{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T09:08:28Z","timestamp":1782983308004,"version":"3.54.5"},"reference-count":43,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100009825","name":"American College of Radiology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009825","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacr.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American College of Radiology"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.jacr.2022.09.002","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T09:44:04Z","timestamp":1669369444000},"page":"S364-S373","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"special_numbering":"S","title":["ACR Appropriateness Criteria\u00ae Lower Extremity Arterial Claudication-Imaging Assessment for Revascularization: 2022 Update"],"prefix":"10.1016","volume":"19","author":[{"given":"Ezana M.","family":"Azene","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Steigner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayaz","family":"Aghayev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Clough","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maros","family":"Ferencik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep S.","family":"Hedgire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin W.","family":"Hicks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Kirsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoo Jin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee A.","family":"Myers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Nagpal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Osborne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil K.","family":"Pillai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Ripley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimarta","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeeva P.","family":"Kalva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jacr.2022.09.002_bib1","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1093\/ije\/25.6.1172","article-title":"Incidence, natural history and cardiovascular events in symptomatic and asymptomatic peripheral arterial disease in the general population","volume":"25","author":"Leng","year":"1996","journal-title":"Int J Epidemiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib2","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1016\/j.jacc.2005.10.009","volume":"47","author":"Hirsch","year":"2006","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/1471-2458-10-38","article-title":"The peripheral arterial disease study (PERART\/ARTPER): prevalence and risk factors in the general population","volume":"10","author":"Alzamora","year":"2010","journal-title":"BMC Public Health"},{"key":"10.1016\/j.jacr.2022.09.002_bib4","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1067\/mva.2001.112210","article-title":"Outcome events in patients with claudication: a 15-year study in 2777 patients","volume":"33","author":"Muluk","year":"2001","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib5","doi-asserted-by":"crossref","first-page":"NP1","DOI":"10.1177\/1358863X17701592","article-title":"2016 AHA\/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary","volume":"22","author":"Gerhard-Herman","year":"2017","journal-title":"Vasc Med"},{"key":"10.1016\/j.jacr.2022.09.002_bib6","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.ejvs.2015.10.022","article-title":"The risk of disease progression in peripheral arterial disease is higher than expected: a meta-analysis of mortality and disease progression in peripheral arterial disease","volume":"51","author":"Sigvant","year":"2016","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib7","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1016\/j.jvs.2019.04.493","article-title":"A\u00a0low-cost, wireless near-infrared spectroscopy device detects the presence of lower extremity atherosclerosis as measured by computed tomographic angiography and characterizes walking impairment in peripheral artery disease","volume":"71","author":"Fuglestad","year":"2020","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib8","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1016\/j.jvs.2011.03.287","article-title":"The application of infrared thermography in evaluation of patients at high risk for lower extremity peripheral arterial disease","volume":"54","author":"Huang","year":"2011","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib9","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/0002-9610(79)90372-6","article-title":"Combining segmental systolic pressures and plethysmography to diagnose arterial occlusive disease of the legs","volume":"138","author":"Rutherford","year":"1979","journal-title":"Am J Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib10","doi-asserted-by":"crossref","first-page":"719","DOI":"10.2214\/ajr.180.3.1800719","article-title":"Multidetector CT angiography of peripheral vascular disease: a prospective comparison with intraarterial digital subtraction angiography","volume":"180","author":"Ofer","year":"2003","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.jacr.2022.09.002_bib11","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/j.ejvs.2007.12.002","article-title":"Contrast enhanced magnetic resonance angiography versus intra-arterial digital subtraction angiography for treatment planning in patients with peripheral arterial disease: a randomised controlled diagnostic trial","volume":"35","author":"Vahl","year":"2008","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib12","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/0033-0620(83)90007-5","article-title":"Accuracy