ACR–AIUM–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF DIAGNOSTIC AND SCREENING ULTRASOUND OF THE ABDOMINAL AORTA IN ADULTS

PREAMBLE

INTRODUCTION

II.

INDICATIONS AND CONTRAINDICATIONS

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

IV.

SPECIFICATIONS OF THE EXAMINATION

IV.

SPECIFICATIONS OF THE EXAMINATION

Diagnostic Examination

IV.

SPECIFICATIONS OF THE EXAMINATION

Screening Examination for AAA

IV.

SPECIFICATIONS OF THE EXAMINATION

Interpretation of the Screening Examination Should Include at Least 3 Categories

DOCUMENTATION

VI.

EQUIPMENT SPECIFICATIONS

VII.

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

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR
Pellerito, John Stephen MD, Chair
Fung, Christopher MD
Melany, Michelle MD

AIUM
Revzin, Margarita A MD, MS

SRU
Riess, Joanna S MD
Williams-Weekes, Terri MD

Committee on Practice Parameters - Ultrasound

(ACR Committee responsible for sponsoring the draft through the process)

Gabriel, Helena MD, Chair	Azadi, Javad MD	Bohm-Velez, Marcela MD	Burgan, Constantine MD
Carnahan, Molly MD	Fung, Christopher MD	Gunabushanam, Gowthaman MBBS, MD	Itani, Malak MD
Melany, Michelle MD	Penna, Rupinder MD	Sohaey, Roya MD	Squires, Judy H MD

Committee on Practice Parameters and Technical Standards

(ACR Committee responsible for sponsoring the draft through the process)

Caplin, Drew M MD, Chair

Nicola, Lauren MD, Chair, Commission on Ultrasound

Comments Reconciliation Committee

Optican, Robert MD - CSC, Co-Chair	Prosper, Ashley MD - CSC, Chair	Caplin, Drew M MD	Fung, Christopher MD
Gabriel, Helena MD	Melany, Michelle MD	Nicola, Lauren MD	Pellerito, John Stephen MD
Revzin, Margarita A MD, MS	Riess, Joanna S MD	Williams-Weekes, Terri MD

REFERENCES

1. [8270076] Adams DC, Tulloh BR, Galloway SW, Shaw E, Tulloh AJ, Poskitt KR. Familial abdominal aortic aneurysm: prevalence and implications for screening. Eur J Vasc Surg. 1993 Nov;7(6):709-12.
2. [12443589] Ashton HA, Buxton MJ, Day NE, et al. The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial. Lancet. 2002; 360(9345):1531-1539.
3. [-3197869] U.S. Preventive Services Task Force. Screening for Abdominal Aortic Aneurysm http://www.uspreventiveservicestaskforce.org/uspstf05/aaascr/aaars.htm.
4. [29268916] Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. Journal of Vascular Surgery. 67(1):2-77.e2, 2018 01.
5. [32334726] O'Donnell TFX, Schermerhorn ML. Abdominal aortic aneurysm screening guidelines: United States Preventative Services Task Force and Society for Vascular Surgery. J Vasc Surg. 2020 May;71(5):S0741-5214(20)30171-3.
6. [-3149692] American College of Radiology. ACR–SPR–SRU Practice Parameter for Performing and Interpreting Diagnostic Ultrasound Examinations. Available at: https://gravitas.acr.org/PPTS/GetDocumentView?docId=24+&releaseId=2
7. [30385149] Kapetanios D, Kontopodis N, Mavridis D, McWilliams RG, Giannoukas AD, Antoniou GA. Meta-analysis of the accuracy of contrast-enhanced ultrasound for the detection of endoleak after endovascular aneurysm repair. J Vasc Surg. 2019 Jan;69(1):S0741-5214(18)31996-7.
8. [30771104] Harky A, Zywicka E, Santoro G, Jullian L, Joshi M, Dimitri S. Is contrast-enhanced ultrasound (CEUS) superior to computed tomography angiography (CTA) in detection of endoleaks in post-EVAR patients? A systematic review and meta-analysis. J Ultrasound. 2019 Mar;22(1):65-75.
9. [29277483] Borgbjerg J, Bogsted M, Lindholt JS, Behr-Rasmussen C, Horlyck A, Frokjaer JB. Superior Reproducibility of the Leading to Leading Edge and Inner to Inner Edge Methods in the Ultrasound Assessment of Maximum Abdominal Aortic Diameter. European Journal of Vascular & Endovascular Surgery. 55(2):206-213, 2018 Feb.
10. [1999868] Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg. 1991; 13(3):452-458.
11. [15710776] Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation. 2005;111(6):816-828.
12. [-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
13. [-3197641] American College of Radiology. ACR–AAPM Technical Standard for Diagnostic Medical Physics Performance Monitoring of Real Time Ultrasound Equipment. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=118+&releaseId=2
14. [-3198882] AIUM, . Guidelines-for-Cleaning-and-Preparing-External--and-Internal-use-ultrasound-transducers-and-equipment-between-patients-as-well-as-safe-handling-and-use-of-ultrasound-coupling-gel. https://www.aium.org/resources/official-statements/view/guidelines-for-cleaning-and-preparing-external--and-internal-use-ultrasound-transducers-and-equipment-between-patients-as-well-as-safe-handling-and-use-of-ultrasound-coupling-gel.