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J Thorac Imaging. 2016 Mar;31(2):W13-5. doi: 10.1097/RTI.0000000000000200.

ACR Appropriateness Criteria® Routine Chest Radiography.

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*Mayo Clinic, Jacksonville †National Jewish Health, Denver, CO ‡Washington University School of Medicine, Saint Louis, MO, Society of Thoracic Surgeons §Indiana University, Indianapolis, IN ∥University of Iowa, Iowa City, IA, Society of Thoracic Surgeons ¶Mayo Clinic, Phoenix, AZ #New York Methodist Hospital, Brooklyn, American College of Chest Physicians; The American College of Chest Physicians **North Shore University Hospital, Manhasset, NY ††Temple University, Philadelphia, PA ‡‡University of Florida College of Medicine, Gainesville, FL §§Medical University of South Carolina, Charleston, SC.


Chest radiographs are sometimes taken before surgeries and interventional procedures on hospital admissions and outpatients. This manuscript summarizes the American College of Radiology review of the literature and recommendations on routinely performed chest radiographies in these settings. 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.

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