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ACR Appropriateness Criteria® Joint Pain: Idiopathic Arthritis-Child

  • Expert Panel on Pediatric Imaging:
  • Cleveland Clinic Foundation
  • Seattle Children's
  • Children's Mercy Hospitals and Clinics
  • Indiana University Bloomington
  • Texas Children's Hospital Houston
  • American Academy of Pediatrics
  • Medical University of South Carolina
  • University of Southern California
  • Hospital for Special Surgery - New York
  • Vanderbilt University
  • Cincinnati Children's Hospital Medical Center
  • American College of Emergency Physicians
  • Geisinger Medical Center

Research output: Contribution to journalArticlepeer-review

Abstract

This document details imaging approaches for children with suspected juvenile idiopathic arthritis in the axial and appendicular skeleton. It provides recommendations for the initial radiologic evaluation as well as for follow-up imaging.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

Original languageEnglish
Pages (from-to)1405-1422
Number of pages18
JournalJournal of the American College of Radiology
Volume23
Issue number7
DOIs
StatePublished - Jul 2026

Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • children
  • joint pain
  • juvenile idiopathic arthritis
  • sacroiliitis
  • spondyloarthritis
  • synovitis
  • Diagnosis, Differential
  • United States
  • Humans
  • Arthralgia/diagnostic imaging
  • Evidence-Based Medicine
  • Societies, Medical
  • Arthritis, Juvenile/diagnostic imaging
  • Child

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