March 20, 2026 · Journal of the American College of Radiology : JACR · DOI: 10.1016/j.jacr.2026.02.030

ACR Appropriateness Criteria® Suspected and Known Renal or Splanchnic Artery Aneurysm

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The authors aim to provide evidence-based recommendations for the imaging evaluation of suspected and known renal and splanchnic artery aneurysms across various clinical scenarios, including initial evaluation and surveillance in both adults and pregnant patients. They review the roles of different imaging modalities, such as CTA, MRA, and ultrasound, emphasizing their diagnostic performance and safety considerations to optimize imaging utilization and enhance patient-centered management. The guidelines are grounded in systematic literature analysis and expert consensus, ensuring they reflect current best practices in vascular imaging.

Expert Panel on Vascular Imaging, Sasan Partovi, Xin Li, Ayaz Aghayev, Sandeep S Hedgire, Ahmed Sami Abuzaid, Sarah Ahmad, Aws Hamid, Stanislav Henkin, Edward Hulten, Prashant Nagpal, Anil K Pillai, Margarita V Revzin, Beth Ripley, Sachin S Saboo, Richard D Shih, Jeffrey J Siracuse, Lilja B Solnes, Richard Thomas, Bill S Majdalany

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