ACR Appropriateness Criteria® Tinnitus

Expert Panel on Neurologic Imaging:

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Tinnitus is the perception of sound in the absence of an external source. It is a common symptom that can be related to hearing loss and other benign causes. However, tinnitus may be disabling and can be the only symptom in a patient with a central nervous system process disorder. History and physical examination are crucial first steps to determine the need for imaging. CT and MRI are useful in the setting of pulsatile tinnitus to evaluate for an underlying vascular anomaly or abnormality. If there is concomitant asymmetric hearing loss, neurologic deficit, or head trauma, imaging should be guided by those respective ACR Appropriateness Criteria® documents, rather than the presence of tinnitus. Imaging is not usually appropriate in the evaluation of subjective, nonpulsatile tinnitus that does not localize to one ear. The American College of Radiology 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.

Original languageEnglish (US)
Pages (from-to)S584-S591
JournalJournal of the American College of Radiology
Volume14
Issue number11
DOIs
StatePublished - Nov 1 2017

Fingerprint

Tinnitus
Hearing Loss
Guidelines
Nervous System Trauma
Central Nervous System Diseases
Expert Testimony
Neurologic Manifestations
Craniocerebral Trauma
Radiology
Physical Examination
Ear
Blood Vessels
History
Therapeutics

Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • CT
  • MRI
  • Nonpulsatile tinnitus
  • Objective tinnitus
  • Pulsatile tinnitus
  • Subjective tinnitus
  • Tinnitus
  • Unilateral tinnitus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Tinnitus. / Expert Panel on Neurologic Imaging:.

In: Journal of the American College of Radiology, Vol. 14, No. 11, 01.11.2017, p. S584-S591.

Research output: Contribution to journalArticle

Expert Panel on Neurologic Imaging:. / ACR Appropriateness Criteria® Tinnitus. In: Journal of the American College of Radiology. 2017 ; Vol. 14, No. 11. pp. S584-S591.
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