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J Am Coll Radiol. 2017 Nov;14(11S):S406-S420. doi: 10.1016/j.jacr.2017.08.035.

ACR Appropriateness Criteria® Cranial Neuropathy.

Author information

1
Principal Author and Panel Vice Chair, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Electronic address: bruno-policeni@uiowa.edu.
2
Panel Chair, Emory University, Atlanta, Georgia.
3
Montefiore Medical Center, Bronx, New York.
4
Northwestern University Feinberg School of Medicine, Chicago, Illinois; American Academy of Otolaryngology-Head and Neck Surgery.
5
Rush University Medical Center, Chicago, Illinois, neurosurgical consultant.
6
Massachusetts General Hospital, Boston, Massachusetts.
7
Duke University Medical Center, Durham, North Carolina.
8
Mayo Clinic, Rochester, Minnesota.
9
University of Minnesota, Minneapolis, Minnesota.
10
Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
11
University of Wisconsin Hospital and Clinic, Madison, Wisconsin.
12
Columbia University Medical Center, New York, New York.
13
University of California San Diego Medical Center, San Diego, California.
14
Fairfax Radiology Consultants PC, Fairfax, Virginia.
15
Washington University School of Medicine, Saint Louis, Missouri, American Academy of Neurology.
16
Northwestern University Feinberg School of Medicine, Chicago, Illinois neurosurgical consultant.
17
Walter Reed National Military Medical Center, Bethesda, Maryland.
18
Children's National Medical Center, Washington, District of Columbia.
19
Specialty Chair, University of Cincinnati Medical Center, Cincinnati, Ohio.

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.

KEYWORDS:

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

PMID:
29101981
DOI:
10.1016/j.jacr.2017.08.035
[Indexed for MEDLINE]

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