ACR appropriateness criteria pelvic floor dysfunction

Harpreet K. Pannu, Marcia C. Javitt, Phyllis Glanc, Priyadarshani R. Bhosale, Mukesh G. Harisinghani, Nadia J. Khati, Donald G. Mitchell, David A. Nyberg, Pari V. Pandharipande, Thomas D. Shipp, Cary Lynn Siegel, Lynn Simpson, Darci J. Wall, Jade J. Wong-You-Cheong

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Pelvic floor dysfunction is a common and potentially complex condition. Imaging can complement physical examination by revealing clinically occult abnormalities and clarifying the nature of the pelvic floor defects present. Imaging can add value in preoperative management for patients with a complex clinical presentation, and in postoperative management of patients suspected to have recurrent pelvic floor dysfunction or a surgical complication. Imaging findings are only clinically relevant if the patient is symptomatic. Several imaging modalities have a potential role in evaluating patients; the choice of modality depends on the patient's symptoms, the clinical information desired, and the usefulness of the test. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions; they are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals, and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)134-142
Number of pages9
JournalJournal of the American College of Radiology
Volume12
Issue number2
DOIs
StatePublished - Feb 1 2015

Keywords

  • Appropriateness criteria
  • fluoroscopy
  • MRI
  • pelvic floor dysfunction
  • ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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