{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:19:49Z","timestamp":1793395189410,"version":"4.5.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2026,6]]},"DOI":"10.1016\/j.jacr.2026.01.030","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T21:45:22Z","timestamp":1772228722000},"page":"1088-1105","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["ACR Appropriateness Criteria\u00ae Major Blunt Trauma: Update 2025"],"prefix":"10.1016","volume":"23","author":[{"given":"James T.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc A.","family":"Camacho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah B.","family":"Diercks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeeva P.","family":"Kalva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahammed Z.","family":"Khan Suheb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Khosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Lumba-Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Mandell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Ptak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clint W.","family":"Sliker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin F.","family":"Donnelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jacr.2026.01.030_bib2","doi-asserted-by":"crossref","first-page":"S448","DOI":"10.1016\/j.jacr.2024.08.014","article-title":"ACR Appropriateness Criteria\u00ae penetrating torso trauma","volume":"21","author":"Lee","year":"2024","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.jacr.2026.01.030_bib3","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.1016\/j.jacr.2021.01.006","article-title":"ACR Appropriateness Criteria\u00ae head trauma: 2021 update","volume":"18","author":"Shih","year":"2021","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.jacr.2026.01.030_bib4","doi-asserted-by":"crossref","first-page":"S48","DOI":"10.1016\/j.jacr.2025.02.013","article-title":"Appropriateness Criteria\u00ae acute spinal trauma: 2024 update","volume":"22","author":"Hassankhani","year":"2025","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.jacr.2026.01.030_bib5","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1016\/j.ajem.2017.11.019","article-title":"Diagnostic accuracy of the extended focused abdominal sonography for trauma (E-FAST) performed by emergency physicians compared to CT","volume":"36","author":"Akoglu","year":"2018","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.030_bib6","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1055\/a-0924-5455","article-title":"New perspectives for modern trauma management\u2014lessons learned from 25 years FAST and 15 years E-FAST","volume":"40","author":"Osterwalder","year":"2019","journal-title":"Ultraschall Med"},{"key":"10.1016\/j.jacr.2026.01.030_bib7","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1097\/TA.0000000000002058","article-title":"Organ injury scaling 2018 update: spleen, liver, and kidney","volume":"85","author":"Kozar","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.030_bib8","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s13049-017-0396-7","article-title":"Computed tomography during initial management and mortality among hemodynamically unstable blunt trauma patients: a nationwide retrospective cohort study","volume":"25","author":"Tsutsumi","year":"2017","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.030_bib9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0068880","article-title":"Whole-body CT in haemodynamically unstable severely injured patients\u2014a retrospective, multicentre study","volume":"8","author":"Huber-Wagner","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.jacr.2026.01.030_bib11","article-title":"Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient","volume":"51","author":"Ordonez","year":"2020","journal-title":"Colomb Med (Cali)"},{"key":"10.1016\/j.jacr.2026.01.030_bib12","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.diii.2015.06.005","article-title":"Traumatic injuries of the thoracic aorta: The role of imaging in diagnosis and treatment","volume":"96","author":"Mokrane","year":"2015","journal-title":"Diagn Interv Imaging"},{"key":"10.1016\/j.jacr.2026.01.030_bib13","doi-asserted-by":"crossref","first-page":"546","DOI":"10.29271\/jcpsp.2018.07.546","article-title":"Diagnostic Accuracy of initial chest x-rays in thorax trauma","volume":"28","author":"Tataroglu","year":"2018","journal-title":"J Coll Physicians Surg Pak"},{"key":"10.1016\/j.jacr.2026.01.030_bib14","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1177\/0003134821998665","article-title":"Chest and pelvis x-rays as a screening tool for abdominal injury in geriatric blunt trauma patients","volume":"88","author":"Leede","year":"2022","journal-title":"Am Surg"},{"key":"10.1016\/j.jacr.2026.01.030_bib15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13049-016-0342-0","article-title":"Should we perform a FAST exam in haemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study","volume":"25","author":"Dammers","year":"2017","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.030_bib16","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.surg.2010.07.032","article-title":"FAST scan: is it worth doing in hemodynamically stable blunt trauma patients?","volume":"148","author":"Natarajan","year":"2010","journal-title":"Surgery"},{"key":"10.1016\/j.jacr.2026.01.030_bib17","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/s10140-013-1147-3","article-title":"Radiation exposure before and after the introduction of a dedicated total-body CT protocol in multitrauma patients","volume":"20","author":"Sierink","year":"2013","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.030_bib18","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/TA.0000000000000414","article-title":"Whole-body