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Practice the data entry for ACR Select. Select the Enter Data button to begin the data entry. When finished, click Complete and then Report to view an example of the data report.
Topics
CHEST 1
Avoid admission or preoperative chest x-rays for ambulatory patients with unremarkable history and physical exam.
ACR Select “Pathway”: Modality driven, x-ray, chest, search for “admit”
CHEST 2
Do not perform chest CT angiography to evaluate for possible pulmonary embolism in patients with a low clinical probability and negative results of a highly sensitive D-dimer assay.
ACR Select “Pathway”: Modality/CT/Chest/search for pulmonary embolism
CARDIO / EMERGENCY ROOM
Don’t use coronary CT angiography in high-risk* patients presenting in the emergency department with acute chest pain. *Risk defined by the Thrombolysis In Myocardial Infarction (TIMI) risk score for unstable angina/acute coronary syndromes.
ACR Select “Pathway”: Indication driven, chest, search for “chest pain”
EMERGENCY ROOM
Avoid the routine use of “whole-body” diagnostic CT scanning in patients with minor or single-system trauma.
ACR Select “Pathway”: Modality driven, CT, whole body (body area).
GENITOURINARY
Do not recommend follow-up imaging for clinically inconsequential adnexal cysts.
ACR Select “Pathway”: Indication driven, female, pelvis, search for “adnexal”
GENITOURINARY / NUCLEAR MEDICINE
Don’t perform PET, CT, and radionuclide bone scans in the staging of early prostate cancer at low risk for metastasis.
ACR Select “Pathway”: Indication driven, male, pelvis, search for “prostate”
MUSCULOSKELETAL / NEUROIMAGING
Don’t perform advanced imaging (eg, MRI) of the spine within the first 6 weeks in patients with nonspecific acute low back pain in the absence of red flags.
ACR Select “Pathway”: Indication driven, spine, search for “low back”
NEUROIMAGING
Don’t order sinus CT or indiscriminately prescribe antibiotics for uncomplicated acute rhinosinusitis.
ACR Select “Pathway”: Indication driven, maxfac, search for “sinus”
PEDIATRICS / NEUROIMAGING 1
CT scans are not necessary in the immediate evaluation of minor head injuries; clinical observation / Pediatric Emergency Care Applied Research Network criteria should be used to determine whether imaging is indicated.
ACR Select “Pathway”: Change age, indication driven, head, search for “trauma”
PEDIATRICS / NEUROIMAGING 2
Neuroimaging (CT, MRI) is not necessary in a child with simple febrile seizure.
ACR Select “Pathway”: Change age, indication driven, head, search for “febrile”