ACR Appropriateness Criteria® Cranial Neuropathy

Bruno Policeni, Amanda S. Corey, Judah Burns, David B. Conley, R. Webster Crowley, H. Benjamin Harvey, Jenny Hoang, Christopher H. Hunt, Bharathi D. Jagadeesan, Amy F. Juliano, Tabassum A. Kennedy, Gul Moonis, Jeffrey S. Pannell, Nandini D. Patel, Joel S. Perlmutter, Joshua M. Rosenow, Jason W. Schroeder, Mathew T. Whitehead, Rebecca S. Cornelius, Expert Panel on Neurologic Imaging

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Evaluation of cranial neuropathy can be complex given the different pathway of each cranial nerve as well as the associated anatomic landmarks. Radiological evaluation requires imaging of the entire course of the nerve from its nucleus to the end organ. MRI is the modality of choice with CT playing a complementary role, particularly in the evaluation of the bone anatomy. Since neoplastic and inflammatory lesions are prevalent on the differential diagnosis, contrast enhanced studies are preferred when possible. The American College of Radiology Appropriateness Criteria are evidencebased 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.

Original languageEnglish (US)
Pages (from-to)S406-S420
JournalJournal of the American College of Radiology
Volume14
Issue number11
DOIs
StatePublished - Nov 1 2017

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Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • Cranial nerves
  • Cranial neuropathy
  • CT
  • MRI
  • Skull base

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Policeni, B., Corey, A. S., Burns, J., Conley, D. B., Crowley, R. W., Harvey, H. B., Hoang, J., Hunt, C. H., Jagadeesan, B. D., Juliano, A. F., Kennedy, T. A., Moonis, G., Pannell, J. S., Patel, N. D., Perlmutter, J. S., Rosenow, J. M., Schroeder, J. W., Whitehead, M. T., Cornelius, R. S., & Expert Panel on Neurologic Imaging (2017). ACR Appropriateness Criteria® Cranial Neuropathy. Journal of the American College of Radiology, 14(11), S406-S420. https://doi.org/10.1016/j.jacr.2017.08.035