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    Category: Interventional Radiology Imaging

    Part of the imaging decision system doctors were never taught to navigate at speed: which study to order, which protocol, and what the published appropriateness guidance actually says for IR imaging. Plain-English references, scenario by scenario.

    How Should You Manage Obstructive Uropathy from Advanced Cervical Carcinoma?

    How Should You Manage Obstructive Uropathy from Advanced Cervical Carcinoma?

    May 25, 2026

    ACR-guided imaging workflow for Advanced cervical carcinoma with decreased estimated glomerular filtration rate <15. Normal WBC, positive pelvic pressure,

    Read More
    How Should You Manage Obstructive Pyelonephritis in a Pregnant Patient?

    How Should You Manage Obstructive Pyelonephritis in a Pregnant Patient?

    May 25, 2026

    ACR-guided imaging workflow for Pregnant patient (20+ weeks) with 3-day history of left flank pain, fever, and leukocytosis. Urinalysis positive for infect

    Read More
    How Should You Manage an Infected Ureteral Stone Without Hydronephrosis on CT?

    How Should You Manage an Infected Ureteral Stone Without Hydronephrosis on CT?

    May 25, 2026

    ACR-guided imaging workflow for Seven-day history of right flank pain, fever, and leukocytosis. Urinalysis positive for blood and infection. CT scan shows

    Read More
    Should You Order a PCN for Asymptomatic Hydronephrosis After Urinary Diversion?

    Should You Order a PCN for Asymptomatic Hydronephrosis After Urinary Diversion?

    May 25, 2026

    ACR-guided imaging workflow for Urinary diversion after remote history of cystectomy for cancer. No fever, normal white blood cell (WBC) count and urine ou

    Read More
    What Is the Best Intervention for Limb-Threatening Iliofemoral DVT (Phlegmasia)? ACR Workflow

    What Is the Best Intervention for Limb-Threatening Iliofemoral DVT (Phlegmasia)? ACR Workflow

    May 25, 2026

    ACR-guided imaging workflow for Acute iliofemoral DVT and limb-threatening ischemia (phlegmasia cerulea dolens). (Radiologic Management of Iliofemoral Veno

    Read More
    What Is the Best Intervention for Acute Iliofemoral DVT with May-Thurner Syndrome?

    What Is the Best Intervention for Acute Iliofemoral DVT with May-Thurner Syndrome?

    May 25, 2026

    ACR-guided imaging workflow for Acute iliofemoral DVT and symptoms less than 14 days. Cross-sectional imaging consistent with May-Thurner syndrome. (Radiol

    Read More
    What Is the Best Initial Management for Mild Acute Iliofemoral DVT?

    What Is the Best Initial Management for Mild Acute Iliofemoral DVT?

    May 25, 2026

    ACR-guided imaging workflow for Acute iliofemoral DVT with mild symptoms less than 14 days, otherwise healthy. (Radiologic Management of Iliofemoral Venous

    Read More
    Which Procedure Is Best for Bleeding Gastric Varices with a Gastrorenal Shunt?

    Which Procedure Is Best for Bleeding Gastric Varices with a Gastrorenal Shunt?

    May 25, 2026

    ACR-guided imaging workflow for Cirrhotic patient bleeding from large high flow gastric varices with a MELD score of 12 and a hepatic wedge pressure of 10

    Read More
    Should You Request TIPS for a Cirrhotic Patient with Refractory Variceal Bleeding and MELD 13?

    Should You Request TIPS for a Cirrhotic Patient with Refractory Variceal Bleeding and MELD 13?

    May 25, 2026

    ACR-guided imaging workflow for Cirrhotic patient bleeding from esophageal varices and gastric varices not amenable to endoscopic management with a MELD sc

    Read More
    BRTO for Bleeding Gastric Varices with Encephalopathy and MRI-Detected Shunt

    BRTO for Bleeding Gastric Varices with Encephalopathy and MRI-Detected Shunt

    May 25, 2026

    ACR-guided imaging workflow for Cirrhotic patient bleeding from large, high flow gastric varices with hepatic encephalopathy and a MELD score of 18. MRI de

    Read More

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