ACR Appropriateness Criteria® Cerebrovascular Disease

Expert Panel on Neurologic Imaging

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Diseases of the cerebral vasculature represent a heterogeneous group of ischemic and hemorrhagic etiologies, which often manifest clinically as an acute neurologic deficit also known as stroke or less commonly with symptoms such as headache or seizures. Stroke is the fourth leading cause of death and is a leading cause of serious long-term disability in the United States. Eighty-seven percent of strokes are ischemic, 10% are due to intracerebral hemorrhage, and 3% are secondary to subarachnoid hemorrhage. The past two decades have seen significant developments in the screening, diagnosis, and treatment of ischemic and hemorrhagic causes of stroke with advancements in CT and MRI technology and novel treatment devices and techniques. Multiple different imaging modalities can be used in the evaluation of cerebrovascular disease. The different imaging modalities all have their own niches and their own advantages and disadvantages in the evaluation of cerebrovascular disease. 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.

Original languageEnglish (US)
Pages (from-to)S34-S61
JournalJournal of the American College of Radiology
Volume14
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Stroke
Cerebrovascular Disorders
Guidelines
Cerebral Hemorrhage
Expert Testimony
Subarachnoid Hemorrhage
Therapeutics
Neurologic Manifestations
Radiology
Headache
Cause of Death
Seizures
Technology
Equipment and Supplies

Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • arteriovenous malformation
  • AUC
  • cerebral aneurysm
  • cerebrovascular disease
  • stroke
  • transient ischemic attack
  • vasculitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Cerebrovascular Disease. / Expert Panel on Neurologic Imaging.

In: Journal of the American College of Radiology, Vol. 14, No. 5, 01.05.2017, p. S34-S61.

Research output: Contribution to journalArticle

Expert Panel on Neurologic Imaging. / ACR Appropriateness Criteria® Cerebrovascular Disease. In: Journal of the American College of Radiology. 2017 ; Vol. 14, No. 5. pp. S34-S61.
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