ACR Appropriateness Criteria® Joint Pain: Idiopathic Arthritis-Child.
Document Type
Article
Publication Date
7-2026
Identifier
DOI: 10.1016/j.jacr.2026.02.011
Abstract
This document details imaging approaches for children with suspected juvenile idiopathic arthritis in the axial and appendicular skeleton. It provides recommendations for the initial radiologic evaluation as well as for follow-up imaging. 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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
Journal Title
J Am Coll Radiol
Volume
23
Issue
7
First Page
1405
Last Page
1422
MeSH Keywords
Humans; Arthritis, Juvenile; Evidence-Based Medicine; United States; Child; Societies, Medical; Arthralgia; Diagnosis, Differential
PubMed ID
41817472
Keywords
AUC; Appropriate Use Criteria; Appropriateness Criteria; children; joint pain; juvenile idiopathic arthritis; sacroiliitis; spondyloarthritis; synovitis
Recommended Citation
Expert Panel on Pediatric Imaging, Chauvin NA, Ngo AH, et al. ACR Appropriateness Criteria® Joint Pain: Idiopathic Arthritis-Child. J Am Coll Radiol. 2026;23(7):1405-1422. doi:10.1016/j.jacr.2026.02.011
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