TY - JOUR
T1 - ACR Appropriateness Criteria Imaging After Shoulder Arthroplasty
AU - Gyftopoulos, Soterios
AU - Rosenberg, Zehava S.
AU - Roberts, Catherine C.
AU - Bencardino, Jenny T.
AU - Appel, Marc
AU - Baccei, Steven J.
AU - Cassidy, R. Carter
AU - Chang, Eric Y.
AU - Fox, Michael G.
AU - Greenspan, Bennett Steven
AU - Hochman, Mary G.
AU - Jacobson, Jon A.
AU - Mintz, Douglas N.
AU - Newman, Joel S.
AU - Shah, Nehal A.
AU - Small, Kirstin M.
AU - Weissman, Barbara N.
N1 - Publisher Copyright:
© 2016 American College of Radiology
PY - 2016/11/1
Y1 - 2016/11/1
N2 - There has been a rapid increase in the number of shoulder arthroplasties, including partial or complete humeral head resurfacing, hemiarthroplasty, total shoulder arthroplasty, and reverse total shoulder arthroplasty, performed in the United States over the past two decades. Imaging can play an important role in diagnosing the complications that can occur in the setting of these shoulder arthroplasties. This review is divided into two parts. The first part provides a general discussion of various imaging modalities, comprising radiography, CT, MRI, ultrasound, and nuclear medicine, and their role in providing useful, treatment-guiding information. The second part focuses on the most appropriate imaging algorithms for shoulder arthroplasty complications such as aseptic loosening, infection, fracture, rotator cuff tendon tear, and nerve injury. The evidence-based ACR Appropriateness Criteria guidelines offered in this report were reached via an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (the RAND/UCLA Appropriateness Method and the Grading of Recommendations Assessment, Development, and Evaluation) for rating the appropriateness of imaging and treatment procedures for specific clinical scenarios. Further analysis and review of the guidelines were performed by a multidisciplinary expert panel. In those instances in which there was insufficient or equivocal data for recommending the appropriate imaging algorithm, expert opinion may have supplemented the available evidence.
AB - There has been a rapid increase in the number of shoulder arthroplasties, including partial or complete humeral head resurfacing, hemiarthroplasty, total shoulder arthroplasty, and reverse total shoulder arthroplasty, performed in the United States over the past two decades. Imaging can play an important role in diagnosing the complications that can occur in the setting of these shoulder arthroplasties. This review is divided into two parts. The first part provides a general discussion of various imaging modalities, comprising radiography, CT, MRI, ultrasound, and nuclear medicine, and their role in providing useful, treatment-guiding information. The second part focuses on the most appropriate imaging algorithms for shoulder arthroplasty complications such as aseptic loosening, infection, fracture, rotator cuff tendon tear, and nerve injury. The evidence-based ACR Appropriateness Criteria guidelines offered in this report were reached via an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (the RAND/UCLA Appropriateness Method and the Grading of Recommendations Assessment, Development, and Evaluation) for rating the appropriateness of imaging and treatment procedures for specific clinical scenarios. Further analysis and review of the guidelines were performed by a multidisciplinary expert panel. In those instances in which there was insufficient or equivocal data for recommending the appropriate imaging algorithm, expert opinion may have supplemented the available evidence.
KW - Appropriateness Criteria
KW - CT
KW - MRI
KW - aseptic loosening
KW - periprosthetic infection
KW - shoulder arthroplasty
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U2 - 10.1016/j.jacr.2016.07.028
DO - 10.1016/j.jacr.2016.07.028
M3 - Article
C2 - 27814833
AN - SCOPUS:84995691216
SN - 1546-1440
VL - 13
SP - 1324
EP - 1336
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -