Frank J. Rybicki, MD, PhD; Michael A. Bettmann, MD; Paul A. Larson, MD; Harvey L. Neiman, MD
Frank J. Rybicki, MD, PhD
Chair, ACR Appropriateness Criteria Expert Panel on Vascular Imaging
Michael A. Bettmann, MD
Chair, ACR Committee on DI/IR Appropriateness Criteria
Paul A. Larson, MD
Chair, ACR Commission on Quality and Safety
Harvey L. Neiman, MD
CEO, American College of Radiology
Potential Conflicts of Interest: None disclosed.
Rybicki F., Bettmann M., Larson P., Neiman H.; Fostering High-Value, Cost-Conscious Care. Ann Intern Med. 2012;156:902. doi: 10.7326/0003-4819-156-12-201206190-00017
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Published: Ann Intern Med. 2012;156(12):902.
TO THE EDITOR:
The article by Qaseem and colleagues (1) identifies common clinical situations for which screening and diagnostic tests may have limited utility. The American College of Radiology (ACR) enthusiastically supports the work of the American College of Physicians in this arena.
The ACR Appropriateness Criteria are clinical imaging guidelines that begin by asking the following: If I think an imaging study may be valuable in this specific clinical setting, which, if any, should be selected? The 20 ACR Appropriateness Criteria panels span diagnostic and interventional radiology and radiation oncology; panel members use the best available, peer-reviewed evidence and widely accepted, reproducible methodology to cover 850 specific clinical variants in the Appropriateness Criteria, which are freely available online (2). Each panel comprises both private practice and academic radiologists, with diverse representation in all relevant modalities, supplemented by nonradiologist representatives from other societies. Each variant is updated at no longer than 2-year intervals.
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