of angiographic quantification of peripheral atherosclerosis","volume":"26","author":"Thiele","year":"1983","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.jacr.2022.09.002_bib13","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.rcl.2010.02.006","article-title":"CT angiography: current technology and clinical use","volume":"48","author":"Kumamaru","year":"2010","journal-title":"Radiol Clin North Am"},{"key":"10.1016\/j.jacr.2022.09.002_bib14","doi-asserted-by":"crossref","first-page":"e266","DOI":"10.1161\/CIR.0b013e3181d47d48","volume":"121","author":"Hiratzka","year":"2010","journal-title":"Circulation"},{"key":"10.1016\/j.jacr.2022.09.002_bib15","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.crad.2011.04.015","article-title":"64-Section CT angiography in patients with critical limb ischaemia and severe claudication: comparison with digital subtractive angiography","volume":"66","author":"Fotiadis","year":"2011","journal-title":"Clin Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib16","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1007\/s00330-007-0822-8","article-title":"Multidetector CT angiography in the assessment of peripheral arterial occlusive disease: accuracy in detecting the severity, number, and length of stenoses","volume":"18","author":"Schernthaner","year":"2008","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib17","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1148\/radiol.2312020920","article-title":"Infrarenal aortic and lower-extremity arterial disease: diagnostic performance of multi-detector row CT angiography","volume":"231","author":"Catalano","year":"2004","journal-title":"Radiology"},{"key":"10.1016\/j.jacr.2022.09.002_bib18","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.jacc.2006.01.009","article-title":"64-Slice peripheral computed tomography angiography: a clinical accuracy evaluation","volume":"47","author":"Fine","year":"2006","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib19","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1148\/radiol.2451061280","article-title":"Lower extremity arterial disease: multidetector CT angiography meta-analysis","volume":"245","author":"Heijenbrok-Kal","year":"2007","journal-title":"Radiology"},{"key":"10.1016\/j.jacr.2022.09.002_bib20","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1148\/radiol.2271020014","article-title":"Aortoiliac and renal arteries: prospective intraindividual comparison of contrast-enhanced three-dimensional MR angiography and multi-detector row CT angiography","volume":"226","author":"Willmann","year":"2003","journal-title":"Radiology"},{"key":"10.1016\/j.jacr.2022.09.002_bib21","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.ejrad.2011.01.100","article-title":"Multidetector CT angiography versus arterial duplex USG in diagnosis of mild lower extremity peripheral arterial disease: is multidetector CT a valuable screening tool?","volume":"81","author":"Kayhan","year":"2012","journal-title":"Eur J Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib22","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1148\/radiol.2412050781","article-title":"Vessel wall calcifications at multi-detector row CT angiography in patients with peripheral arterial disease: effect on clinical utility and clinical predictors","volume":"241","author":"Ouwendijk","year":"2006","journal-title":"Radiology"},{"key":"10.1016\/j.jacr.2022.09.002_bib23","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1148\/rg.2016150185","article-title":"Dual-energy spectral CT: various clinical vascular applications","volume":"36","author":"Machida","year":"2016","journal-title":"Radiographics"},{"key":"10.1016\/j.jacr.2022.09.002_bib24","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1053\/j.tvir.2007.02.006","article-title":"Tools of the trade for CTA: MDCT scanners and contrast medium injection protocols","volume":"9","author":"Hallett","year":"2006","journal-title":"Techn Vasc Interv Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib25","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/S0741-5214(97)70360-4","article-title":"Magnetic resonance angiography in the management of lower extremity arterial occlusive disease: a prospective study","volume":"25","author":"Cambria","year":"1997","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib26","doi-asserted-by":"crossref","first-page":"3104","DOI":"10.1007\/s00330-013-2933-8","article-title":"Diagnostic performance of computed tomography angiography and contrast-enhanced magnetic resonance angiography in patients with critical limb ischaemia and intermittent claudication: systematic review and meta-analysis","volume":"23","author":"Jens","year":"2013","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib27","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.2214\/ajr.179.4.1791013","article-title":"Peripheral vascular occlusive disease: evaluation with contrast-enhanced moving-bed MR angiography versus digital subtraction angiography in 106 patients","volume":"179","author":"Loewe","year":"2002","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.jacr.2022.09.002_bib28","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1053\/j.tvir.2014.08.003","article-title":"Computed tomography angiography and magnetic resonance angiography imaging in critical limb ischemia: an overview","volume":"17","author":"Iglesias","year":"2014","journal-title":"Techn Vasc Interv Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib29","doi-asserted-by":"crossref","first-page":"2857","DOI":"10.1007\/s00330-014-3314-7","article-title":"Patency of runoff detected by MR angiography at 3.0 T with