Guideline Integration Skill

Triggers

• "ACR criteria"
• "appropriateness rating"
• "guideline for"
• "society recommendation"
• "BI-RADS update"
• "dose reference levels"
• "protocol guidelines"

Parameters

• guideline_type (required): Type of guideline needed
  • appropriateness - ACR Appropriateness Criteria
  • reporting - Structured reporting standards (BI-RADS, LI-RADS)
  • dose - Radiation dose guidelines
  • protocol - Imaging protocol recommendations
  • screening - Screening eligibility guidelines
• clinical_scenario (required): Brief description of clinical question
• modality (optional): Specific imaging modality
• age_group (optional): Adult, pediatric, geriatric

Major Guideline Sources

ACR (American College of Radiology)

• Appropriateness Criteria (200+ scenarios)
• BI-RADS Atlas (mammography)
• LI-RADS (liver imaging)
• PI-RADS (prostate)
• TI-RADS (thyroid)
• Dose Reference Levels

Society Guidelines

• RSNA (Radiological Society of North America)
• ESR (European Society of Radiology)
• ASNR (American Society of Neuroradiology)
• SPR (Society for Pediatric Radiology)
• SRU (Society of Radiologists in Ultrasound)

Appropriateness Rating Scale

Rating	Meaning
Usually Appropriate	7-9
May Be Appropriate	4-6
Usually Not Appropriate	1-3

Output Format

Returns structured JSON with:

• Guideline source and version
• Relevant rating or recommendation
• Clinical context
• Alternative considerations
• Evidence level (if available)

Usage Examples

guideline_type: appropriateness
clinical_scenario: acute flank pain suspected kidney stone
modality: CT

guideline_type: reporting
clinical_scenario: liver imaging surveillance

Integration

Links to:

• structured-reporting for template integration
• ai-detection-pipeline for protocol recommendations
• radiology-context for institution-specific protocols