ACR Appropriateness Criteria® blunt chest trauma-suspected aortic injury

Shadpour Demehri, Frank J. Rybicki, Benoit Desjardins, Chieh Min Fan, Scott D. Flamm, Christopher J. Francois, Marie D. Gerhard-Herman, Sanjeeva P. Kalva, Hyun S. Kim, M. Ashraf Mansour, Emile R. Mohler, Isabel B. Oliva, Matthew P. Schenker, Clifford Weiss, Karin E. Dill

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations


The purpose of these guidelines is to recommend appropriate imaging for patients with blunt chest trauma. These patients are most often imaged in the emergency room, and thus emergency radiologists play a substantial role in prompt, accurate diagnoses that, in turn, can lead to lifesaving interventions. The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 2 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 those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. Imaging largely focuses on the detection and exclusion of traumatic aortic injury; a large proportion of patients are victims of motor vehicle accidents. For those patients who survive the injury and come to emergency radiology, rapid, appropriate assessment of patients who require surgery is paramount.

Original languageEnglish (US)
Pages (from-to)287-292
Number of pages6
JournalEmergency Radiology
Issue number4
StatePublished - Aug 2012


  • Appropriateness criteria
  • Blunt trauma
  • CT
  • MRI
  • Thoracic aorta
  • Traumatic aortic injury

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging


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