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ACR Appropriateness Criteria® Sinonasal Disease: 2021 Update
Journal article   Open access   Peer reviewed

ACR Appropriateness Criteria® Sinonasal Disease: 2021 Update

Mari Hagiwara, Bruno Policeni, Amy F Juliano, Mohit Agarwal, Judah Burns, Prachi Dubey, Elliott R Friedman, Maria K Gule-Monroe, Vikas Jain, Kent Lam, …
Journal of the American College of Radiology, Vol.19(5S), pp.S175-S193
05/2022
DOI: 10.1016/j.jacr.2022.02.011
PMID: 35550800
url
https://doi.org/10.1016/j.jacr.2022.02.011View
Published (Version of record) Open Access

Abstract

This article presents guidelines for initial imaging utilization in patients presenting with sinonasal disease, including acute rhinosinusitis without and with suspected orbital and intracranial complications, chronic rhinosinusitis, suspected invasive fungal sinusitis, suspected sinonasal mass, and suspected cerebrospinal fluid leak. CT and MRI are the primary imaging modalities used to evaluate patients with sinonasal disease. Given its detailed depiction of bony anatomy, CT can accurately demonstrate the presence of sinonasal disease, bony erosions, and anatomic variants, and is essential for surgical planning. Given its superior soft tissue contrast, MRI can accurately identify clinically suspected intracranial and intraorbital complications, delineate soft tissue extension of tumor and distinguish mass from obstructed secretions.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.
Humans Magnetic Resonance Imaging - methods Sinusitis - diagnostic imaging Societies, Medical United States

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