Please find below MGI's comprehensive AUC library, which was developed by its autonomous multidisciplinary team. The criteria address nearly all commonly seen clinical scenarios, and they are derived from leading specialty societies including the American College of Radiology (ACR), the American College of Cardiology (ACC) and many others. The AUC also incorporate recommendations from current peer-reviewed medical literature. At the bottom of this page, MGI has identified each criterion that is relevant to a CMS priority clinical area. 


Criteria

Preface to the Imaging Guidelines

Cardiac Imaging Guidelines

Chest Imaging Guidelines

Head Imaging Guidelines

Abdomen Imaging Guidelines

Musculoskeletal Imaging Guidelines

Neck Imaging Guidelines

 

Priority clinical areas

(1) Coronary artery disease (suspected or diagnosed)

  • Cardiac Imaging Guidelines 

(2) Suspected pulmonary embolism

  • Chest Imaging Guidelines

    • CH-4: Non-Cardiac Chest Pain

    • CH-5: Dyspnea/Shortness of Breath

    • CH-25: Pulmonary Embolism (PE)

  • Cardiac Imaging Guidelines

    • CD-8.1: Pulmonary Artery Hypertension (PAH)

    • CD-9.1: CHF – Imaging

(3) Headache (traumatic and non-traumatic)

  • Head Imaging Guidelines

    • HD-11: Headache

    • HD-12.1: Intracranial Aneurysms

    • HD-13: Head Trauma

    • HD-21.2: Venous Infarcts

    • HD-23: Dizziness, Vertigo, and Syncope

(4) Hip pain

  • Musculoskeletal Imaging Guidelines

    • MS-4: Avascular Necrosis (AVN)/Osteonecrosis

    • MS-5: Fracture and Dislocation

    • MS-10: Soft Tissue Mass or Lesion of Bone

    • MS-12: Osteoarthritis

    • MS-15: Rheumatoid Arthritis and Inflammatory Arthritis

    • MS-16: Total Joint Prosthesis

    • MS-24: Hip

(5) Low back pain

  • Spine Imaging Guidelines

    • SP-5: Low Back (lumbar spine) Non-Specific Axial Pain without Neurological Features

    • SP-6: Low Back (lumbar spine) Pain with Neurological Features and Trauma

    • SP-8: Lumbar Spine Spondylolysis/ Spondylolisthesis

    • SP-9: Lumbar Spinal Stenosis

    • SP-10: Sacro-Iliac (SI) Joint Pain, Inflammatory Spondylitis/Sacroiliitis and Fibromyalgia

    • SP-11: Pathological Spinal Compression Fractures

(6) Shoulder pain (to include suspected rotator cuff injury)

  • Musculoskeletal Imaging Guidelines

    • MS-4: Avascular Necrosis (AVN)/Osteonecrosis

    • MS-5: Fracture and Dislocation

    • MS-10: Soft Tissue Mass or Lesion of Bone

    • MS-12: Osteoarthritis

    • MS-15: Rheumatoid Arthritis and Inflammatory Arthritis

    • MS-19: Shoulder

  • Peripheral Nerve Disorders (PND) Imaging Guidelines

    • PN-4: Brachial Plexus

(7) Cancer of the lung (primary or metastatic, suspected or diagnosed)

  • Chest Imaging Guidelines

    • CH-2: Lymphadenopathy

    • CH-3: Cough

    • CH-4: Non-Cardiac Chest Pain

    • CH-5: Dyspnea/Shortness of Breath

    • CH-6: Hemoptysis

    • CH-9: Asbestos Exposure

    • CH-10: COPD - Imaging

    • CH-12: Multiple Pulmonary Nodules

    • CH-16: Solitary Pulmonary Nodule (SPN)

  • Oncology Imaging Guidelines

    • ONC-7: Small Cell Lung Cancer

    • ONC-8: Non-Small Cell Lung Cancer

    • ONC-8.1: Asymptomatic Screening

    • ONC-31.1: Lung Metastases

(8) Cervical or neck pain

  • Spine Imaging Guidelines

    • SP-3: Neck (cervical spine) Pain without/with Neurological Features and Trauma

    • SP-10.2: Inflammatory Spondylitis

    • SP-11: Pathological Spinal Compression Fractures

  • Neck Imaging Guidelines

    • Neck-4: Esophagus

    • Neck-11:Torticollis and Dystonia