Journal article
ACR Appropriateness Criteria® Headache
Journal of the American College of Radiology, Vol.16(11), pp.S364-S377
11/2019
DOI: 10.1016/j.jacr.2019.05.030
PMID: 31685104
Abstract
Headache is one of the most common human afflictions. In most cases, headaches are benign and idiopathic, and resolve spontaneously or with minor therapeutic measures. Imaging is not required for many types of headaches. However, patients presenting with headaches in the setting of “red flags” such as head trauma, cancer, immunocompromised state, pregnancy, patients 50 years or older, related to activity or position, or with a corresponding neurological deficit, may benefit from CT, MRI, or noninvasive vascular imaging to identify a treatable cause. This publication addresses the initial imaging strategies for headaches associated with the following features: severe and sudden onset, optic disc edema, “red flags,” migraine or tension-type, trigeminal autonomic origin, and chronic headaches with and without new or progressive features.
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® Headache
- Creators
- Matthew T. Whitehead - Children’s National Health System, Washington, District of ColumbiaAgustin M. Cardenas - Research Author, Children’s of Alabama, Birmingham, AlabamaAmanda S. Corey - Panel Chair, Atlanta VA Health Care System and Emory University, Atlanta, GeorgiaBruno Policeni - University of IowaJudah Burns - Montefiore Medical Center, Bronx, New YorkSantanu Chakraborty - Ottawa Hospital Research Institute and the Department of Radiology, The University of Ottawa, Ottawa, Ontario, Canada, Canadian Association of RadiologistsR. Webster Crowley - Rush University Medical Center, Chicago, Illinois, Neurosurgery expertPascal Jabbour - Thomas Jefferson University HospitalLuke N. Ledbetter - University of Kansas Medical Center, Kansas City, KansasRyan K. Lee - Einstein Healthcare Network, Philadelphia, PennsylvaniaJeffrey S. Pannell - University of California San Diego Medical Center, San Diego, CaliforniaJeffrey M. Pollock - Oregon Health & Science University, Portland, OregonWilliam J. Powers - University of North Carolina School of Medicine, Chapel Hill, North Carolina, American Academy of NeurologyGavin Setzen - Albany ENT & Allergy Services, PC, Albany, New York, American Academy of Otolaryngology-Head and Neck SurgeryRobert Y. Shih - Walter Reed National Military Medical Center, Bethesda, MarylandRathan M. Subramaniam - UT Southwestern Medical Center, Dallas, TexasPallavi S. Utukuri - Columbia University Medical Center, New York, New YorkJulie Bykowski - Specialty Chair, University of California San Diego Health Center, San Diego, CaliforniaExpert Panel on Neurologic Imaging
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.16(11), pp.S364-S377
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jacr.2019.05.030
- PMID
- 31685104
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Language
- English
- Date published
- 11/2019
- Academic Unit
- Radiology; Oral Pathology, Radiology and Medicine; Otolaryngology
- Record Identifier
- 9984318717902771
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