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Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenuation noted on Computed Tomography No prior imaging or risk factors for lung cancer.
|
Conservative management (do nothing)
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenuation noted on Computed Tomography No prior imaging or risk factors for lung cancer.
|
Follow-up imaging only
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenuation noted on Computed Tomography No prior imaging or risk factors for lung cancer.
|
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenuation noted on Computed Tomography No prior imaging or risk factors for lung cancer.
|
Percutaneous lung biopsy
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with a 2-cm smooth-walled lung nodule containing fatty elements by Hounsfield attenuation noted on Computed Tomography No prior imaging or risk factors for lung cancer.
|
Surgical lung biopsy/resection
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have regressed on the current chemotherapy regimen.
|
Percutaneous lung biopsy
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have regressed on the current chemotherapy regimen.
|
Bronchoscopic biopsy (repeat biopsy)
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have regressed on the current chemotherapy regimen.
|
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have regressed on the current chemotherapy regimen.
|
Follow-up imaging only
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have regressed on the current chemotherapy regimen.
|
Surgical lung biopsy/resection
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with known multiple pulmonary nodules from metastatic cancer.
All lesions but 1 have regressed on the current chemotherapy regimen.
|
Conservative management (do nothing)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograph.
On Computed Tomography scanning, bulky (up to 3 cm) mediastinal adenopathy is noted throughout the mediastinum (pretracheal, subcarinal, aortopulmonary window).
The nodes do not demonstrate calcifications or necrosis.
No associated pulmonary nodules.
|
Endoscopic/bronchoscopic biopsy
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograph.
On Computed Tomography scanning, bulky (up to 3 cm) mediastinal adenopathy is noted throughout the mediastinum (pretracheal, subcarinal, aortopulmonary window).
The nodes do not demonstrate calcifications or necrosis.
No associated pulmonary nodules.
|
Percutaneous mediastinal biopsy
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograph.
On Computed Tomography scanning, bulky (up to 3 cm) mediastinal adenopathy is noted throughout the mediastinum (pretracheal, subcarinal, aortopulmonary window).
The nodes do not demonstrate calcifications or necrosis.
No associated pulmonary nodules.
|
Surgical mediastinal biopsy/resection
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograph.
On Computed Tomography scanning, bulky (up to 3 cm) mediastinal adenopathy is noted throughout the mediastinum (pretracheal, subcarinal, aortopulmonary window).
The nodes do not demonstrate calcifications or necrosis.
No associated pulmonary nodules.
|
Follow-up imaging only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a positive purified protein derivative (tuberculin) test and abnormal chest radiograph.
On Computed Tomography scanning, bulky (up to 3 cm) mediastinal adenopathy is noted throughout the mediastinum (pretracheal, subcarinal, aortopulmonary window).
The nodes do not demonstrate calcifications or necrosis.
No associated pulmonary nodules.
|
Conservative management (do nothing)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed Tomography (LDCT).
LDCT demonstrates a 2-cm pulmonary nodule in the lingula.
There is mediastinal adenopathy (up to 2 cm) in the pretracheal and subcarinal regions as well as left perihilar (up to 2 cm) adenopathy.
|
Endoscopic/bronchoscopic mediastinal biopsy
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed Tomography (LDCT).
LDCT demonstrates a 2-cm pulmonary nodule in the lingula.
There is mediastinal adenopathy (up to 2 cm) in the pretracheal and subcarinal regions as well as left perihilar (up to 2 cm) adenopathy.
|
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed Tomography (LDCT).
LDCT demonstrates a 2-cm pulmonary nodule in the lingula.
There is mediastinal adenopathy (up to 2 cm) in the pretracheal and subcarinal regions as well as left perihilar (up to 2 cm) adenopathy.
|
Percutaneous lung biopsy
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed Tomography (LDCT).
LDCT demonstrates a 2-cm pulmonary nodule in the lingula.
There is mediastinal adenopathy (up to 2 cm) in the pretracheal and subcarinal regions as well as left perihilar (up to 2 cm) adenopathy.
|
Percutaneous mediastinal biopsy
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed Tomography (LDCT).
LDCT demonstrates a 2-cm pulmonary nodule in the lingula.
There is mediastinal adenopathy (up to 2 cm) in the pretracheal and subcarinal regions as well as left perihilar (up to 2 cm) adenopathy.
|
Surgical pulmonary nodule biopsy/resection
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed Tomography (LDCT).
LDCT demonstrates a 2-cm pulmonary nodule in the lingula.
There is mediastinal adenopathy (up to 2 cm) in the pretracheal and subcarinal regions as well as left perihilar (up to 2 cm) adenopathy.
|
Follow-up imaging only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Elderly patient (>60 years old) with a long >30 pack/year smoking history meeting criteria for low-dose screening Computed Tomography (LDCT).
LDCT demonstrates a 2-cm pulmonary nodule in the lingula.
There is mediastinal adenopathy (up to 2 cm) in the pretracheal and subcarinal regions as well as left perihilar (up to 2 cm) adenopathy.
|
Conservative management (do nothing)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to 2 cm, enlarging on serial 3-month imaging.
