ACR Appropriateness Criteria® Noncerebral Vasculitis

Imaging, Expert Panel on Vascular; Aghayev, Ayaz; Steigner, Michael L.; Azene, Ezana M.; Burns, Judah; Chareonthaitawee, Panithaya; Desjardins, Benoı̂t; Khouli, Riham H. El; Grayson, Peter C.; Hedgire, Sandeep; Kalva, Sanjeeva P.; Ledbetter, Luke; Lee, Yoo Jin; Mauro, David M.; Peláez, Andrés; Pillai, Anil K.; Singh, Nimarta; Surányi, Pál; Verma, Nupur; Williamson, Eric E.; Dill, Karin E.

doi:10.1016/j.jacr.2021.08.005

Cited by 9 publications

(9 citation statements)

References 84 publications

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“…A total of 56 guidelines were identified as “original” [ 9 – 11 , 13 , 15 – 19 , 21 – 30 , 32 , 34 – 39 , 41 – 48 , 50 – 53 , 55 , 56 , 59 – 64 , 67 – 70 , 73 , 75 – 77 , 79 , 80 ], 14 as “updates” [ 8 , 14 , 20 , 31 , 33 , 40 , 49 , 57 , 58 , 65 , 66 , 71 , 74 , 78 ], and the remaining four where summaries [ 18 , 54 , 72 ] or reprint [ 12 ]. We included 28 guidelines for PET(/CT-MRI) [ 10 , 14 , 15 , 18 , 22 , 23 , 25 , 26 , 30 – 32 , 34 , 41 , 47 – 49 , 51 , 52 , 55 , 57 , 61 – 63 , 66 , 67 , 69 , 71 , 78 ], 28 guidelines for both PET(/CT) and SP...…”

Section: Resultsmentioning

confidence: 99%

“…We included 28 guidelines for PET(/CT-MRI) [ 10 , 14 , 15 , 18 , 22 , 23 , 25 , 26 , 30 – 32 , 34 , 41 , 47 – 49 , 51 , 52 , 55 , 57 , 61 – 63 , 66 , 67 , 69 , 71 , 78 ], 28 guidelines for both PET(/CT) and SPECT(/CT) [ 8 , 11 – 13 , 19 , 20 , 24 , 27 – 29 , 33 , 35 , 37 , 39 , 43 , 45 , 50 , 53 , 54 , 56 , 58 – 60 , 64 , 73 , 75 – 77 ], and 17 guidelines for SPECT(/CT) [ 9 , 16 , 17 , 21 , 36 , 38 , 40 , 42 , 44 , 46 , 65 , 68 , 70 , 72 , 74 , 79 , 80 ]. Amyloidosis was the most represented condition ( n = 18) [ 9 , 11 –…”

Section: Resultsmentioning

confidence: 99%

“…Amyloidosis was the most represented condition ( n = 18) [ 9 , 11 – 13 , 16 – 18 , 21 , 36 , 38 , 40 , 42 , 44 , 46 , 68 , 72 , 79 , 80 ], followed by CAD ( n = 13) [ 8 , 20 , 25 , 34 , 48 , 53 – 55 , 60 , 61 , 70 , 74 , 78 ], sarcoidosis ( n = 11) [ 14 , 22 , 26 , 30 , 41 , 57 , 58 , 62 , 66 , 71 , 75 ], heart failure ( n = 7) [ 27 , 28 , 35 , 37 , 45 , 50 , 56 ], CIED ( n = 7) [ 10 , 18 , 33 , 39 , 49 , 63 , 64 ], LVV ( n = 5) [ 10 , 15 , 31 , 32 , 69 ], extra-cardiac atherosclerosis ( n = 3) [ 47 , 52 , 61 ], radiation dose and safety ( n = 2) [ 76 , 77 ], non-obstructive CAD ( n = 2) [ 23 , ...…”

