title: ACR Appropriateness Criteria® posttreatment follow-up of prostate cancer.
abstract: Although prostate cancer can be effectively treated, recurrent or residual disease after therapy is not uncommon and is usually detected by a rise in prostate-specific antigen. Patients with biochemical prostate-specific antigen relapse should undergo a prompt search for the presence of local recurrence or distant metastatic disease, each requiring different forms of therapy. Various imaging modalities and image-guided procedures may be used in the evaluation of these patients. Literature on the indications and usefulness of these radiologic studies and procedures in specific clinical settings is reviewed. 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 in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
authors.affiliation: Northwestern University, Chicago, Illinois, USA. david.casalino@nmff.org
authors.forename: David D
authors.initials: DD
authors.lastname: Casalino
authors.forename: Erick M
authors.initials: EM
authors.lastname: Remer
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Arellano
authors.forename: Jay T
authors.initials: JT
authors.lastname: Bishoff
authors.forename: Courtney A
authors.initials: CA
authors.lastname: Coursey
authors.forename: Manjiri
authors.initials: M
authors.lastname: Dighe
authors.forename: Douglas F
authors.initials: DF
authors.lastname: Eggli
authors.forename: Pat
authors.initials: P
authors.lastname: Fulgham
authors.forename: Gary M
authors.initials: GM
authors.lastname: Israel
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lazarus
authors.forename: John R
authors.initials: JR
authors.lastname: Leyendecker
authors.forename: Paul
authors.initials: P
authors.lastname: Nikolaidis
authors.forename: Nicholas
authors.initials: N
authors.lastname: Papanicolaou
authors.forename: Srinivasa
authors.initials: S
authors.lastname: Prasad
authors.forename: Parvati
authors.initials: P
authors.lastname: Ramchandani
authors.forename: Sheila
authors.initials: S
authors.lastname: Sheth
authors.forename: Raghunandan
authors.initials: R
authors.lastname: Vikram
mesh_terms: D003952:Diagnostic Imaging / Q000592:standards*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000592:standards*; D017410:Practice Guidelines as Topic; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D011871:Radiology / Q000592:standards*; D014481:United States