TY - JOUR
T1 - ACR Appropriateness Criteria ® Neck Mass-Adenopathy
AU - Expert Panel on Neurologic Imaging
AU - Aulino, Joseph M.
AU - Kirsch, Claudia F.E.
AU - Burns, Judah
AU - Busse, Paul M.
AU - Chakraborty, Santanu
AU - Choudhri, Asim F.
AU - Conley, David B.
AU - Jones, Christopher U.
AU - Lee, Ryan K.
AU - Luttrull, Michael D.
AU - Moritani, Toshio
AU - Policeni, Bruno
AU - Ryan, Maura E.
AU - Shah, Lubdha M.
AU - Sharma, Aseem
AU - Shih, Robert Y.
AU - Subramaniam, Rathan M.
AU - Symko, Sophia C.
AU - Bykowski, Julie
N1 - Publisher Copyright:
© 2019 American College of Radiology
PY - 2019/5
Y1 - 2019/5
N2 - A palpable neck mass may be the result of neoplastic, congenital, or inflammatory disease. Older age suggests neoplasia, and a congenital etiology is more prevalent in the pediatric population. The imaging approach is based on the patient age, mass location, and clinical pulsatility. Underlying human papillomavirus-related malignancy should be considered in all age groups. Although the imaging appearance of some processes in the head and neck overlap, choosing the appropriate imaging examination may allow a specific diagnosis, or a limited differential diagnosis. Tissue sampling is indicated to confirm suspected malignancy. 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 - A palpable neck mass may be the result of neoplastic, congenital, or inflammatory disease. Older age suggests neoplasia, and a congenital etiology is more prevalent in the pediatric population. The imaging approach is based on the patient age, mass location, and clinical pulsatility. Underlying human papillomavirus-related malignancy should be considered in all age groups. Although the imaging appearance of some processes in the head and neck overlap, choosing the appropriate imaging examination may allow a specific diagnosis, or a limited differential diagnosis. Tissue sampling is indicated to confirm suspected malignancy. 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 - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - Diagnostic imaging
KW - Differential diagnosis
KW - Head and neck neoplasms
KW - Neck infection
KW - Squamous cell carcinoma
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U2 - 10.1016/j.jacr.2019.02.025
DO - 10.1016/j.jacr.2019.02.025
M3 - Article
C2 - 31054741
AN - SCOPUS:85064475460
SN - 1546-1440
VL - 16
SP - S150-S160
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 5
ER -