ACR Appropriateness Criteria® Cerebrovascular Diseases-Aneurysm, Vascular Malformation, and Subarachnoid Hemorrhage.

Journal Article

Cerebrovascular disease is a broad topic. This document focuses on the imaging recommendations for the varied clinical scenarios involving intracranial aneurysms, vascular malformations, and vasculitis, which all carry high risk of morbidity and mortality. Additional imaging recommendations regarding complications of these conditions, including subarachnoid hemorrhage and vasospasm, are also covered. While each variant presentation has unique imaging recommendations, the major focus of this document is neurovascular imaging techniques. 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.

Full Text

Duke Authors

Cited Authors

  • Expert Panel on Neurological Imaging, ; Ledbetter, LN; Burns, J; Shih, RY; Ajam, AA; Brown, MD; Chakraborty, S; Davis, MA; Ducruet, AF; Hunt, CH; Lacy, ME; Lee, RK; Pannell, JS; Pollock, JM; Powers, WJ; Setzen, G; Shaines, MD; Utukuri, PS; Wang, LL; Corey, AS

Published Date

  • November 2021

Published In

Volume / Issue

  • 18 / 11S

Start / End Page

  • S283 - S304

PubMed ID

  • 34794589

Electronic International Standard Serial Number (EISSN)

  • 1558-349X

Digital Object Identifier (DOI)

  • 10.1016/j.jacr.2021.08.012


  • eng

Conference Location

  • United States