ACR Appropriateness Criteria® Cervical Pain or Cervical Radiculopathy: 2024 Update

Rami W Eldaya; Matthew S Parsons; Troy A Hutchins; Ryan Avery; Judah Burns; Brent Griffith; Alvand Hassankhani; Majid A Khan; Henry Ng; Noah M Raizman; Charles Reitman; Vinil N Shah; Clint Sliker; Hesham Soliman; Vincent M Timpone; Christian A Tomaszewski; Noushin Yahyavi-Firouz-Abadi; Bruno Policeni; Expert Panel on Neurological Imaging

doi:10.1016/j.jacr.2025.02.035

Back

ACR Appropriateness Criteria® Cervical Pain or Cervical Radiculopathy: 2024 Update

Journal article

Open access

Peer reviewed

ACR Appropriateness Criteria® Cervical Pain or Cervical Radiculopathy: 2024 Update

Rami W Eldaya, Matthew S Parsons, Troy A Hutchins, Ryan Avery, Judah Burns, Brent Griffith, Alvand Hassankhani, Majid A Khan, Henry Ng, Noah M Raizman, …

Journal of the American College of Radiology, Vol.22(5 Supplement), pp.S136-S162

05/2025

DOI: 10.1016/j.jacr.2025.02.035

PMID: 40409873

Files and links (1)

url

https://doi.org/10.1016/j.jacr.2025.02.035View

Published (Version of record) Open Access

Abstract

Cervical spine pain is one of the most common reasons for seeking medical care as it ranks in the top 5 causes of global years lost to disability. The economic burden of cervical pain is also significant. Imaging is at the center of diagnosis of cervical pain and its causes. However, different symptoms and potential causes of cervical pain require different initial imaging to maximize the benefit of diagnostic usefulness of imaging. In this document we address different cervical pain variants with detailed assessment of the strengths and weaknesses of different modalities for addressing each specific variant. 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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

United States

Cervical Vertebrae - diagnostic imaging

Diagnosis, Differential

Evidence-Based Medicine

Humans

Neck Pain - diagnostic imaging

Neck Pain - etiology

Radiculopathy - diagnostic imaging

Societies, Medical

Details

Title: Subtitle: ACR Appropriateness Criteria® Cervical Pain or Cervical Radiculopathy: 2024 Update
Creators: Rami W Eldaya - Washington University in St. Louis
Matthew S Parsons - Mallinckrodt (United States)
Troy A Hutchins - University of Utah
Ryan Avery - Northwestern University
Judah Burns - Montefiore Medical Center
Brent Griffith - Henry Ford Hospital
Alvand Hassankhani - Hospital of the University of Pennsylvania
Majid A Khan - Thomas Jefferson University Hospital
Henry Ng - Case Western Reserve University
Noah M Raizman - George Washington University
Charles Reitman - Medical University of South Carolina
Vinil N Shah - University of California, San Francisco
Clint Sliker - University of Mary
Hesham Soliman - Hofstra University
Vincent M Timpone - Mayo Clinic Hospital
Christian A Tomaszewski - UC San Diego Health System
Noushin Yahyavi-Firouz-Abadi - University of Maryland, Baltimore
Bruno Policeni - University of Iowa
Expert Panel on Neurological Imaging
Resource Type: Journal article
Publication Details: Journal of the American College of Radiology, Vol.22(5 Supplement), pp.S136-S162
DOI: 10.1016/j.jacr.2025.02.035
PMID: 40409873
NLM abbreviation: J Am Coll Radiol
ISSN: 1558-349X
eISSN: 1558-349X
Publisher: Elsevier
Language: English
Date published: 05/2025
Academic Unit: Radiology; Oral Pathology, Radiology and Medicine; Otolaryngology
Record Identifier: 9984824287902771

Metrics

8 Record Views

1 Times Cited - Web of Science