ACR Appropriateness Criteria® on Metastatic Bone Disease

被引：52

作者：

Roberts, Catherine C. ^{[1
]}

Daffner, Richard H. ^{[2
]}

Weissman, Barbara N. ^{[3
]}

Bancroft, Laura ^{[4
]}

Bennett, D. Lee ^{[5
]}

Blebea, Judy S. ^{[6
]}

Bruno, Michael A. ^{[7
]}

Fries, Ian Blair ^{[8
]}

Germano, Isabelle M. ^{[9
,10
,11
]}

Holly, Langston ^{[10
,11
,12
]}

Jacobson, Jon A. ^{[13
]}

Luchs, Jonathan S. ^{[14
]}

Morrison, William B. ^{[15
]}

Olson, Jeffrey J. ^{[10
,11
,16
]}

Payne, William K. ^{[8
]}

Resnik, Charles S. ^{[17
]}

Schweitzer, Mark E. ^{[18
]}

Seeger, Leanne L. ^{[19
]}

Taljanovic, Mihra ^{[20
]}

Wise, James N. ^{[21
]}

Lutz, Stephen T. ^{[22
]}

机构：

[1] Mayo Clin, Phoenix, AZ 85054 USA

[2] Allegheny Gen Hosp, Pittsburgh, PA 15212 USA

[3] Brigham & Womens Hosp, Boston, MA 02115 USA

[4] Florida Hosp, Orlando, FL USA

[5] Univ Iowa, Ctr Hlth, Iowa City, IA USA

[6] Hosp Univ Penn, Philadelphia, PA 19104 USA

[7] Penn State Milton S Hershey Med Ctr, Hershey, PA USA

[8] Amer Acad Orthopaed Surg, Rosemont, IL USA

[9] Mt Sinai Sch Med, New York, NY USA

[10] Amer Assoc Neurol Surg, Rolling Meadows, IL USA

[11] Congress Neurol Surg, Schaumburg, IL USA

[12] Univ Calif Los Angeles, Med Ctr, Los Angeles, CA 90024 USA

[13] Univ Michigan, Med Ctr, Ann Arbor, MI USA

[14] Winthrop Univ Hosp, Mineola, NY 11501 USA

[15] Thomas Jefferson Univ Hosp, Philadelphia, PA 19107 USA

[16] Emory Univ, Atlanta, GA 30322 USA

[17] Univ Maryland, Sch Med, Baltimore, MD 21201 USA

[18] Hosp Joint Dis & Med Ctr, New York, NY USA

[19] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[20] Univ Arizona, Hlth Sci Ctr, Tucson, AZ USA

[21] Univ Arkansas Med Sci, Little Rock, AR 72205 USA

[22] Blanchard Valley Reg Canc Ctr, Findlay, OH USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2010年 / 7卷 / 06期

关键词：

Appropriateness Criteria (R); metastatic disease; bone; imaging; screening; surveillance; staging;

D O I：

10.1016/j.jacr.2010.02.015

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Appropriate imaging modalities for screening, staging, and surveillance of patients with suspected and documented metastatic disease to bone include Tc-99m bone scanning, MRI, CT, radiography, and 2-[F-18]fluoro-2-deoxyglucose PET. Clinical scenarios reviewed include asymptomatic stage 1 breast carcinoma, symptomatic stage 2 breast carcinoma, abnormal bone scan results with breast carcinoma, pathologic fracture with known metastatic breast carcinoma, asymptomatic well-differentiated and poorly differentiated prostate carcinoma, vertebral fracture with history of malignancy, non-small-cell lung carcinoma staging, symptomatic multiple myeloma, osteosarcoma staging and surveillance, and suspected bone metastasis in a pregnant patient. No single imaging modality is consistently best for the assessment of metastatic bone disease across all tumor types and clinical situations. In some cases, no imaging is indicated. The recommendations contained herein are the result of evidence-based consensus by the ACR Appropriateness Criteria (R) Expert Panel on Musculoskeletal Radiology.

引用

页码：400 / 409

页数：10

共 53 条

[1] DETECTION OF VERTEBRAL METASTASES - COMPARISON BETWEEN MR IMAGING AND BONE-SCINTIGRAPHY [J].