ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF ABDOMINAL RADIOGRAPHY

PREAMBLE

I. INTRODUCTION

II. INDICATIONS/CONTRAINDICATIONS

III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

IV. SPECIFICATIONS OF THE EXAMINATION

V. DOCUMENTATION

VI. EQUIPMENT SPECIFICATIONS

VII. RADIATION SAFETY IN IMAGING

VIII. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

REFERENCES

1. [12355000] Ahn SH, Mayo-Smith WW, Murphy BL, Reinert SE, Cronan JJ. Acute nontraumatic abdominal pain in adult patients: abdominal radiography compared with CT evaluation. Radiology. 2002;225(1):159-164.
2. [15718865] Andrews AA, Lake JJ, Shorr AA. Ineffectiveness of routine abdominal radiography in patients with gastrointestinal hemorrhage admitted to an intensive care unit. J Clin Gastroenterol 39:228-31, .
3. [18710981] Kellow ZS, MacInnes M, Kurzencwyg D, et al. The role of abdominal radiography in the evaluation of the nontrauma emergency patient. Radiology. 2008;248(3):887-893.
4. [3205930] Lund EE, Han SS, Holley HH, Berland LL. Intestinal ischemia: comparison of plain radiographic and computed tomographic findings. Radiographics 8:1083-108, .
5. [16183928] MacKersie AB, Lane MJ, Gerhardt RT, et al. Nontraumatic acute abdominal pain: unenhanced helical CT compared with three-view acute abdominal series. Radiology. 2005;237(1):114-122.
6. [6830353] Eisenberg RR, Heineken PP, Hedgcock MM, Federle MM, Goldberg HH. Evaluation of plain abdominal radiographs in the diagnosis of abdominal pain. Ann Surg 197:464-9, .
7. [-3197888] Messmer JM. Gas and soft tissue abnormalities. In: Gore RM, Levine, MS, ed. Textbook of Gastrointestinal Radiology. 3rd ed. Philadelphia, PA: Saunders; 2008:206-16.
8. [19234001] Smith JJ, Hall EE. The use of plain abdominal x rays in the emergency department. Emerg Med J 26:160-3, .
9. [-3197889] Thompson WM. Abdomen: normal anatomy and examination techniques. In: Gore RM, Levine, MS, ed. Textbook of Gastrointestinal Radiology. 3rd ed. Philadelphia, PA: Saunders; 2008:189-91.
10. [18510624] Benchimol EE, Turner DD, Mann EE, et al. Toxic megacolon in children with inflammatory bowel disease: clinical and radiographic characteristics. Am J Gastroenterol 103:1524-31, .
11. [-3197890] Gore RM, Laufer I, Berlin JW. Ulcerative and granulomatous colitis: idiopathic inflammatory bowel disease. In: Gore RM, Levine, MS, ed. Textbook of Gastrointestinal Radiology. 3rd ed. Philadelphia, Pa.: Saunders; 2008:1098-99.
12. [3823391] Halpert RR. Toxic dilatation of the colon. Radiol Clin North Am 25:147-55, .
13. [1915051] Plewa MM. Emergency abdominal radiography. Emerg Med Clin North Am 9:827-52, .
14. [2003436] Levine MM, Scheiner JJ, Rubesin SS, Laufer II, Herlinger HH. Diagnosis of pneumoperitoneum on supine abdominal radiographs. AJR Am J Roentgenol 156:731-5, .
15. [18711632] Bisharat MM, O'Donnell MM, Gibson NN, et al. Foreign body ingestion in prisoners - the Belfast experience. Ulster Med J 77:110-4, .
16. [12024131] Eisen GG, Baron TT, Dominitz JJ, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 55:802-6, .
17. [14566426] Hergan KK, Kofler KK, Oser WW. Drug smuggling by body packing: what radiologists should know about it. Eur Radiol 14:736-42, .
18. [12023005] Weiland SS, Schurr MM. Conservative management of ingested foreign bodies. J Gastrointest Surg 6:496-500, .
19. [18656641] Dossett LL, Dittus RR, Speroff TT, May AA, Cotton BB. Cost-effectiveness of routine radiographs after emergent open cavity operations. Surgery 144:317-21, .
20. [18156915] Ponrartana SS, Coakley FF, Yeh BB, et al. Accuracy of plain abdominal radiographs in the detection of retained surgical needles in the peritoneal cavity. Ann Surg 247:8-12, .
21. [25173655] Gayer GG, Lubner MM, Bhalla SS, Pickhardt PP. Imaging of abdominal and pelvic surgical and postprocedural foreign bodies. Radiol Clin North Am 52:991-1027, .
22. [19472125] Arshadi HH, Dianat SS, Ganjehei LL. Accuracy of radiological features for predicting extracorporeal shock wave lithotripsy success for treatment of kidney calculi. Urol J 6:88-91, .
23. [18937584] Lamb AA, Wines MM, Mousa SS, Tolley DD. Plain radiography still is required in the planning of treatment for urolithiasis. J Endourol 22:2201-5, .
24. [1732129] Delhaye MM, Vandermeeren AA, Baize MM, Cremer MM. Extracorporeal shock-wave lithotripsy of pancreatic calculi. Gastroenterology 102:610-20, .
25. [15798067] Hunter TT, Taljanovic MM. Medical devices of the abdomen and pelvis. Radiographics 25:503-23, .
26. [17963875] Sachdev MM, Leighton JJ, Fleischer DD, et al. A prospective study of the utility of abdominal radiographs after capsule endoscopy for the diagnosis of capsule retention. Gastrointest Endosc 66:894-900, .
27. [32370960] Shyu JY, Khurana B, Soto JA, et al. ACR Appropriateness Criteria® Major Blunt Trauma. J Am Coll Radiol 2020;17:S160-S74.
