# Guideline Integration

> Access and apply professional radiology society guidelines. Use when user mentions "ACR criteria", "appropriateness rating", "guideline for", "society recommendation", "BI-RADS update", "dose reference levels", or "protocol guidelines".

- Skill: `aizech/guideline-integration` (Agent Skill, multi-file: 2 files)
- Install (CLI): `npx skillmds@latest add aizech/guideline-integration`
- Raw SKILL.md: https://api.skillmd.com/api/skills/aizech/guideline-integration/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Integrations & APIs
- Author: aizech (https://skillmd.com/u/aizech)
- Updated: 2026-09-17
- Page: https://skillmd.com/skills/aizech/guideline-integration

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# 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