2018ACR适宜性标准：免疫活性正常患者的急性呼吸系统疾病.pdfVIP

APPROPRIATE USE CRITERIA ACR Appropriateness Criteriaâ Acute Respiratory Illness in Immunocompetent Patients a b Expert Panel on Thoracic Imaging: Clinton Jokerst, MD , Jonathan H. Chung, MD , c d e f Jeanne B. Ackman, MD , Brett Carter, MD , Patrick M. Colletti, MD , Traves D. Crabtree, MD , Patricia M. de Groot, MDg h i , Mark D. Iannettoni, MD , Fabien Maldonado, MD , j k l Barbara L. McComb, MD , Robert M. Steiner, MD , Jeffrey P. Kanne, MD Abstract Acute respiratory illness, defined as cough, sputum production, chest pain, and/or dyspnea (with or without fever), is a major public health issue, accounting for millions of doctor office and emergency department visits every year. While most cases are due to self-limited viral infections, a significant number of cases are due to more serious respiratory infections where delay in diagnosis can lead to morbidity and mortality. Imaging plays a key role in the initial diagnosis and management of acute respiratory illness. This study reviews the current literature concerning the appropriate role of imaging in the diagnosis and management of the immunocompetent adult patient initially presenting with acute respiratory illness. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary ex