Section: Resultsmentioning

confidence: 99%

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A systematic review for the evidence of recommendations and guidelines in hybrid nuclear cardiovascular imaging

Besson,

Treglia,

Bucerius

et al. 2024

Eur J Nucl Med Mol Imaging

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Objectives This study aimed to evaluate the level of evidence of expert recommendations and guidelines for clinical indications and procedurals in hybrid nuclear cardiovascular imaging. Methods From inception to August 2023, a PubMed literature analysis of the latest version of guidelines for clinical hybrid cardiovascular imaging techniques including SPECT(/CT), PET(/CT), and PET(/MRI) was performed in two categories: (1) for clinical indications for all-in primary diagnosis; subgroup in prognosis and therapy evaluation; and for (2) imaging procedurals. We surveyed to what degree these followed a standard methodology to collect the data and provide levels of evidence, and for which topic systematic review evidence was executed. Results A total of 76 guidelines, published between 2013 and 2023, were included. The evidence of guidelines was based on systematic reviews in 7.9% of cases, non-systematic reviews in 47.4% of cases, a mix of systematic and non-systematic reviews in 19.7%, and 25% of guidelines did not report any evidence. Search strategy was reported in 36.8% of cases. Strengths of recommendation were clearly reported in 25% of guidelines. The notion of external review was explicitly reported in 23.7% of cases. Finally, the support of a methodologist was reported in 11.8% of the included guidelines. Conclusion The use of evidence procedures for developing for evidence-based cardiovascular hybrid imaging recommendations and guidelines is currently suboptimal, highlighting the need for more standardized methodological procedures.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review for the evidence of recommendations and guidelines in hybrid nuclear cardiovascular imaging

Besson,

Treglia,

Bucerius

et al. 2024

Eur J Nucl Med Mol Imaging

View full text Add to dashboard Cite

show abstract

“…Small vessel changes are not usually seen. Other imaging modalities including positron emission tomography (PET) imaging, MRI, and ultrasonography may have additive roles if further workup for large vessel vasculitis is needed but there is no strong evidence of their use in medium vessel vasculitis [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

A Presumed Sickle Cell Anemia Crisis Revealed To Be Medium Vessel Vasculitis

Badeeb¹

2023

Cureus

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A 24-year-old male sickle cell anemia patient presented with acute abdominal pain. Computed tomography (CT) demonstrated signs of bowel ischemia about the terminal ilium. He underwent bowel resection and anastomosis. Pathology of the resected bowel showed acute inflammation at the site of bowel perforation. This was thought to be secondary to bowel infarction from sickle cell vasculopathy. Despite the surgical intervention, the patient’s symptoms continued to worsen. He also developed bilateral toe pain during the same hospital stay. Reviewing the patient’s CT lower extremity runoff revealed no vascular thrombosis but rather medium vessel changes. The intra-abdominal arterial branches and the lower extremity vessels showed intermittent areas of vascular narrowing, wall thickening, and associated micro-aneurysms mainly of the distal hepatic arterial branches. These vascular changes posed a diagnostic dilemma as it is inconsistent with sickle cell anemia, which is known to cause vascular angiopathy as the underlying etiology of vaso-occlusive crisis. The literature lacked reports of any specific intra-abdominal vascular findings by imaging in sickle cell anemia. With the continued worsening of the patient’s condition, vasculitis was considered as an alternative diagnosis. The patient was empirically treated with steroids after which his symptoms improved. Unfortunately, he passed away after developing a large intracranial hematoma days after the initiation of steroid therapy. This report highlights the diagnostic dilemma of vaso-occlusive crisis versus vasculitis in sickle cell anemia patients.

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“… 5 In addition, our patient presented with multiple vascular ectasias involving coronary arteries, intracranial vessels, and abdominal aorta suggesting a form of vasculitis. 6 For this reason, we referred him for a rheumatologic consult.…”

Section: Discussionmentioning

confidence: 99%