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    ACR Appropriateness Criteria((R)) Penetrating Neck Injury

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    Authors
    Expert Panels on Neurologic and Vascular Imaging
    Schroeder, Jason W.
    Dill, Karin E.
    UMass Chan Affiliations
    Department of Radiology
    Document Type
    Journal Article
    Publication Date
    2017-11-01
    Keywords
    AUC
    Aerodigestive injury
    Appropriate Use Criteria
    Appropriateness Criteria
    CTA
    Penetrating neck injury
    Vascular injury
    Body Regions
    Radiology
    
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    Link to Full Text
    https://doi.org/10.1016/j.jacr.2017.08.038
    Abstract
    In patients with penetrating neck injuries with clinical soft injury signs, and patients with hard signs of injury who do not require immediate surgery, CT angiography of the neck is the preferred imaging procedure to evaluate extent of injury. Other modalities, such as radiography and fluoroscopy, catheter-based angiography, ultrasound, and MR angiography have their place in the evaluation of the patient, depending on the specific clinical situation and question at hand. The ACR 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.
    Source
    J Am Coll Radiol. 2017 Nov;14(11S):S500-S505. doi: 10.1016/j.jacr.2017.08.038. Link to article on publisher's site
    DOI
    10.1016/j.jacr.2017.08.038
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/48253
    PubMed ID
    29101988
    Notes

    Full author list omitted for brevity. For the full list of authors, see article.

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    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jacr.2017.08.038
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