title: Acr appropriateness Criteria management of vaginal cancer.
abstract: Due to its rarity, treatment guidelines for vaginal cancer are extrapolated from institutional reports and prospective studies of cervical and anal cancer. An expert panel was convened to reach consensus on the selection of imaging and therapeutic modalities. The American College of Radiology 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) used by the panel to rate the appropriateness of imaging and treatment procedures. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. Four variants were developed to represent clinical scenarios in vaginal cancer management. Group members reached consensus on the appropriateness of the pretreatment evaluation and therapeutic interventions. This article represents the consensus opinion of an expert panel and may be used to inform clinical recommendations in vaginal cancer management.
authors.affiliation: Brigham and Women's Hospital/Dana-Farber Cancer Institute, Boston, Massachusetts, USA. llee@lroc.harvard.edu
authors.forename: Larissa J
authors.initials: LJ
authors.lastname: Lee
authors.affiliation: The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
authors.forename: Anuja
authors.initials: A
authors.lastname: Jhingran
authors.affiliation: Stanford Cancer Center, Stanford, California, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Kidd
authors.affiliation: lndiana University Medical Center, Indianapolis, Indiana, USA.
authors.forename: Higinia Rosa
authors.initials: HR
authors.lastname: Cardenes
authors.affiliation: Henry Ford Health System, Detroit, Michigan, USA.
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Elshaikh
authors.affiliation: Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
authors.forename: Beth
authors.initials: B
authors.lastname: Erickson
authors.affiliation: University of Washington, Seattle, Washington, USA.
authors.forename: Nina A
authors.initials: NA
authors.lastname: Mayr
authors.affiliation: lndiana University School of Medicine, Indianapolis, Indiana
authors.forename: David
authors.initials: D
authors.lastname: Moore
authors.affiliation: Long Beach Memorial Medical Center, Long Beach, California, USA.
authors.forename: Ajmel A
authors.initials: AA
authors.lastname: Puthawala
authors.affiliation: University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: Gautam G
authors.initials: GG
authors.lastname: Rao
authors.affiliation: Loyola University Health System, Chicago, Illinois, USA.
authors.forename: William
authors.initials: W
authors.lastname: Small
authors.affiliation: University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
authors.forename: Mahesh A
authors.initials: MA
authors.lastname: Varia
authors.affiliation: University of Nebraska Medical Center, Omaha, Nebraska, USA.
authors.forename: Andrew O
authors.initials: AO
authors.lastname: Wahl
authors.affiliation: University of Miami, Miami, Florida, USA.
authors.forename: Aaron H
authors.initials: AH
authors.lastname: Wolfson
authors.affiliation: University of California San Diego, San Diego, California, USA.
authors.forename: Catheryn M
authors.initials: CM
authors.lastname: Yashar
authors.affiliation: Ohio State University, Columbus, Ohio, USA.
authors.forename: William
authors.initials: W
authors.lastname: Yuh
authors.affiliation: University of Utah Medical Center, Salt Lake City, Utah, USA.
authors.forename: David K
authors.initials: DK
authors.lastname: Gaffney
mesh_terms: D001918:Brachytherapy; D059248:Chemoradiotherapy; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D014625:Vaginal Neoplasms / Q000401:mortality / Q000473:pathology / Q000628:therapy*