Recent nondiagnostic bronchoscopic biopsy via TBNA.
No intraparenchymal pulmonary nodules.
|
Bronchoscopic biopsy (repeat biopsy)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to 2 cm, enlarging on serial 3-month imaging.
Recent nondiagnostic bronchoscopic biopsy via TBNA.
No intraparenchymal pulmonary nodules.
|
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to 2 cm, enlarging on serial 3-month imaging.
Recent nondiagnostic bronchoscopic biopsy via TBNA.
No intraparenchymal pulmonary nodules.
|
Follow-up imaging only
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to 2 cm, enlarging on serial 3-month imaging.
Recent nondiagnostic bronchoscopic biopsy via TBNA.
No intraparenchymal pulmonary nodules.
|
Surgical lung biopsy/resection
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to 2 cm, enlarging on serial 3-month imaging.
Recent nondiagnostic bronchoscopic biopsy via TBNA.
No intraparenchymal pulmonary nodules.
|
Percutaneous lymph node biopsy
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to 2 cm, enlarging on serial 3-month imaging.
Recent nondiagnostic bronchoscopic biopsy via TBNA.
No intraparenchymal pulmonary nodules.
|
Conservative management (do nothing)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib erosion.
|
Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib erosion.
|
Percutaneous lung biopsy
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib erosion.
|
Surgical pleural biopsy/resection
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib erosion.
|
Conservative management (do nothing)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) presenting with a 3-cm lobular mass involving the left pleura associated with rib erosion.
|
Follow-up imaging only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
|
Removable biliary covered stent
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
|
Medical management only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
|
Surgery
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts from choledocholithiasis.
|
Permanent biliary metallic stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
|
Medical management only
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
|
Removable biliary covered stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
|
Surgery
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with elevated bilirubin and suspected sclerosing cholangitis.
|
Permanent biliary metallic stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic stenosis or bile leak, with no dilated ducts.
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic stenosis or bile leak, with no dilated ducts.
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic stenosis or bile leak, with no dilated ducts.
|
Removable biliary covered stent
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic stenosis or bile leak, with no dilated ducts.
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic stenosis or bile leak, with no dilated ducts.
|
Surgery
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic stenosis or bile leak, with no dilated ducts.
|
Medical management only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a liver transplant recipient with elevated bilirubin and suspected biliary anastomotic stenosis or bile leak, with no dilated ducts.
|
Permanent biliary metallic stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
|
Surgery
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
|
Medical management only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
|
Permanent biliary metallic stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with bile leak and dilated bile ducts following laparoscopic cholecystectomy.
|
Removable biliary covered stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
|
Medical management only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
|
Removable biliary covered stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
|
Surgery
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and suspected biliary sepsis or acute cholangitis.
|
Permanent biliary metallic stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
|
Percutaneous biliary metallic stent
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
|
Removable biliary covered stent
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
|
Surgery
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma).
|
Medical management only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
|
Permanent biliary metallic stent
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
|
Removable biliary covered stent
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
|
Surgery
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with hilar biliary obstruction from malignant etiology (eg, Klatskin tumor).
|
Medical management only
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
|
Medical management only
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
|
Removable biliary covered stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
|
Surgery
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and coagulopathy (INR >2.0 or platelet count <60 K).
|
Permanent biliary metallic stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
|
Endoscopic internal biliary catheter (removable plastic stent)
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
|
Percutaneous internal/external biliary catheter
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
|
Medical management only
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
|
Removable biliary covered stent
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
|
Endoscopic US-guided biliary drainage (EUS-BD)
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
|
Permanent biliary metallic stent
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with dilated bile ducts and moderate to massive ascites.
|
Surgery
|
The proposed procedure is **usually not appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no peritoneal signs.
Computed Tomography scan shows a thin-walled fluid collection, greater than 3 cm, adjacent to the cecum, nonvisualization of the appendix, and an appendicolith.
Imaging findings are highly suspicious for appendicitis.
Treatment includes antibiotics.
|
Percutaneous catheter drainage only
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no peritoneal signs.
Computed Tomography scan shows a thin-walled fluid collection, greater than 3 cm, adjacent to the cecum, nonvisualization of the appendix, and an appendicolith.
Imaging findings are highly suspicious for appendicitis.
Treatment includes antibiotics.
|
Percutaneous catheter drainage followed by delayed surgery
|
The proposed procedure is **usually appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no peritoneal signs.
Computed Tomography scan shows a thin-walled fluid collection, greater than 3 cm, adjacent to the cecum, nonvisualization of the appendix, and an appendicolith.
Imaging findings are highly suspicious for appendicitis.
Treatment includes antibiotics.
|
Needle aspiration
|
The proposed procedure is **may be appropriate**
|
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with right lower quadrant abdominal pain, fever, and leukocytosis for 7 days.
Physical examination shows no peritoneal signs.
Computed Tomography scan shows a thin-walled fluid collection, greater than 3 cm, adjacent to the cecum, nonvisualization of the appendix, and an appendicolith.
Imaging findings are highly suspicious for appendicitis.
Treatment includes antibiotics.
|
Surgical drainage
|
The proposed procedure is **may be appropriate**
|
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