Canadian Association of Radiologists, Ottawa, ON, Canada.
Dalhousie University, Halifax, NS, Canada.
Can Assoc Radiol J. 2024 May;75(2):261-268. doi: 10.1177/08465371231185292. Epub 2023 Sep 7.
The Canadian Association of Radiologists (CAR) Obstetrics and Gynecology Expert Panel consists of radiologists specializing in obstetrics and gynecology, obstetrics and gynecology physicians, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 12 clinical/diagnostic scenarios, a systematic rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 46 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) for guidelines framework were used to develop 68 recommendation statements across the 12 scenarios related to the evaluation of obstetrics and gynecology clinical and diagnostic scenarios. This guideline presents the methods of development and the imaging recommendations for a variety of obstetrical and gynecological conditions including pregnancy assessment, recurrent first trimester pregnancy loss, post-partum indications, disorders of menstruation, localization of intra-uterine contraceptive device, infertility assessment, assessment of adnexal mass, pelvic pain of presumed gynecological origin, and pelvic floor evaluation.
加拿大放射学会（CAR）妇产科专家小组由专门从事妇产科、妇产科医生、患者顾问和一名流行病学家/指南方法学家的放射科医生组成。在制定了 12 个临床/诊断方案列表后，进行了系统的快速范围审查，以确定系统生成的转诊指南，为这些临床/诊断方案中的一个或多个方案提供建议。46 条指南中的建议和《评估、制定和评估指南的分级》（GRADE）框架中的背景化标准被用于制定与评估妇产科临床和诊断方案相关的 12 个场景中的 68 个建议陈述。本指南介绍了各种妇产科疾病的制定方法和影像学建议，包括妊娠评估、反复早期妊娠丢失、产后指征、月经失调、宫内节育器定位、不孕评估、附件包块评估、假定妇科来源的盆腔痛和盆底评估。
