Imaging for Chest Pain - New Recommendations
The clinical scenarios are broken down into leading critical diagnoses: acute coronary syndrome, pulmonary embolism and acute aortic syndrome. A fourth category, triple rule out computerised tomography (CT), is included for the minority of patients for whom a leading diagnosis is not possible. Each recommendation assesses when imaging is useful in a given scenario, and if so, what information is provided by the specified imaging procedure.
According to the authors, “Imaging appropriateness explicitly considers two questions: [one] is any imaging justified for 20 clinical scenarios that categorise patients after history, physical examination and ancillary testing? And [two] if justified, what meaningful incremental information will an imaging procedure provide?”
Using the well-established modified Rand methodology, an expert panel rated each of the diagnostic procedures for the 20 clinical scenarios on a scale from 1 to 9. Each procedure has a corresponding rating of "rarely appropriate," "may be appropriate" or "appropriate."
See Also: Cardiac MRI For Patients with Acute Chest Pain
"This document captures a wide scope of those patients who come to the emergency department with chest pain, although there will always be patients who present unique situations and no document can be a substitute for clinical judgment," says Frank J. Rybicki, MD, PhD, professor and chair of the department of radiology at the University of Ottawa, head of medical imaging at The Ottawa Hospital and co-chair of the writing committee.
The authors explain that the concept of appropriateness assesses the risks and benefits of a treatment, test or procedure and that these criteria provide imaging guidance to inform the clinician's judgment.
The new guideline is published in the Journal of the American College of Cardiology and the Journal of the American College of Radiology. The document was developed in collaboration with several other speciality societies including the Society of Cardiovascular Patient Care.
Source: American College of Cardiology
Image credit: Flickr.com
Published on : Mon, 25 Jan 2016
About the Affirm® breast biopsy guidance system Our passion to offer innovative interventional tools that advance breast health fueled the development of the Affirm breast biopsy guidance system. This simple add-on to any Hologic 3D Mammography™-capable...
UltraDrape is an innovative dressing designed for use during Ultrasound-Guided Peripheral Intravenous (UGPIV) that provides dual-action barrier and securement in one.
Better detection. Clinically superior. Low dose.** What if we could find breast cancers earlier? See lesions more clearly? Reduce the number of unnecessary biopsies? Questions like these inspired Hologic researchers and scientists to develop Hologic...
Remarkable image quality, right at the point of care. The Trident system revolutionizes breast tissue imaging by incorporating a micro-focused tube, unique specimen image processing algorithms and amorphous selenium direct digital detector. The...
We recognize that the best chance any patient has at getting better is a clinician at their bedside with all the right answers and the confidence to act. SonoSite education and training is the industry standard – no other point-of-care ultrasound manufacturer...