guideline-integration

# 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