Journal article
ACR Appropriateness Criteria® Cerebrovascular Disease
Journal of the American College of Radiology, Vol.14(5), pp.S34-S61
05/2017
DOI: 10.1016/j.jacr.2017.01.051
PMID: 28473091
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.
Details
- Title: Subtitle
- ACR Appropriateness Criteria® Cerebrovascular Disease
- Creators
- Michael B Salmela - Research Author, University of Minnesota, Minneapolis, MinnesotaShabnam Mortazavi - Research Author, University of Minnesota, Minneapolis, MinnesotaBharathi D Jagadeesan - Principal Author, University of Minnesota, Minneapolis, MinnesotaDaniel F Broderick - Mayo Clinic Florida, Jacksonville, Jacksonville, FloridaJudah Burns - Montefiore Medical Center, Bronx, New YorkTejaswini K Deshmukh - Children’s Hospital of Wisconsin, Milwaukee, WisconsinH. Benjamin Harvey - Massachusetts General Hospital, Boston, MassachusettsJenny Hoang - Duke University Medical Center, Durham, North CarolinaChristopher H Hunt - Mayo Clinic, Rochester, MinnesotaTabassum A Kennedy - University of Wisconsin Hospital and Clinic, Madison, WisconsinAlexander A Khalessi - University of California San Diego Medical Center, San Diego, California, neurosurgical consultantWilliam Mack - University of Southern California, Los Angeles, California, neurosurgical consultantNandini D Patel - Fairfax Radiology Consultants PC, Fairfax, VirginiaJoel S Perlmutter - Washington University School of Medicine, Saint Louis, Missouri; American Academy of NeurologyBruno Policeni - University of Iowa Hospitals and Clinics, Iowa City, IowaJason W Schroeder - Walter Reed National Military Medical Center, Bethesda, MarylandGavin Setzen - Albany ENT & Allergy Services PC, Albany, New York; American Academy of Otolaryngology-Head and Neck SurgeryMatthew T Whitehead - Children’s National Medical Center, Washington, District of ColumbiaRebecca S Cornelius - Specialty Chair, University of Cincinnati Medical Center, Cincinnati, OhioAmanda S Corey - Panel Chair, Emory University, Atlanta, Georgia
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.14(5), pp.S34-S61
- DOI
- 10.1016/j.jacr.2017.01.051
- PMID
- 28473091
- NLM abbreviation
- J Am Coll Radiol
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 05/2017
- Academic Unit
- Radiology; Oral Pathology, Radiology and Medicine; Otolaryngology
- Record Identifier
- 9984051771502771
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