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UMass Chan Affiliations
Department of RadiologyDocument Type
Journal ArticlePublication Date
2017-11-01Keywords
AUCAerodigestive injury
Appropriate Use Criteria
Appropriateness Criteria
CTA
Penetrating neck injury
Vascular injury
Body Regions
Radiology
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Show full item recordAbstract
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.Source
J Am Coll Radiol. 2017 Nov;14(11S):S500-S505. doi: 10.1016/j.jacr.2017.08.038. Link to article on publisher's siteDOI
10.1016/j.jacr.2017.08.038Permanent Link to this Item
http://hdl.handle.net/20.500.14038/48253PubMed ID
29101988Notes
Full author list omitted for brevity. For the full list of authors, see article.
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10.1016/j.jacr.2017.08.038