TY - JOUR
T1 - ACR Appropriateness Criteria® Penetrating Neck Injury
AU - Expert Panels on Neurologic and Vascular Imaging:
AU - Schroeder, Jason W.
AU - Ptak, Thomas
AU - Corey, Amanda S.
AU - Ahmed, Osmanuddin
AU - Biffl, Walter L.
AU - Brennan, Joseph A.
AU - Chandra, Ankur
AU - Ginsburg, Michael
AU - Hanley, Michael
AU - Hunt, Christopher H.
AU - Johnson, Michele M.
AU - Kennedy, Tabassum A.
AU - Patel, Nandini D.
AU - Policeni, Bruno
AU - Reitman, Charles
AU - Steigner, Michael L.
AU - Stiver, Shirley I.
AU - Strax, Richard
AU - Whitehead, Matthew T.
AU - Dill, Karin E.
N1 - Publisher Copyright:
© 2017 American College of Radiology
PY - 2017/11/1
Y1 - 2017/11/1
N2 - 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.
AB - 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.
KW - AUC
KW - Aerodigestive injury
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - CTA
KW - Penetrating neck injury
KW - Vascular injury
UR - http://www.scopus.com/inward/record.url?scp=85032800797&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85032800797&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2017.08.038
DO - 10.1016/j.jacr.2017.08.038
M3 - Article
C2 - 29101988
AN - SCOPUS:85032800797
SN - 1546-1440
VL - 14
SP - S500-S505
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -