TY - JOUR
T1 - ACR Appropriateness Criteria® Sinonasal Disease
T2 - 2021 Update
AU - Expert Panel on Neurological Imaging:
AU - Hagiwara, Mari
AU - Policeni, Bruno
AU - Juliano, Amy F.
AU - Agarwal, Mohit
AU - Burns, Judah
AU - Dubey, Prachi
AU - Friedman, Elliott R.
AU - Gule-Monroe, Maria K.
AU - Jain, Vikas
AU - Lam, Kent
AU - Patino, Maria
AU - Rath, Tanya J.
AU - Shian, Brian
AU - Subramaniam, Rathan M.
AU - Taheri, M. Reza
AU - Zander, David
AU - Corey, Amanda S.
N1 - Publisher Copyright:
© 2022 American College of Radiology
PY - 2022/5
Y1 - 2022/5
N2 - This article presents guidelines for initial imaging utilization in patients presenting with sinonasal disease, including acute rhinosinusitis without and with suspected orbital and intracranial complications, chronic rhinosinusitis, suspected invasive fungal sinusitis, suspected sinonasal mass, and suspected cerebrospinal fluid leak. CT and MRI are the primary imaging modalities used to evaluate patients with sinonasal disease. Given its detailed depiction of bony anatomy, CT can accurately demonstrate the presence of sinonasal disease, bony erosions, and anatomic variants, and is essential for surgical planning. Given its superior soft tissue contrast, MRI can accurately identify clinically suspected intracranial and intraorbital complications, delineate soft tissue extension of tumor and distinguish mass from obstructed secretions.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.
AB - This article presents guidelines for initial imaging utilization in patients presenting with sinonasal disease, including acute rhinosinusitis without and with suspected orbital and intracranial complications, chronic rhinosinusitis, suspected invasive fungal sinusitis, suspected sinonasal mass, and suspected cerebrospinal fluid leak. CT and MRI are the primary imaging modalities used to evaluate patients with sinonasal disease. Given its detailed depiction of bony anatomy, CT can accurately demonstrate the presence of sinonasal disease, bony erosions, and anatomic variants, and is essential for surgical planning. Given its superior soft tissue contrast, MRI can accurately identify clinically suspected intracranial and intraorbital complications, delineate soft tissue extension of tumor and distinguish mass from obstructed secretions.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.
KW - AUC
KW - Acute sinusitis
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - CSF leak
KW - Chronic sinusitis
KW - Invasive fungal sinusitis
KW - Sinonasal mass
UR - http://www.scopus.com/inward/record.url?scp=85129957385&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85129957385&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2022.02.011
DO - 10.1016/j.jacr.2022.02.011
M3 - Article
C2 - 35550800
AN - SCOPUS:85129957385
SN - 1546-1440
VL - 19
SP - S175-S193
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 5
ER -