title: ACR appropriateness criteria radiologic management of infected fluid collections.
abstract: The best management of infected fluid collections depends on a careful assessment of clinical and anatomic factors as well as an up-to-date review of the published literature, to be able to select from a host of multidisciplinary treatment options. This article reviews conservative, radiologic, endoscopic, and surgical options and their best application to infected fluid collections as determined by the ACR Appropriateness Criteria Expert Panel on Interventional Radiology. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three 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, by the panel, of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
authors.affiliation: University of Chicago Hospital, Chicago, Illinois. Electronic address: jlorenz@radiology.bsd.uchicago.edu.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Lorenz
authors.affiliation: Georgetown University Hospital, Washington, DC; American College of Surgeons, Chicago, Illinois.
authors.forename: Waddah B
authors.initials: WB
authors.lastname: Al-Refaie
authors.affiliation: University of South Alabama, Mobile, Alabama; American Gastroenterological Association, Bethesda, Maryland.
authors.forename: Brooks D
authors.initials: BD
authors.lastname: Cash
authors.affiliation: University of Illinois Hospital, Chicago, Illinois.
authors.forename: Ron C
authors.initials: RC
authors.lastname: Gaba
authors.affiliation: Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Debra A
authors.initials: DA
authors.lastname: Gervais
authors.affiliation: University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
authors.forename: Matthew G
authors.initials: MG
authors.lastname: Gipson
authors.affiliation: Oregon Health and Science University, Portland, Oregon.
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Kolbeck
authors.affiliation: Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina.
authors.forename: Brian E
authors.initials: BE
authors.lastname: Kouri
authors.affiliation: Riley Hospital for Children, Indianapolis, Indiana.
authors.forename: Francis E
authors.initials: FE
authors.lastname: Marshalleck
authors.affiliation: Santa Clara Valley Medical Center, San Jose, California.
authors.forename: Ajit V
authors.initials: AV
authors.lastname: Nair
authors.affiliation: University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
authors.forename: Charles E
authors.initials: CE
authors.lastname: Ray
authors.affiliation: Froedtert & The Medical College of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Hohenwalter
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage / Q000592:standards*; D004724:Endoscopy / Q000592:standards*; D006801:Humans; D017410:Practice Guidelines as Topic; D015641:Radiography, Interventional / Q000592:standards*; D011871:Radiology / Q000592:standards*; D014481:United States
keywords: Appropriateness Criteria; abscess; drainage; endoscopic; infected fluid; percutaneous