Adequacy Criteria for Imaging and Radiotherapy – Volume 1

Authorship: Partnership CBR and American College of Radiology (ACR)
Year: 2005


Chapter 1 _ Cardiovascular Imaging Expert Panel

Respiratory impairment – suspected cardiac origin

Imaging diagnosis of patients with claudication

Unilateral pain and swelling in the upper extremity

Acute chest pain – without ECG evidence of myocardial ischaemia/infarction

Acute chest pain – suspected aortic dissection

Acute chest pain - suspected pulmonary embolism

Acute chest pain – suspected myocardial ischemia

Chronic chest pain – suspected cardiac origin

Chronic chest pain without evidence of myocardial ischemia/infarction


Sudden onset of cold, painful leg

pulsatile abdominal mass

Recurrent symptoms after lower extremity arterial bypass surgery

Recurring symptoms after lower extremity angioplasty: lameness and threatened limb

Suspected congenital heart disease in adults

Suspected bacterial endocarditis

Suspected lower extremity deep vein thrombosis

Blunt abdominal or pelvic trauma – suspected vascular injury

Blunt chest trauma - suspected aortic injury

Chapter 2 _ Panel of Experts in Interventional Radiology

iliac angioplasty

percutaneous transluminal renal angioplasty

Needle biopsy of the chest

Inferior vena cava filter placement

Percutaneous biliary drainage in malignant biliary obstruction

Percutaneous catheter drainage of infected intra-abdominal fluid collections

percutaneous nephrostomy

Thrombolysis of lower extremity arterial and graft occlusion

Chapter 3 _ Gastrointestinal Imaging Expert Panel

Evaluation of acute abdominal pain in the right lower quadrant

Evaluation of abdominal pain in the left lower quadrant

Assessment of patients with acute right upper quadrant pain

Imaging evaluation of a palpable abdominal mass

Imaging evaluation of the patient with acute abdominal pain and fever

Characterization of liver injury

Imaging diagnosis of blunt abdominal trauma

Pretreatment staging of colorectal cancer

Imaging diagnostic strategies in the initial evaluation of a patient with jaundice

colorectal cancer research

Patient with suspected small bowel obstruction: imaging evaluation strategies

acute pancreatitis

Imaging evaluation recommendations for patients with Crohn's disease

Diagnostic imaging recommendations for patients with dysphagia

Suspected abdominal abscess

Suspected liver metastasis

Chapter 4 _ Musculoskeletal Imaging Expert Panel

Hip arthroplasty – radiological procedure recommendations

Imaging evaluation in suspected ankle fracture

Assessment of a patient with painful hip or knee arthroplasty

Imaging diagnosis of avascular necrosis of the hip

Imaging diagnosis of osteomyelitis in a patient with diabetes mellitus

Diagnostic imaging of a patient with multiple lesions

metastatic bone disease

Chronic elbow pain

chronic foot pain

Chronic neck pain

Chronic wrist pain

Chronic hip pain

chronic ankle pain

Non-traumatic knee pain

Follow-up examinations of bone tumors, soft tissue tumors and suspected metastases after therapy

Stress/insufficiency fractures (except vertebral fractures)

soft tissue masses

Osteoporosis and bone mineral density

Suspected cervical spine trauma

Acute knee trauma

Acute hand and wrist trauma

shoulder trauma

bone tumors

Chapter 5 _ Panel of Experts in Interventional Radiology


Non-traumatic isolated headache – when to do imaging?

progressive neurological deficit


neurodegenerative diseases

cerebrovascular disease


Multiple Sclerosis – When and How to Get Imaging

Imaging of intracranial infections

Neuroendocrine imaging

Acute low back pain – radiculopathy


Orbit, vision and visual loss

head trauma

spine trauma

Vertigo and hearing loss