cuff-compression: a predictor of successful endovascular recanalization below the knee","volume":"24","author":"Zhu","year":"2014","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib30","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.2214\/AJR.10.6091","article-title":"Peripheral arterial disease in a symptomatic diabetic population: prospective comparison of rapid unenhanced MR angiography (MRA) with contrast-enhanced MRA","volume":"197","author":"Hodnett","year":"2011","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.jacr.2022.09.002_bib31","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1148\/radiology.216.1.r00jl0367","article-title":"Peripheral arterial disease: gadolinium-enhanced MR angiography versus color-guided duplex US\u2014a meta-analysis","volume":"216","author":"Visser","year":"2000","journal-title":"Radiology"},{"key":"10.1016\/j.jacr.2022.09.002_bib32","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1148\/radiol.2402050223","article-title":"Peripheral arterial disease: clinical and cost comparisons between duplex US and contrast-enhanced MR angiography\u2014a multicenter randomized trial","volume":"240","author":"de Vries","year":"2006","journal-title":"Radiology"},{"key":"10.1016\/j.jacr.2022.09.002_bib33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/jmri.22789","article-title":"Non-contrast enhanced MR angiography: established techniques","volume":"35","author":"Miyazaki","year":"2012","journal-title":"J\u00a0Magn Reson Imaging"},{"key":"10.1016\/j.jacr.2022.09.002_bib34","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1016\/j.jvir.2018.06.015","article-title":"Diagnostic accuracy of noncontrast MR angiography protocols at 3T for the detection and characterization of lower extremity peripheral arterial disease","volume":"29","author":"Hanrahan","year":"2018","journal-title":"J\u00a0Vasc Interv Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib35","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1002\/jmri.22457","article-title":"Nonenhanced methods for lower-extremity MRA: a phantom study examining the effects of stenosis and pathologic flow waveforms at 1.5T","volume":"33","author":"Offerman","year":"2011","journal-title":"J\u00a0Magn Reson Imaging"},{"key":"10.1016\/j.jacr.2022.09.002_bib36","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.2214\/AJR.09.4184","article-title":"Fresh\u00a0blood imaging of the peripheral vasculature: an emerging unenhanced MR technique","volume":"195","author":"Hoey","year":"2010","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.jacr.2022.09.002_bib37","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/0301-5629(85)90164-4","article-title":"Noninvasive mapping of\u00a0lower limb arterial lesions","volume":"11","author":"Jager","year":"1985","journal-title":"Ultrasound Med Biol"},{"key":"10.1016\/j.jacr.2022.09.002_bib38","first-page":"364","article-title":"Noninvasive imaging of the superficial femoral artery using ultrasound duplex scanning","volume":"31","author":"Fletcher","year":"1990","journal-title":"J\u00a0Cardiovasc Surg (Torino)"},{"key":"10.1016\/j.jacr.2022.09.002_bib39","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/0741-5214(93)90151-B","article-title":"Accuracy and reproducibility of duplex ultrasonography in grading femoropopliteal stenoses","volume":"17","author":"Leng","year":"1993","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib40","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/S1076-6332(96)80257-1","article-title":"Summary receiver operating characteristic curves as a technique for meta-analysis of the diagnostic performance of duplex ultrasonography in peripheral arterial disease","volume":"3","author":"de Vries","year":"1996","journal-title":"Acad Radiol"},{"key":"10.1016\/j.jacr.2022.09.002_bib41","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/S0741-5214(94)70038-9","article-title":"Limitations of ultrasonic duplex scanning for diagnosing lower limb arterial stenoses in the presence of adjacent segment disease","volume":"19","author":"Allard","year":"1994","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib42","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.avsg.2018.08.079","article-title":"Ultrasound Surveillance in Endovascular Revascularization of Lower Limbs","volume":"56","author":"Martinez-Rico","year":"2019","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jacr.2022.09.002_bib43","first-page":"1","article-title":"Lower extremity peripheral artery disease: a basic approach","volume":"81","author":"Chan","year":"2020","journal-title":"Br J Hosp Med (Lond)"}],"container-title":["Journal of the American College of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1546144022006366?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1546144022006366?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:30:44Z","timestamp":1761546644000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1546144022006366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":43,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["S1546144022006366"],"URL":"https:\/\/doi.org\/10.1016\/j.jacr.2022.09.002","relation":{},"ISSN":["1546-1440"],"issn-type":[{"value":"1546-1440","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"ACR Appropriateness Criteria\u00ae Lower Extremity Arterial Claudication-Imaging Assessment for Revascularization: 2022 Update","name":"articletitle","label":"Article Title"},{"value":"Journal of the American College of Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacr.2022.09.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 American College of Radiology","name":"copyright","label":"Copyright"}]}}