Journal article
ACR Appropriateness Criteria® Dizziness and Ataxia: 2023 Update
Journal of the American College of Radiology, Vol.21(6 Supplement), pp.S100-S125
06/2024
DOI: 10.1016/j.jacr.2024.02.018
PMID: 38823940
Abstract
Diagnostic evaluation of a patient with dizziness or vertigo is complicated by a lack of standardized nomenclature, significant overlap in symptom descriptions, and the subjective nature of the patient’s symptoms. Although dizziness is an imprecise term often used by patients to describe a feeling of being off-balance, in many cases dizziness can be subcategorized based on symptomatology as vertigo (false sense of motion or spinning), disequilibrium (imbalance with gait instability), presyncope (nearly fainting or blacking out), or lightheadedness (nonspecific). As such, current diagnostic paradigms focus on timing, triggers, and associated symptoms rather than subjective descriptions of dizziness type. Regardless, these factors complicate the selection of appropriate diagnostic imaging in patients presenting with dizziness or vertigo. This document serves to aid providers in this selection by using a framework of definable clinical variants.
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.
Details
- Title: Subtitle
- ACR Appropriateness Criteria® Dizziness and Ataxia: 2023 Update
- Creators
- Lily L. Wang - University of Cincinnati Medical CenterTrevor A. Thompson - Cincinnati Children's Hospital Medical CenterRobert Y. Shih - Uniformed Services University of the Health SciencesAmna A. Ajam - The Ohio State UniversityKetan Bulsara - UConn HealthJudah Burns - Montefiore Medical CenterMelissa A. DavisJana Ivanidze - Weill Cornell MedicineAleks Kalnins - University of ChicagoPhillip H. KuoLuke N. Ledbetter - University of California, Los AngelesJeffrey S. Pannell - University of California San DiegoJeffrey M. Pollock - Oregon Health & Science UniversityVikram G. ShakkottaiRichard D. ShihBruno P. Soares - University of Vermont Medical CenterKarl A. Soderlund - Naval Medical Center PortsmouthPallavi S. Utukuri - Columbia University Irving Medical CenterSarah WoolseyBruno Policeni - University of IowaExpert Panel on Neurological Imaging
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.21(6 Supplement), pp.S100-S125
- DOI
- 10.1016/j.jacr.2024.02.018
- PMID
- 38823940
- NLM abbreviation
- J Am Coll Radiol
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 06/2024
- Academic Unit
- Radiology; Oral Pathology, Radiology and Medicine; Otolaryngology
- Record Identifier
- 9984628158602771
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