ACR Appropriateness Criteria® Cervical Pain or Cervical Radiculopathy: 2024 Update

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2025-05-01 DOI:10.1016/j.jacr.2025.02.035

Expert Panel on Neurological Imaging, Rami W. Eldaya MD , Matthew S. Parsons MD , Troy A. Hutchins MD , Ryan Avery MD , Judah Burns MD , Brent Griffith MD , Alvand Hassankhani MD , Majid A. Khan MD , Henry Ng MD, MPH , Noah M. Raizman MD , Charles Reitman MD , Vinil N. Shah MD , Clint Sliker MD , Hesham Soliman MD , Vincent M. Timpone MD , Christian A. Tomaszewski MD, MS, MBA , Noushin Yahyavi-Firouz-Abadi MD, MBA , Bruno Policeni MD, MBA

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引用次数: 0

Abstract

Cervical spine pain is one of the most common reasons for seeking medical care as it ranks in the top 5 causes of global years lost to disability. The economic burden of cervical pain is also significant. Imaging is at the center of diagnosis of cervical pain and its causes. However, different symptoms and potential causes of cervical pain require different initial imaging to maximize the benefit of diagnostic usefulness of imaging. In this document we address different cervical pain variants with detailed assessment of the strengths and weaknesses of different modalities for addressing each specific variant.

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.

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ACR适当性标准®颈椎疼痛或颈椎神经根病：2024更新

颈椎疼痛是寻求医疗保健的最常见原因之一，因为它是全球残疾损失年的前五大原因之一。颈椎疼痛的经济负担也很显著。影像学检查是诊断颈椎疼痛及其病因的核心。然而，不同的症状和颈椎疼痛的潜在原因需要不同的初始成像，以最大限度地提高成像的诊断价值。在这篇文章中，我们讨论了不同的颈椎疼痛变体，并详细评估了不同治疗方式的优缺点。美国放射学会适当性标准是针对特定临床条件的循证指南，每年由多学科专家小组审查。指南的制定和修订过程支持对同行评议期刊的医学文献进行系统分析。已建立的方法原则，如建议分级评估，发展和评估或GRADE适用于评估证据。兰德/加州大学洛杉矶分校适当方法用户手册提供了确定特定临床情况下成像和治疗程序的适当性的方法。在同行评议文献缺乏或模棱两可的情况下，专家可能是制定建议的主要证据来源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.