ACR Appropriateness Criteria(®) Neuroendocrine Imaging.

Title

ACR Appropriateness Criteria(®) Neuroendocrine Imaging.

Creator

Burns J; Policeni B; Bykowski J; Dubey P; Germano IM; Jain V; Juliano AF; Moonis G; Parsons MS; Powers WJ; Rath TJ; Schroeder JW; Subramaniam RM; Taheri MR; Whitehead MT; Zander D; Corey A

Publisher

Journal of the American College of Radiology

Date

2019
2019-05

Description

Neuroendocrine dysfunction includes suspected hyper- and hypofunction of the pituitary gland. Causative lesions may include primary masses of the pituitary such as pituitary microadenomas and macroadenomas, as well as extrinsic masses, typically centered in the suprasellar cistern. Clinical syndromes related to hormonal dysfunction can be caused by excessive hormonal secretion or by inhibited secretion due to mass effect upon elements of the hypothalamic-pituitary axis. Additionally, complications such as hemorrhage may be seen in the setting of an underlying mass and can result in hormonal dysfunction. MRI with high-resolution protocols is the best first-line test to evaluate the sella turcica and parasellar region. CT provides complementary information regarding bony anatomy, and may be appropriate as a first-line test in certain instances, but it provides less detail and lesion characterization when compared to MRI. 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.

Subject

Diagnosis Differential; Humans; United States; Evidence-Based Medicine; Contrast Media; Societies Medical; Apoplexy; Appropriate Use Criteria; Appropriateness Criteria; AUC; Diabetes insipidus; Pituitary; Pituitary adenoma; Pituitary Diseases/diagnostic imaging; Precocious puberty; Sella turcica

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

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Pages

S161-S173

Issue

5S

Volume

16

ISSN

1558-349X 1546-1440

Update Year & Number

Hospital List

Citation

Burns J; Policeni B; Bykowski J; Dubey P; Germano IM; Jain V; Juliano AF; Moonis G; Parsons MS; Powers WJ; Rath TJ; Schroeder JW; Subramaniam RM; Taheri MR; Whitehead MT; Zander D; Corey A, “ACR Appropriateness Criteria(®) Neuroendocrine Imaging.,” NEOMED Bibliography Database, accessed June 13, 2021, https://neomed.omeka.net/items/show/11454.

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