28. [12580370] Golden CC, Feusner JJ. Malignant abdominal masses in children: quick guide to evaluation and diagnosis. Pediatr Clin North Am 49:1369-92, viii, .
29. [2836936] Seidel FF. Imaging of a pediatric abdominal mass. Semin Surg Oncol 2:125-38, .
30. [20453675] Pensabene LL, Buonomo CC, Fishman LL, Chitkara DD, Nurko SS. Lack of utility of abdominal x-rays in the evaluation of children with constipation: comparison of different scoring methods. J Pediatr Gastroenterol Nutr 51:155-9, .
31. [20593172] Kokke FF, Sittig JJ, de Bruijn AA, et al. Starreveld scoring method in diagnosing childhood constipation. Pediatr Radiol 40:1789-93, .
32. [30552438] Khan O, Shankar PR, Parikh AD, et al. Radiographic stool quantification: an equivalence study of 484 symptomatic and asymptomatic subjects. Abdom Radiol. 44(3):821-827, 2019 03.
33. [29392367] Reber JJ, McGauvran AA, Froemming AA. Abdominal radiograph usage trends in the setting of constipation: a 10-year experience. Abdom Radiol (NY) 43:2231-2238, .
34. [16418835] van den Bosch MM, Graafmans DD, Nievelstein RR, Beek EE. Systematic assessment of constipation on plain abdominal radiographs in children. Pediatr Radiol 36:224-6, .
35. [19817956] Koh HH, Lee MM, Kim MM, Shin JJ, Chung KK. Simple diagnostic approach to childhood fecal retention using the Leech score and Bristol stool form scale in medical practice. J Gastroenterol Hepatol 25:334-8, .
36. [17374854] Epelman MM, Daneman AA, Navarro OO, et al. Necrotizing enterocolitis: review of state-of-the-art imaging findings with pathologic correlation. Radiographics 27:285-305, .
37. [19843760] Coursey CC, Hollingsworth CC, Wriston CC, Beam CC, Rice HH, Bisset GG. Radiographic predictors of disease severity in neonates and infants with necrotizing enterocolitis. AJR Am J Roentgenol 193:1408-13, .
38. [10464795] Berrocal TT, Torres II, Gutiérrez JJ, Prieto CC, del Hoyo MM, Lamas MM. Congenital anomalies of the upper gastrointestinal tract. Radiographics 19:855-72, .
39. [11477252] Traubici JJ. The double bubble sign. Radiology 220:463-4, .
40. [-3120926] American College of Radiology. ACR-SPR Practice Parameter for Imaging Pregnant or Potentially Pregnant Patients with Ionizing Radiation. Available at: https://gravitas.acr.org/PPTS/GetDocumentView?docId=23+&releaseId=2.
41. [-3197654] American College of Radiology. ACR-AAPM-SIIM Practice Parameter for Digital Radiography. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=135+&releaseId=2
42. [-3197891] Baker SR, Cho, KC. Uses, limitations and technical considerations. In: Baker SR, Cho, KC, ed. The Abdominal Plain Film with Correlative Imaging. 2nd ed. Stamford, CT: Appleton & Lange; 1999:4-8.
43. [19403846] Yanch JJ, Behrman RR, Hendricks MM, McCall JJ. Increased radiation dose to overweight and obese patients from radiographic examinations. Radiology 252:128-39, .
44. [30673332] Marsh RR, Silosky MM. Patient Shielding in Diagnostic Imaging: Discontinuing a Legacy Practice. AJR Am J Roentgenol 212:755-757, .
45. [3488654] Mirvis SS, Young JJ, Keramati BB, McCrea EE, Tarr RR. Plain film evaluation of patients with abdominal pain: are three radiographs necessary?. AJR Am J Roentgenol 147:501-3, .
46. [12450078] Ukrisana PP, Yenarkarn PP. Evaluation of the necessity of the three-film abdominal series in the diagnosis of abdominal pain. J Med Assoc Thai 85:998-1002, .
47. [3924315] Field SS, Guy PP, Upsdell SS, Scourfield AA. The erect abdominal radiograph in the acute abdomen: should its routine use be abandoned?. Br Med J (Clin Res Ed) 290:1934-6, .
48. [12136345] Hughes UM, Thomas KE, Shuckett B, Daneman A, Stephens D. The abdominal radiographic series in children with suspected bowel obstruction--should the second view be abandoned?. Pediatr Radiol. 32(8):556-60, 2002 Aug.
49. [18710987] Hooker RL, Hernanz-Schulman M, Yu C, Kan JH. Radiographic evaluation of intussusception: utility of left-side-down decubitus view. Radiology. 248(3):987-94, 2008 Sep.
50. [5570369] Miller RR, Nelson SS. The roentgenologic demonstration of tiny amounts of free intraperitoneal gas: experimental and clinical studies. Am J Roentgenol Radium Ther Nucl Med 112:574-85, .
51. [2112872] Gatewood OO, Berkowitz JJ. Oblique plain radiographs are useful for detecting opaque presacral ureteral calculi. AJR Am J Roentgenol 155:89-90, .
52. [-3197621] American College of Radiology. ACR Practice Parameter for Communication of Diagnostic Imaging Findings. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=74+&releaseId=2
53. [-3197640] American College of Radiology. ACR-AAPM Technical Standard for Diagnostic Medical Physics Performance Monitoring of Radiographic Equipment. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=120+&releaseId=2