Title

ACR Appropriateness Criteria((R)) Penetrating Neck Injury

UMMS Affiliation

Department of Radiology

Publication Date

2017-11-01

Document Type

Article

Disciplines

Body Regions | Radiology

Abstract

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.

Keywords

AUC, Aerodigestive injury, Appropriate Use Criteria, Appropriateness Criteria, CTA, Penetrating neck injury, Vascular injury

DOI of Published Version

10.1016/j.jacr.2017.08.038

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 site

Journal/Book/Conference Title

Journal of the American College of Radiology : JACR

Comments

Full author list omitted for brevity. For the full list of authors, see article.

Related Resources

Link to Article in PubMed

PubMed ID

29101988

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