Canadian Association of Radiologists, Ottawa, ON, Canada.
North York General Hospital, Toronto, ON, Canada.
Can Assoc Radiol J. 2024 Nov;75(4):721-734. doi: 10.1177/08465371241246425. Epub 2024 May 11.
The Canadian Association of Radiologists (CAR) Cardiovascular Expert Panel is made up of physicians from the disciplines of radiology, cardiology, and emergency medicine, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 30 clinical/diagnostic scenarios, a 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 48 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 125 recommendation statements across the 30 scenarios (27 unique scenarios as 2 scenarios point to the CAR Thoracic Diagnostic Imaging Referral Guideline and the acute pericarditis subscenario is included under 2 main scenarios). This guideline presents the methods of development and the referral recommendations for acute chest pain syndromes, chronic chest pain, cardiovascular screening and risk stratification, pericardial syndromes, intracardiac/pericardial mass, suspected valvular disease cardiomyopathy, aorta, venous thrombosis, and peripheral vascular disease.
加拿大放射学家协会（CAR）心血管专家小组由放射科、心脏病学和急诊医学领域的医生、一名患者顾问以及一名流行病学家/指南方法学家组成。在制定了 30 个临床/诊断方案列表后，进行了快速范围审查，以系统地确定提供这些临床/诊断方案之一或多个方案建议的转诊指南。使用 48 条指南中的建议和指南框架中的 Grading of Recommendations，Assessment，Development，and Evaluations（GRADE）中的情境化标准，在 30 个方案（27 个独特方案，因为 2 个方案指向 CAR 胸部诊断成像转诊指南，而急性心包炎子方案包含在 2 个主要方案下）中制定了 125 条建议陈述。本指南介绍了急性胸痛综合征、慢性胸痛、心血管筛查和风险分层、心包综合征、心内/心包肿块、疑似瓣膜病心肌病、主动脉、静脉血栓形成和外周血管疾病的制定方法和转诊建议。
