Journal article
ACR Appropriateness Criteria® Tinnitus: 2023 Update
Journal of the American College of Radiology, Vol.20(11 Suppl.), pp.S574-S591
11/01/2023
DOI: 10.1016/j.jacr.2023.08.017
Abstract
Tinnitus is abnormal perception of sound and has many subtypes. Clinical evaluation, audiometry, and otoscopy should be performed before ordering any imaging, as the choice of imaging will depend on various factors. Type of tinnitus (pulsatile or nonpulsatile) and otoscopy findings of a vascular retrotympanic lesion are key determinants to guide the choice of imaging studies. High-resolution CT temporal bone is an excellent tool to detect glomus tumors, abnormal course of vessels, and some other abnormalities when a vascular retrotympanic lesion is seen on otoscopy. CTA or a combination of MR and MRA/MRV are used to evaluate arterial or venous abnormalities like dural arteriovenous fistula, arteriovenous malformation, carotid stenosis, dural sinus stenosis, and bony abnormalities like sigmoid sinus wall abnormalities in cases of pulsatile tinnitus without a vascular retrotympanic lesion. MR of the brain is excellent in detecting mass lesions such as vestibular schwannomas in cases of unilateral nonpulsatile tinnitus. 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® Tinnitus: 2023 Update
- Creators
- Vikas Jain - MetroHealthBruno Policeni - University of IowaAmy F Juliano - Massachusetts Eye and Ear InfirmaryOliver Adunka - The Ohio State University Wexner Medical CenterMohit Agarwal - Medical College of WisconsinPrachi Dubey - Houston MethodistElliott R Friedman - Methodist HospitalMaria K Gule-Monroe - The University of Texas MD Anderson Cancer CenterMari Hagiwara - NYU Langone HealthChristopher H Hunt - Mayo ClinicBruce M Lo - Sentara Norfolk General HospitalEsther S Oh - Johns Hopkins MedicineTanya J Rath - Mayo Clinic HospitalJ Kirk Roberts - Columbia University Irving Medical CenterDavid Schultz - American Academy of Family PhysiciansM Reza Taheri - George Washington University HospitalDavid Zander - University of Colorado DenverJudah Burns - Montefiore Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.20(11 Suppl.), pp.S574-S591
- DOI
- 10.1016/j.jacr.2023.08.017
- eISSN
- 1558-349X
- Language
- English
- Date published
- 11/01/2023
- Academic Unit
- Oral Pathology, Radiology and Medicine; Radiology; Otolaryngology
- Record Identifier
- 9984520559602771
Metrics
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