Tafur Monica, Bencardino Jenny T, Roberts Catherine C, Appel Marc, Bell Angela M, Gyftopoulos Soterios, Metter Darlene F, Mintz Douglas N, Morrison William B, Small Kirstin M S, Subhas Naveen, Weissman Barbara N, Yu Joseph S, Kransdorf Mark J
University of Toronto, Toronto, Ontario, Canada.
New York University School of Medicine, New York, New York.
J Am Coll Radiol. 2020 Nov;17(11S):S391-S402. doi: 10.1016/j.jacr.2020.09.015.
Chronic foot pain is a frequent clinical complaint, which can significantly impact the quality of live in some individuals. These guidelines define best practices with regards to requisition of imaging studies based on specific clinical scenarios, which have been grouped into different variants. Each variant is accompanied by a brief description of the usefulness, advantages, and limitations of different imaging modalities. The present narrative is the result of an exhaustive assessment of the available literature and a thorough review process by a panel of experts on Musculoskeletal 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 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.
慢性足部疼痛是一种常见的临床症状，在某些个体中会显著影响生活质量。本指南针对基于特定临床情况的影像学检查申请定义了最佳实践，这些临床情况已被分为不同类型。每种类型都附带了不同成像方式的有用性、优点和局限性的简要描述。本叙述是对现有文献进行详尽评估以及由肌肉骨骼影像学专家小组进行全面审查的结果。美国放射学会适宜性标准是针对特定临床状况的循证指南，每年由多学科专家小组进行审查。指南的制定和修订包括对同行评审期刊上的当前医学文献进行广泛分析，以及应用成熟的方法（兰德/加州大学洛杉矶分校适宜性方法和推荐评估、制定与评价分级或GRADE）来评估特定临床情况下成像和治疗程序的适宜性。在缺乏证据或证据不明确的情况下，专家意见可能会补充现有证据以推荐成像或治疗。
