ACR Appropriateness Criteria® Pelvic Floor Dysfunction in Females

Gaurav Khatri, Division Chief, Body MRI; Associate Division Chief, Abdominal Imaging; Program Director, Body MRI Fellowship, UT Southwestern Medical Center, Dallas, Texas. Electronic address: Gaurav.khatri@utsouthwestern.edu.
Priyadarshani R. Bhosale, Director of Research, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Jessica B. Robbins, Panel Vice-Chair, University of Wisconsin, Madison, Wisconsin.
Esma A. Akin, George Washington University Hospital, Washington, District of Columbia.
Susan M. Ascher, Georgetown University Hospital, Washington, District of Columbia.
Olga R. Brook, Section Chief of Abdominal Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Mark Dassel, Director Endometriosis and Chronic Pelvic Pain, Cleveland Clinic, Cleveland, Ohio; American College of Obstetricians and Gynecologists.
Phyllis Glanc, University of Toronto and Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Tara L. Henrichsen, Mayo Clinic, Rochester, Minnesota.
Lee A. Learman, Dean, Virginia Tech Carilion School of Medicine, Roanoke, Virginia; American College of Obstetricians and Gynecologists.
Elizabeth A. Sadowski, University of Wisconsin, Madison, Wisconsin; and ACR O-RADS MRI Education Subcommittee Chair.
Carl J. Saphier, Women's Ultrasound, LLC, Englewood, New Jersey; American College of Obstetricians and Gynecologists.
Ashish P. Wasnik, Division Chief, Abdominal Radiology, University of Michigan, Ann Arbor, Michigan.
Katherine E. Maturen, Specialty Chair, University of Michigan, Ann Arbor, Michigan.
Katherine E. Maturen, Specialty Chair, University of Michigan, Ann Arbor, Michigan.

Document Type

Journal Article

Publication Date

5-1-2022

Journal

Journal of the American College of Radiology : JACR

Volume

19

Issue

5S

DOI

10.1016/j.jacr.2022.02.018

Keywords

AUC; Appropriate Use Criteria; Appropriateness Criteria; Scrotal imaging; Scrotal mass; Testicular imaging

Abstract

Palpable scrotal abnormalities are caused by a variety of disorders, ranging from indolent benign conditions to aggressive tumors, and infectious and vascular processes. In these patients the diagnostic workup typically begins with a complete clinical, history, and physical examinations, including analysis of risk factors. If imaging is required, ultrasound examination is the diagnostic modality of choice. In few select patients with very large scrotal masses, MRI may be appropriate. However, the use of gadolinium-based contrast should be evaluated critically depending on specific patient factors. 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.

Department

Radiology

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