TY - JOUR
T1 - ACR Appropriateness Criteria® Sinonasal Disease
AU - Expert Panel on Neurologic Imaging
AU - Kirsch, Claudia F.E.
AU - Bykowski, Julie
AU - Aulino, Joseph M.
AU - Berger, Kevin L.
AU - Choudhri, Asim F.
AU - Conley, David B.
AU - Luttrull, Michael D.
AU - Nunez, Diego
AU - Shah, Lubdha M.
AU - Sharma, Aseem
AU - Shetty, Vilaas S.
AU - Subramaniam, Rathan M.
AU - Symko, Sophia C.
AU - Cornelius, Rebecca S.
N1 - Publisher Copyright:
© 2017 American College of Radiology
PY - 2017/11
Y1 - 2017/11
N2 - Imaging of sinonasal pathology may occur for assessment of rhinosinusitis or mass lesions. Rhinosinusitis is prevalent in up to 16% of the US population with annual economic burdens estimated at 22 billion dollars. Rhinosinusitis is characterized as acute or chronic based on symptom duration; if four or more episodes occur annually, the term recurrent acute rhinosinusitis (RARS) is used. In acute uncomplicated rhinosinusitis when inflammatory change remains in the paranasal sinuses and nasal cavity, imaging may not be required. Distinction between viral or bacterial rhinosinusitis is a clinical diagnosis, and imaging should be interpreted in conjunction with clinical and endoscopic findings. Sinus CT imaging is appropriate per clinical judgment in associated complications including headache, facial pain, swelling, orbital proptosis, or cranial nerve palsies. In maxillary sinusitis, teeth may require assessment because 20% may be odontogenic in origin. MRI may be complementary in aggressive infections with intraocular/intracranial complications, invasive fungal sinusitis, or sinonasal masses. 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.
AB - Imaging of sinonasal pathology may occur for assessment of rhinosinusitis or mass lesions. Rhinosinusitis is prevalent in up to 16% of the US population with annual economic burdens estimated at 22 billion dollars. Rhinosinusitis is characterized as acute or chronic based on symptom duration; if four or more episodes occur annually, the term recurrent acute rhinosinusitis (RARS) is used. In acute uncomplicated rhinosinusitis when inflammatory change remains in the paranasal sinuses and nasal cavity, imaging may not be required. Distinction between viral or bacterial rhinosinusitis is a clinical diagnosis, and imaging should be interpreted in conjunction with clinical and endoscopic findings. Sinus CT imaging is appropriate per clinical judgment in associated complications including headache, facial pain, swelling, orbital proptosis, or cranial nerve palsies. In maxillary sinusitis, teeth may require assessment because 20% may be odontogenic in origin. MRI may be complementary in aggressive infections with intraocular/intracranial complications, invasive fungal sinusitis, or sinonasal masses. 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.
KW - AUC
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - CT
KW - Fungal nusitis
KW - Intracranial or intraorbital complications
KW - MRI
KW - Nonasal mass
KW - Rhinosinusitis
UR - http://www.scopus.com/inward/record.url?scp=85032808450&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85032808450&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2017.08.041
DO - 10.1016/j.jacr.2017.08.041
M3 - Article
C2 - 29101992
AN - SCOPUS:85032808450
SN - 1546-1440
VL - 14
SP - S550-S559
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -