title: ACR Appropriateness Criteria® Intensive Care Unit Patients.
abstract: Portable chest radiography is a fundamental and frequently utilized examination in the critically ill patient population. The chest radiograph often represents a timely investigation of new or rapidly evolving clinical findings and an evaluation of proper positioning of support tubes and catheters. Thoughtful consideration of the use of this simple yet valuable resource is crucial as medical cost containment becomes even more mandatory. This review addresses the role of chest radiography in the intensive care unit on the basis of the existing literature and as formed by a consensus of an expert panel on thoracic imaging through the American College of Radiology. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that 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 those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
authors.affiliation: *Ronald Reagan UCLA Medical Center, Los Angeles, CA †Cleveland Clinic, Weston §§Mayo Clinic, Jacksonville †††University of Florida College of Medicine, Gainesville, FL ‡Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI §National Jewish Health, Denver, CO ∥Department of Radiology, Vanderbilt University Medical Center, Nashville, TN ¶Society of Thoracic Surgeons, Columbia University, New York ¶¶The American College of Chest Physicians, New York Methodist Hospital, Brooklyn ##North Shore University Hospital, Manhasset, NY #Department of Radiology and Imaging Services, Indiana University, Indianapolis, IN **Emory University Hospital, Atlanta, GA ††University of Michigan Medical Center, Ann Arbor, MI ‡‡Department of Radiology, University of New Mexico, Albuquerque, NM ∥∥Department of Radiology, Medical University of South Carolina, Charleston, SC ***Temple University Hospital, Philadelphia, PA.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Suh
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Genshaft
authors.forename: Jacobo
authors.initials: J
authors.lastname: Kirsch
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Kanne
authors.forename: Jonathan H
authors.initials: JH
authors.lastname: Chung
authors.forename: Edwin F
authors.initials: EF
authors.lastname: Donnelly
authors.forename: Mark E
authors.initials: ME
authors.lastname: Ginsburg
authors.forename: Darel E
authors.initials: DE
authors.lastname: Heitkamp
authors.forename: Travis S
authors.initials: TS
authors.lastname: Henry
authors.forename: Ella A
authors.initials: EA
authors.lastname: Kazerooni
authors.forename: Loren H
authors.initials: LH
authors.lastname: Ketai
authors.forename: Barbara L
authors.initials: BL
authors.lastname: McComb
authors.forename: James G
authors.initials: JG
authors.lastname: Ravenel
authors.forename: Anthony G
authors.initials: AG
authors.lastname: Saleh
authors.forename: Rakesh D
authors.initials: RD
authors.lastname: Shah
authors.forename: Robert M
authors.initials: RM
authors.lastname: Steiner
authors.forename: Tan-Lucien H
authors.initials: TL
authors.lastname: Mohammed
mesh_terms: D003422:Critical Care / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine; D006801:Humans; D007297:Inpatients; D007362:Intensive Care Units; D017410:Practice Guidelines as Topic; D013902:Radiography, Thoracic; D012955:Societies, Medical; D014481:United States