دورية أكاديمية
ACR Appropriateness Criteria(®) myelopathy.
| العنوان: | ACR Appropriateness Criteria(®) myelopathy. |
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| المؤلفون: | Seidenwurm DJ; Radiological Associates of Sacramento, Sacramento, CA, USA. seidenwurmd@radiological.com, Wippold FJ 2nd, Cornelius RS, Angevine PD, Angtuaco EJ, Broderick DF, Brown DC, Davis PC, Garvin CF, Hartl R, Holly L, McConnell CT Jr, Mechtler LL, Smirniotopoulos JG, Waxman AD |
| المصدر: | Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2012 May; Vol. 9 (5), pp. 315-24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101190326 Publication Model: Print Cited Medium: Internet ISSN: 1558-349X (Electronic) Linking ISSN: 15461440 NLM ISO Abbreviation: J Am Coll Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Elsevier, c2004- |
| مواضيع طبية MeSH: | Practice Guidelines as Topic*, Diagnostic Imaging/*standards , Radiology/*standards , Spinal Cord Diseases/*diagnosis, Humans |
| مستخلص: | Myelopathy is a problem that requires imaging to distinguish among numerous specifically treatable causes. The first priority is to determine mechanical stability after trauma. Next, it is crucial to distinguish intrinsic disease from extrinsic compression-for example, by epidural abscess. Osteophytes or disc extrusions and metastatic compression are the most common causes of extrinsic lesions. Imaging approaches rely on clinical features such as pain, fever, trauma, and pattern of progression. CT is preferred initially in acute trauma and MRI in all other circumstances. Contrast-enhanced MRI is added when tumor or infection is suspected or with slow or stepwise progression, especially when pain is not prominent. Vascular imaging is used when arteriovenous malformation, fistula, or occlusive disease is suspected. Because the treatment of myelopathy is often complex, treatment planning may require more than one imaging study or sequential examination to assess interval change. The ACR Appropriateness Criteria(®) are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. (Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20120505 Date Completed: 20120905 Latest Revision: 20120504 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jacr.2012.01.010 |
| PMID: | 22554628 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1558-349X |
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| DOI: | 10.1016/j.jacr.2012.01.010 |