspan, Bennett S., MD, MS</au><au>Gyftopoulos, Soterios, MD</au><au>Hochman, Mary G., MD, MBA</au><au>Mintz, Douglas N., MD</au><au>Newman, Joel S., MD</au><au>Rosenberg, Zehava S., MD</au><au>Shah, Nehal A., MD</au><au>Small, Kirstin M., MD</au><au>Weissman, Barbara N., MD</au><aucorp>Expert Panel on Musculoskeletal Imaging</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ACR Appropriateness Criteria® Chronic Extremity Joint Pain—Suspected Inflammatory Arthritis</atitle><jtitle>Journal of the American College of Radiology</jtitle><addtitle>J Am Coll Radiol</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>14</volume><issue>5</issue><spage>S81</spage><epage>S89</epage><pages>S81-S89</pages><issn>1546-1440</issn><eissn>1558-349X</eissn><abstract>Abstract Evaluation for suspected inflammatory arthritis as a cause for chronic extremity joint pain often relies on imaging. This review first discusses the characteristic osseous and soft tissue abnormalities seen with inflammatory arthritis and how they may be imaged. It is essential that imaging results are interpreted in the context of clinical and serologic results to add specificity as there is significant overlap of imaging findings among the various types of arthritis. This review provides recommendations for imaging evaluation of specific types of inflammatory arthritis, including rheumatoid arthritis, seronegative spondyloarthropathy, gout, calcium pyrophosphate dihydrate disease (or pseudogout), and erosive osteoarthritis. 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28473097</pmid><doi>10.1016/j.jacr.2017.02.006</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American College of Radiology, 2017-05, Vol.14 (5), p.S81-S89 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Appropriate Use Criteria Appropriateness Criteria Arthralgia - diagnostic imaging Arthralgia - etiology arthritis Arthritis - complications Arthritis - diagnostic imaging AUC Chronic Pain - diagnostic imaging Chronic Pain - etiology Extremities - diagnostic imaging extremity Humans MRI radiography Radiology Societies, Medical ultrasound United States |
| title | ACR Appropriateness Criteria® Chronic Extremity Joint Pain—Suspected Inflammatory Arthritis |
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