TY - JOUR
T1 - ACR Appropriateness Criteria® Chronic Extremity Joint Pain—Suspected Inflammatory Arthritis
AU - Expert Panel on Musculoskeletal Imaging
AU - Jacobson, Jon A.
AU - Roberts, Catherine C.
AU - Bencardino, Jenny T.
AU - Appel, Marc
AU - Arnold, Erin
AU - Baccei, Steven J.
AU - Cassidy, R. Carter
AU - Chang, Eric Y.
AU - Fox, Michael G.
AU - Greenspan, Bennett S.
AU - Gyftopoulos, Soterios
AU - Greenspan, Bennett Steven
AU - Mintz, Douglas N.
AU - Newman, Joel S.
AU - Rosenberg, Zehava S.
AU - Shah, Nehal A.
AU - Small, Kirstin M.
AU - Weissman, Barbara N.
N1 - Publisher Copyright:
© 2017 American College of Radiology
PY - 2017/5/1
Y1 - 2017/5/1
N2 - 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.
AB - 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.
KW - AUC
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - MRI
KW - arthritis
KW - extremity
KW - radiography
KW - ultrasound
UR - http://www.scopus.com/inward/record.url?scp=85018439971&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018439971&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2017.02.006
DO - 10.1016/j.jacr.2017.02.006
M3 - Article
C2 - 28473097
AN - SCOPUS:85018439971
SN - 1546-1440
VL - 14
SP - S81-S89
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 5
ER -