By Susanna I. Lee, James H. Thrall (auth.)
Owing to monetary constraints, better strain is being wear physicians to reserve basically applicable radiologic checks. the yank university of Radiology (ACR) Appropriateness standards have emerged as a largely approved commonplace wherein the right use of radiologic tests is judged. This e-book allows physicians and trainees to benefit the ACR options in a clinically appropriate and intellectually stimulating manner. greater than four hundred scientific situations are geared up into ten modules in accordance with organ structures. each one situation is addressed via an interactive quiz within which the reader is invited to choose the most suitable choice from quite a few imaging modalities. each one selection is given a numerical score of appropriateness, with accompanying reviews whilst beneficial. Correlative photos of pathologies are integrated to reinforce the reader’s appreciation of the diagnostic strength of the modality in query. This ebook is perfect as a device either for self-study and for quantitative review of scholars’ knowledge.
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Additional info for Choosing the Correct Radiologic Test: Case-Based Teaching Files
Fig. 2 Aortic dissection. 3 Acute Chest Pain: Suspected Pulmonary Embolism A 57-year-old man with acute chest pain. Pulmonary embolism is suspected. a. b. c. d. e. US lower extremity with Doppler CTA chest (noncoronary) Tc-99m ventilation perfusion scan lung Angiogram pulmonary arteries with right heart catheterization No ideal imaging exam 33 34 3 Cardiac Imaging Suspected pulmonary embolism. a. US lower extremity with Doppler is usually appropriate, but there is a better choice here. Use if chest X-ray is negative and index of suspicion is high (7).
E. X-ray chest US echocardiography transthoracic CT chest MRI chest No ideal imaging exam 42 3 Cardiac Imaging Previous congestive heart failure, currently stable. a. X-ray chest may sometimes be appropriate (4). b. US echocardiography transthoracic is not rated in appropriateness. c. CT chest is usually not appropriate. Congestive heart failure is readily diagnosed on CT obtained for other indications (2). d. MRI chest is usually not appropriate (2). e. No ideal imaging exam is the correct answer.
B. c. d. X-ray abdomen may sometimes be appropriate (5). US abdomen is the most appropriate (9). CT abdomen may sometimes be appropriate (5). Cholescintigraphy may sometimes be appropriate (4). Fig. 4 Acute cholecystitis. Abdomen ultrasound shows stone lodged at the neck of the gallbladder (arrow).