title: ACR Appropriateness Criteria pelvic floor dysfunction.
abstract: Pelvic floor dysfunction is a common and potentially complex condition. Imaging can complement physical examination by revealing clinically occult abnormalities and clarifying the nature of the pelvic floor defects present. Imaging can add value in preoperative management for patients with a complex clinical presentation, and in postoperative management of patients suspected to have recurrent pelvic floor dysfunction or a surgical complication. Imaging findings are only clinically relevant if the patient is symptomatic. Several imaging modalities have a potential role in evaluating patients; the choice of modality depends on the patient's symptoms, the clinical information desired, and the usefulness of the test. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions; they are reviewed every 3 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 instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
authors: Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address: pannuh@mskcc.org.
authors: Harpreet K
authors: HK
authors: Pannu
authors: Rambam Healthcare Campus, Haifa, Israel.
authors: Marcia C
authors: MC
authors: Javitt
authors: Sunnybrook Health Sciences Centre, Bayview Campus, Toronto, Ontario, Canada.
authors: Phyllis
authors: P
authors: Glanc
authors: University of Texas MD Anderson Cancer Center, Houston, Texas.
authors: Priyadarshani R
authors: PR
authors: Bhosale
authors: Massachusetts General Hospital, Boston, Massachusetts.
authors: Mukesh G
authors: MG
authors: Harisinghani
authors: George Washington University Hospital, Washington, DC.
authors: Nadia J
authors: NJ
authors: Khati
authors: Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
authors: Donald G
authors: DG
authors: Mitchell
authors: The Old Vicarage. Worcester Park, United Kingdom.
authors: David A
authors: DA
authors: Nyberg
authors: Massachusetts General Hospital, Boston, Massachusetts.
authors: Pari V
authors: PV
authors: Pandharipande
authors: Brigham & Women's Hospital, Boston, Massachusetts.
authors: Thomas D
authors: TD
authors: Shipp
authors: Mallinckrodt Institute of Radiology, St. Louis, Missouri.
authors: Cary Lynn
authors: CL
authors: Siegel
authors: Columbia University, New York, New York.
authors: Lynn
authors: L
authors: Simpson
authors: Mayo Clinic, Rochester, Minnesota.
authors: Darci J
authors: DJ
authors: Wall
authors: University of Maryland School of Medicine, Baltimore, Maryland.
authors: Jade J
authors: JJ
authors: Wong-You-Cheong
mesh_terms: D003952:Diagnostic Imaging / Q000379:methods*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D009774:Obstetrics / Q000592:standards*; D059952:Pelvic Floor Disorders / Q000175:diagnosis*; D017410:Practice Guidelines as Topic; D011871:Radiology / Q000592:standards*; D014481:United States; D014572:Urology / Q000592:standards*
keywords: Appropriateness criteria; MRI; fluoroscopy; pelvic floor dysfunction; ultrasound