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J Am Coll Radiol. 2018 Nov;15(11S):S403-S412. doi: 10.1016/j.jacr.2018.09.029.

ACR Appropriateness Criteria® Sinusitis-Child.

Author information

1
Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: atekes1@jhmi.edu.
2
Panel Chair, Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia.
3
Research Author, LifeBridge Health, Baltimore, Maryland.
4
Panel Vice-Chair, Vanderbilt Children's Hospital, Nashville, Tennessee.
5
Children's Health, Dallas and University of Texas Southwestern Medical Center, Dallas, Texas.
6
Texas Children's Hospital, Houston, Texas.
7
Emory University and Children's of Atlanta (Egleston), Atlanta, Georgia.
8
Sutter Medical Center, Sacramento, California; American College of Emergency Physicians.
9
Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia.
10
Children's Hospital Colorado, Aurora, Colorado.
11
Stanford University, Stanford, California; American Academy of Pediatrics.
12
Boston Children's Hospital, Boston, Massachusetts.
13
Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
14
Jackson Memorial Hospital, Miami, Florida.
15
Albany ENT & Allergy Services, PC, Albany, New York; American Academy of Otolaryngology-Head and Neck Surgery.
16
Johns Hopkins University School of Medicine, Baltimore, Maryland.
17
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
18
Children's National Medical Center, Washington, District of Columbia.
19
Specialty Chair, Riley Hospital for Children Indiana University, Indianapolis, Indiana.

Abstract

Sinusitis is common in children that usually resolves spontaneously. Imaging is not part of the standard of care for initial diagnosis, however may be necessary in cases with persistent or chronic sinusitis to guide surgical intervention, or to rule out intracranial and vascular complications of sinusitis. Computed tomography (CT) and magnetic resonance imaging (MRI) are the leading imaging modalities. In this article, appropriateness in use of imaging modalities are discussed under common/clinically relevant scenarios. 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.

KEYWORDS:

AUC; Acute sinusitis; Appropriate Use Criteria; Appropriateness Criteria; CT; Child; Chronic sinusitis; MRI; Sinusitis

PMID:
30392608
DOI:
10.1016/j.jacr.2018.09.029
[Indexed for MEDLINE]

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