ACR Appropriateness Criteria® Cranial Neuropathy.


Journal Article

Evaluation of cranial neuropathy can be complex given the different pathway of each cranial nerve as well as the associated anatomic landmarks. Radiological evaluation requires imaging of the entire course of the nerve from its nucleus to the end organ. MRI is the modality of choice with CT playing a complementary role, particularly in the evaluation of the bone anatomy. Since neoplastic and inflammatory lesions are prevalent on the differential diagnosis, contrast enhanced studies are preferred when possible. The American College of Radiology Appropriateness Criteria are evidencebased 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.

Full Text

Cited Authors

  • Expert Panel on Neurologic Imaging:, ; Policeni, B; Corey, AS; Burns, J; Conley, DB; Crowley, RW; Harvey, HB; Hoang, J; Hunt, CH; Jagadeesan, BD; Juliano, AF; Kennedy, TA; Moonis, G; Pannell, JS; Patel, ND; Perlmutter, JS; Rosenow, JM; Schroeder, JW; Whitehead, MT; Cornelius, RS

Published Date

  • November 2017

Published In

Volume / Issue

  • 14 / 11S

Start / End Page

  • S406 - S420

PubMed ID

  • 29101981

Pubmed Central ID

  • 29101981

Electronic International Standard Serial Number (EISSN)

  • 1558-349X

International Standard Serial Number (ISSN)

  • 1546-1440

Digital Object Identifier (DOI)

  • 10.1016/j.jacr.2017.08.035


  • eng