ACR Appropriateness Criteria(®) Penetrating Neck Injury.

ACR Appropriateness Criteria(®) Penetrating Neck Injury.

J Am Coll Radiol. 2017 Nov;14(11S):S500-S505

Authors: Expert Panels on Neurologic and Vascular Imaging:, Schroeder JW, Ptak T, Corey AS, Ahmed O, Biffl WL, Brennan JA, Chandra A, Ginsburg M, Hanley M, Hunt CH, Johnson MM, Kennedy TA, Patel ND, Policeni B, Reitman C, Steigner ML, Stiver SI, Strax R, Whitehead MT, Dill KE

Abstract
In patients with penetrating neck injuries with clinical soft injury signs, and patients with hard signs of injury who do not require immediate surgery, CT angiography of the neck is the preferred imaging procedure to evaluate extent of injury. Other modalities, such as radiography and fluoroscopy, catheter-based angiography, ultrasound, and MR angiography have their place in the evaluation of the patient, depending on the specific clinical situation and question at hand. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

PMID: 29101988 [PubMed - in process]

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