ACR Appropriateness Criteria Radiologic Management of Hepatic Malignancy

Brian E. Kouri, Ross A. Abrams, Waddah B. Al-Refaie, Nilofer Azad, James Farrell, Ron C. Gaba, Debra A. Gervais, Matthew G. Gipson, Kenneth J. Kolbeck, Francis E. Marshalleck, Jason W. Pinchot, William Small, Charles E. Ray, Eric J. Hohenwalter

    Research output: Contribution to journalArticlepeer-review

    7 Scopus citations

    Abstract

    Management of primary and secondary hepatic malignancy is a complex problem. Achieving optimal care for this challenging population often requires the involvement of multiple medical and surgical disciplines. Because of the wide variety of potential therapies, treatment protocols for various malignancies continue to evolve. Consequently, development of appropriate therapeutic algorithms necessitates consideration of medical options, such as systemic chemotherapy; surgical options, such as resection or transplantation; and loco-regional therapies, such as thermal ablation and transarterial embolization techniques. This article provides a review of treatment strategies for the three most common subtypes of hepatic malignancy treated with loco-regional therapies: hepatocellular carcinoma, neuroendocrine metastases, and colorectal metastases. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three 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 where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

    Original languageEnglish (US)
    Pages (from-to)265-273
    Number of pages9
    JournalJournal of the American College of Radiology
    Volume13
    Issue number3
    DOIs
    StatePublished - Mar 1 2016

    Keywords

    • Appropriateness criteria
    • Liver malignancy
    • ablation
    • chemoembolization
    • embolization
    • radioembolization

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

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