The University of Vermont Medical Center, Burlington, Vermont.
Research Author, The University of Vermont Medical Center, Burlington, Vermont.
J Am Coll Radiol. 2021 May;18(5S):S189-S198. doi: 10.1016/j.jacr.2021.02.017.
The Appropriateness Criteria for the imaging screening of second and third trimester fetuses for anomalies are presented for fetuses that are low risk, high risk, have had soft markers detected on ultrasound, and have had major anomalies detected on ultrasound. 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.
适用于低危、高危、超声检查发现软指标、超声检查发现重大异常胎儿的二、三期胎儿畸形影像学筛查的适宜性标准。美国放射学院适宜性标准是针对特定临床情况的循证指南，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议期刊上的现有医学文献进行广泛分析，并应用成熟的方法（RAND/UCLA 适宜性方法和推荐评估、制定和评估分级或 GRADE）对特定临床情况下的影像学和治疗程序的适宜性进行评分。在证据不足或存在争议的情况下，专家意见可以补充现有证据，推荐进行影像学或治疗。
