Stony Brook University, Renaissance School of Medicine, Stony Brook, New York.
Panel Chair, Duke University Medical Center, Durham, North Carolina.
J Am Coll Radiol. 2024 Nov;21(11S):S364-S371. doi: 10.1016/j.jacr.2024.08.011.
Acute scrotum is a medical emergency that requires prompt accurate diagnosis to appropriately triage potentially surgical conditions. Numerous differential diagnoses with overlapping clinical presentations make this a diagnostic challenge. Ultrasound is the established first-line imaging modality for acute scrotal disease and can be used to diagnose most scrotal disorders promptly and with high accuracy. 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.
急性阴囊是一种医学急症，需要及时准确的诊断，以便对可能需要手术的情况进行适当的分诊。许多具有重叠临床表现的鉴别诊断使得这成为一个诊断挑战。超声是急性阴囊疾病的既定一线影像学检查方法，可用于快速准确地诊断大多数阴囊疾病。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，被用于评估证据。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。