computed tomographic scanning leads to better survival as opposed to selective scanning in trauma patients: a systematic review and meta-analysis","volume":"77","author":"Caputo","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.030_bib19","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1016\/j.injury.2017.06.003","article-title":"A meta-analysis of the efficacy of whole-body computed tomography imaging in the management of trauma and injury","volume":"48","author":"Chidambaram","year":"2017","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.030_bib20","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1111\/acem.13010","article-title":"prevalence and diagnostic performance of isolated and combined NEXUS chest CT decision criteria","volume":"23","author":"Raja","year":"2016","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.030_bib21","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jamcollsurg.2011.11.012","article-title":"A systematic review and meta-analysis of diagnostic screening criteria for blunt cerebrovascular injuries","volume":"214","author":"Franz","year":"2012","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.jacr.2026.01.030_bib22","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1097\/TA.0000000000002668","article-title":"Evaluation and management of blunt cerebrovascular injury: a practice management guideline from the Eastern Association for the Surgery of Trauma","volume":"88","author":"Kim","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.030_bib23","doi-asserted-by":"crossref","first-page":"3064","DOI":"10.1016\/j.injury.2021.02.047","article-title":"Utility of computed tomography angiography in traumatic lower limb injury: review of clinical impact in level 1 trauma centre","volume":"52","author":"Joseph","year":"2021","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.030_bib24","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1148\/radiol.13121242","article-title":"Active hemorrhage and vascular injuries in splenic trauma: utility of the arterial phase in multidetector CT","volume":"270","author":"Uyeda","year":"2014","journal-title":"Radiology"},{"key":"10.1016\/j.jacr.2026.01.030_bib25","doi-asserted-by":"crossref","first-page":"2513","DOI":"10.1007\/s00330-013-2860-8","article-title":"Use of positive oral contrast agents in abdominopelvic computed tomography for blunt abdominal injury: meta-analysis and systematic review","volume":"23","author":"Lee","year":"2013","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jacr.2026.01.030_bib26","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.amjsurg.2018.08.018","article-title":"Effectiveness of computed tomography scanning to detect blunt bowel and mesenteric injuries requiring surgical intervention: a systematic literature review","volume":"218","author":"Abdel-Aziz","year":"2019","journal-title":"Am J Surg"},{"key":"10.1016\/j.jacr.2026.01.030_bib27","doi-asserted-by":"crossref","first-page":"93","DOI":"10.2214\/AJR.20.23108","article-title":"Segmental bowel hypoenhancement on CT predicts ischemic mesenteric laceration after blunt trauma","volume":"217","author":"Boscak","year":"2021","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.jacr.2026.01.030_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2023.100915","article-title":"Accuracy and utilization patterns of intraabdominal imaging for major trauma in pregnancy","volume":"5","author":"Sakowicz","year":"2023","journal-title":"Am J Obstet Gynecol MFM"},{"key":"10.1016\/j.jacr.2026.01.030_bib29","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1177\/0846537120913875","article-title":"Lower urinary tract injuries: a guide for the emergency radiologist","volume":"72","author":"Mojtabaie","year":"2021","journal-title":"Can Assoc Radiol J"},{"key":"10.1016\/j.jacr.2026.01.030_bib30","doi-asserted-by":"crossref","first-page":"3962","DOI":"10.1007\/s00261-019-02161-6","article-title":"Computed tomography (CT) in the evaluation of bladder and ureteral trauma: indications, technique, and diagnosis","volume":"44","author":"Haroon","year":"2019","journal-title":"Abdom Radiol (N Y)"},{"key":"10.1016\/j.jacr.2026.01.030_bib31","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/TA.0000000000002098","article-title":"Optimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma","volume":"86","author":"Keihani","year":"2019","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.030_bib37","series-title":"Measuring sex, gender identity, and sexual orientation","article-title":"Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Committee on National Statistics; Committee on Measuring Sex, Gender Identity, and Sexual Orientation. Measuring sex, gender identity, and sexual orientation","year":"2022"}],"container-title":["Journal of the American College of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1546144026000578?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1546144026000578?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:32:09Z","timestamp":1790393529000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1546144026000578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S1546144026000578"],"URL":"https:\/\/doi.org\/10.1016\/j.jacr.2026.01.030","relation":{},"ISSN":["1546-1440"],"issn-type":[{"value":"1546-1440","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"ACR Appropriateness Criteria\u00ae Major Blunt Trauma: Update 2025","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.2026.01.030","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American College of Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}