Title

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

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