Faculty Collaboration Database

ACR Appropriateness Criteria® Thoracic Aortic Aneurysm or Dissection-Treatment Planning and Follow-Up: 2024 Update. J Am Coll Radiol 2025 May;22(5S):S455-S478

Date

05/24/2025

Pubmed ID

40409894

DOI

10.1016/j.jacr.2025.02.019

Scopus ID

2-s2.0-105005513890 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

Diseases of the thoracic aorta include two broad categories: aneurysmal dilation involving all three layers of the intact aortic wall, and acute aortic syndromes, wherein at least one layer of the aortic wall is disrupted, such as in aortic dissection. These diseases carry a variable risk of subsequent aortic rupture, which is associated with high morbidity and mortality. Imaging is critical in the diagnosis, surveillance, and treatment of this constellation of diseases. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

Author List

Expert Panel on Vascular Imaging and Interventional Radiology, Ripley B, Scheidt MJ, Aghayev A, Kim CY, Hedgire SS, Ahmed O, Ahmad S, Clough RE, DeMartino RR, Ferencik M, Hughes GC, Klitzke AK, Steenburg SD, Thomas R, Wells BJ, Wolf SJ, Pinchot JW, Majdalany BS

Author

Matthew J. Scheidt MD Associate Professor in the Radiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aortic Aneurysm, Thoracic
Evidence-Based Medicine
Follow-Up Studies
Humans
Societies, Medical
United States