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ACR Appropriateness Criteria® Sinonasal Disease: 2021 Update.
, Mari Hagiwara1, Bruno Policeni2
1Neuroradiology Fellowship Program Director, New York University Langone Health, New York, New York.
Journal of the American College of Radiology : JACR
|May 13, 2022
Summary
This article provides guidelines for initial imaging in sinonasal disease, detailing CT and MRI uses for diagnosis and surgical planning. It ensures appropriate utilization of imaging modalities for various sinonasal conditions.
Area of Science:
- Radiology
- Otolaryngology
- Medical Imaging
Background:
- Sinonasal diseases encompass a range of conditions from acute infections to chronic issues and masses.
- Accurate initial imaging is crucial for diagnosis, complication assessment, and treatment planning.
Framework:
- Presents guidelines for initial imaging in sinonasal disease based on the American College of Radiology Appropriateness Criteria.
- Utilizes evidence-based methodologies, including literature analysis and expert opinion, for guideline development.
Implementation:
- Recommends Computed Tomography (CT) for bony anatomy assessment, sinonasal disease detection, and surgical planning.
- Recommends Magnetic Resonance Imaging (MRI) for soft tissue contrast, identifying intracranial/intraorbital complications, and tumor delineation.
Implications:
- Guidelines aim to optimize imaging utilization for improved patient outcomes in sinonasal disease management.
- Standardizes the approach to imaging for acute and chronic rhinosinusitis, fungal sinusitis, masses, and CSF leaks.
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