ACR Appropriateness Criteria® Sudden Onset of Cold, Painful Leg: 2023 Update

Expert Panel on Vascular Imaging:

Research output: Contribution to journalArticlepeer-review

Abstract

Acute onset of a cold, painful leg, also known as acute limb ischemia, describes the sudden loss of perfusion to the lower extremity and carries significant risk of morbidity and mortality. Acute limb ischemia requires rapid identification and the management of suspected vascular compromise and is inherently driven by clinical considerations. The objectives of initial imaging include confirmation of diagnosis, identifying the location and extent of vascular occlusion, and preprocedural/presurgical planning. 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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

Original languageEnglish (US)
Pages (from-to)S565-S573
JournalJournal of the American College of Radiology
Volume20
Issue number11
DOIs
StatePublished - Nov 2023

Keywords

  • AUC
  • Acute limb ischemia
  • Appropriateness Criteria
  • CTA
  • MRA
  • angiography
  • appropriate use criteria
  • critical limb ischemia
  • peripheral artery disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint

Dive into the research topics of 'ACR Appropriateness Criteria® Sudden Onset of Cold, Painful Leg: 2023 Update'. Together they form a unique fingerprint.

Cite this