ACR Appropriateness Criteria® Right Upper Quadrant Pain

Publication date: May 2019Source: Journal of the American College of Radiology, Volume 16, Issue 5, SupplementAuthor(s): Expert Panel on Gastrointestinal Imaging:, Christine M. Peterson, Michelle M. McNamara, Ihab R. Kamel, Waddah B. Al-Refaie, Hina Arif-Tiwari, Brooks D. Cash, Victoria Chernyak, Alan Goldstein, Joseph R. Grajo, Nicole M. Hindman, Jeanne M. Horowitz, Richard B. Noto, Kristin K. Porter, Pavan K. Srivastava, Atif Zaheer, Laura R. CarucciAbstractAlthough right upper quadrant pain is a very common clinical presentation, it can be nonspecific. However, acute cholecystitis is very often the diagnosis of exclusion. This review focuses on the recommended imaging evaluation in the most commonly encountered clinical scenarios presenting with right upper quadrant abdominal pain, including suspected biliary disease, suspected acute cholecystitis, and suspected acalculous cholecystitis. This document hopes to clarify the appropriate utilization of the many imaging procedures that are available and commonly employed in these clinical settings.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 Assess...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research