ACR Appropriateness Criteria® Crohn Disease-Child.
Document Type
Article
Publication Date
5-2022
Identifier
DOI: 10.1016/j.jacr.2022.02.020
Abstract
Crohn disease is an inflammatory condition of the gastrointestinal tract with episodes of exacerbation and remission occurring in children, adolescents, and adults. Crohn disease diagnosis and treatment depend upon a combination of clinical, laboratory, endoscopic, histological, and imaging findings. Appropriate use of imaging provides critical information in the settings of diagnosis, assessment of acute symptoms, disease surveillance, and therapy monitoring. Four variants are discussed. The first variant discusses the initial imaging for suspected Crohn disease before established diagnosis. The second variant pertains to appropriateness of imaging modalities during suspected acute exacerbation. The third variant is a substantial discussion of recommendations related to disease surveillance and monitoring of Crohn disease. Finally, panel recommendations and discussion of perianal fistulizing disease imaging completes the document. 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.
Journal Title
J Am Coll Radiol
Volume
19
Issue
5S
First Page
19
Last Page
36
MeSH Keywords
Adolescent; Crohn Disease; Diagnosis, Differential; Diagnostic Imaging; Evidence-Based Medicine; Humans; Societies, Medical; United States
Keywords
AUC; Appropriate Use Criteria; Appropriateness Criteria; CT; Child (or Children); Crohn disease; Enterography; MRI; Pediatric
Recommended Citation
Expert Panel on Pediatric Imaging, Moore MM, Gee MS, et al. ACR Appropriateness Criteria® Crohn Disease-Child. J Am Coll Radiol. 2022;19(5S):S19-S36. doi:10.1016/j.jacr.2022.02.020
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