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ACR Appropriateness Criteria® Head Trauma: 2021 Update.

Publication ,  Journal Article
Expert Panel on Neurological Imaging, ; Shih, RY; Burns, J; Ajam, AA; Broder, JS; Chakraborty, S; Kendi, AT; Lacy, ME; Ledbetter, LN; Lee, RK ...
Published in: J Am Coll Radiol
May 2021

Head trauma (ie, head injury) is a significant public health concern and is a leading cause of morbidity and mortality in children and young adults. Neuroimaging plays an important role in the management of head and brain injury, which can be separated into acute (0-7 days), subacute (<3 months), then chronic (>3 months) phases. Over 75% of acute head trauma is classified as mild, of which over 75% have a normal Glasgow Coma Scale score of 15, therefore clinical practice guidelines universally recommend selective CT scanning in this patient population, which is often based on clinical decision rules. While CT is considered the first-line imaging modality for suspected intracranial injury, MRI is useful when there are persistent neurologic deficits that remain unexplained after CT, especially in the subacute or chronic phase. Regardless of time frame, head trauma with suspected vascular injury or suspected cerebrospinal fluid leak should also be evaluated with CT angiography or thin-section CT imaging of the skull base, respectively. 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.

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Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2021

Volume

18

Issue

5S

Start / End Page

S13 / S36

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Neuroimaging
  • Humans
  • Evidence-Based Medicine
  • Craniocerebral Trauma
  • Contrast Media
  • Child
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Expert Panel on Neurological Imaging, ., Shih, R. Y., Burns, J., Ajam, A. A., Broder, J. S., Chakraborty, S., … Corey, A. S. (2021). ACR Appropriateness Criteria® Head Trauma: 2021 Update. J Am Coll Radiol, 18(5S), S13–S36. https://doi.org/10.1016/j.jacr.2021.01.006
Expert Panel on Neurological Imaging, Amanda S., Robert Y. Shih, Judah Burns, Amna A. Ajam, Joshua S. Broder, Santanu Chakraborty, A Tuba Kendi, et al. “ACR Appropriateness Criteria® Head Trauma: 2021 Update.J Am Coll Radiol 18, no. 5S (May 2021): S13–36. https://doi.org/10.1016/j.jacr.2021.01.006.
Expert Panel on Neurological Imaging, Shih RY, Burns J, Ajam AA, Broder JS, Chakraborty S, et al. ACR Appropriateness Criteria® Head Trauma: 2021 Update. J Am Coll Radiol. 2021 May;18(5S):S13–36.
Expert Panel on Neurological Imaging, Amanda S., et al. “ACR Appropriateness Criteria® Head Trauma: 2021 Update.J Am Coll Radiol, vol. 18, no. 5S, May 2021, pp. S13–36. Pubmed, doi:10.1016/j.jacr.2021.01.006.
Expert Panel on Neurological Imaging, Shih RY, Burns J, Ajam AA, Broder JS, Chakraborty S, Kendi AT, Lacy ME, Ledbetter LN, Lee RK, Liebeskind DS, Pollock JM, Prall JA, Ptak T, Raksin PB, Shaines MD, Tsiouris AJ, Utukuri PS, Wang LL, Corey AS. ACR Appropriateness Criteria® Head Trauma: 2021 Update. J Am Coll Radiol. 2021 May;18(5S):S13–S36.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2021

Volume

18

Issue

5S

Start / End Page

S13 / S36

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Neuroimaging
  • Humans
  • Evidence-Based Medicine
  • Craniocerebral Trauma
  • Contrast Media
  • Child
  • 3202 Clinical sciences