VA San Diego Healthcare System, San Diego, California.
Panel Chair, University of California Los Angeles, Los Angeles, California.
J Am Coll Radiol. 2024 Nov;21(11S):S355-S363. doi: 10.1016/j.jacr.2024.08.012.
Acute elbow pain can be the result of traumatic and atraumatic processes. Pathologic processes include osseous, ligamentous, and tendinous etiologies. 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.
急性肘部疼痛可由创伤性和非创伤性过程引起。病理性过程包括骨骼、韧带和肌腱病因。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。指南的制定和修订过程支持对同行评议期刊上的医学文献进行系统分析。既定的方法学原则，如推荐评估、制定和评估分级或 GRADE，适用于评估证据。RAND/UCLA 适宜性方法用户手册提供了用于确定特定临床情况下影像学和治疗程序适宜性的方法。在缺乏或存在争议的同行评议文献的情况下，专家可能是制定建议的主要证据来源。
