ACR Appropriateness Criteria® Suspected Liver Metastases

Expert Panel on Gastrointestinal Imaging:

Research output: Contribution to journalArticle

Abstract

Liver metastases are the most common malignant liver tumors. The accurate and early detection and characterization of liver lesions is the key to successful treatment strategies. Increasingly, surgical resection in combination with chemotherapy is effective in significantly improving survival if all metastases are successfully resected. MRI and multiphase CT are the primary imaging modalities in the assessment of liver metastasis, with the relative preference toward multiphase CT or MRI depending upon the clinical setting (ie, surveillance or presurgical planning). The optimization of imaging parameters is a vital factor in the success of either modality. PET/CT, intraoperative ultrasound are used to supplement CT and MRI. 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 include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)S314-S325
JournalJournal of the American College of Radiology
Volume14
Issue number5
DOIs
StatePublished - May 1 2017

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Liver
Neoplasm Metastasis
Guidelines
Expert Testimony
Combination Drug Therapy
Radiology
Therapeutics
Neoplasms

Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • liver metastasis imaging
  • liver metastasis surveillance
  • liver presurgical staging
  • MRI
  • multidetector CT
  • PET/CT

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Suspected Liver Metastases. / Expert Panel on Gastrointestinal Imaging:.

In: Journal of the American College of Radiology, Vol. 14, No. 5, 01.05.2017, p. S314-S325.

Research output: Contribution to journalArticle

Expert Panel on Gastrointestinal Imaging:. / ACR Appropriateness Criteria® Suspected Liver Metastases. In: Journal of the American College of Radiology. 2017 ; Vol. 14, No. 5. pp. S314-S325.
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