Journal article
ACR Appropriateness Criteria® Staging and Post-Therapy Assessment of Head and Neck Cancer
Journal of the American College of Radiology, Vol.20(11S), pp.S521-S564
11/01/2023
DOI: 10.1016/j.jacr.2023.08.008
PMID: 38040469
Abstract
Imaging of head and neck cancer at initial staging and as part of post-treatment surveillance is a key component of patient care as it guides treatment strategy and aids determination of prognosis. Head and neck cancer includes a heterogenous group of malignancies encompassing several anatomic sites and histologies, with squamous cell carcinoma the most common. Together this comprises the seventh most common cancer worldwide. At initial staging comprehensive imaging delineating the anatomic extent of the primary site, while also assessing the nodal involvement of the neck is necessary. The treatment of head and neck cancer often includes a combination of surgery, radiation, and chemotherapy. Post-treatment imaging is tailored for the evaluation of treatment response and early detection of local, locoregional, and distant recurrent tumor. Cross-sectional imaging with CT or MRI is recommended for the detailed anatomic delineation of the primary site. PET/CT provides complementary metabolic information and can map systemic involvement. 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® Staging and Post-Therapy Assessment of Head and Neck Cancer
- Creators
- Maria K Gule-MonroeSusana CalleBruno PoliceniAmy F JulianoMohit AgarwalLaura Q M ChowPrachi DubeyElliott R FriedmanMari HagiwaraKate DuChene HanrahanVikas JainTanya J RathRussell B SmithRathan M SubramaniamM Reza TaheriSue S YomDavid ZanderJudah Burns
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.20(11S), pp.S521-S564
- DOI
- 10.1016/j.jacr.2023.08.008
- PMID
- 38040469
- NLM abbreviation
- J Am Coll Radiol
- eISSN
- 1558-349X
- Language
- English
- Date published
- 11/01/2023
- Academic Unit
- Radiology; Oral Pathology, Radiology and Medicine; Family and Community Medicine; Otolaryngology
- Record Identifier
- 9984520558602771
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