ACR Appropriateness Criteria® Hearing Loss and/or Vertigo

Expert Panel on Neurologic Imaging, Aseem Sharma, Claudia F.E. Kirsch, Joseph M. Aulino, Santanu Chakraborty, Asim Choudhri, Isabelle M. Germano, A. Tuba Kendi, H. Jeffrey Kim, Ryan K. Lee, David S. Liebeskind, Michael D. Luttrull, Toshio Moritani, Gregory J.A. Murad, Lubdha M. Shah, Robert Y. Shih, Sophia C. Symko, Julie Bykowski

Research output: Contribution to journalArticle

Abstract

This article presents guidelines for imaging utilization in patients presenting with hearing loss or vertigo, symptoms that sometimes occur concurrently due to proximity of receptors and neural pathways responsible for hearing and balance. These guidelines take into account the superiority of CT in providing bony details and better soft-tissue resolution offered by MRI. It should be noted that a dedicated temporal bone CT rather than a head CT best achieves delineation of disease in many of these patients. Similarly, optimal assessment often requires a dedicated high-resolution protocol designed to assess temporal bone and internal auditory canals even though such a study will be requested and billed as a brain MRI. Angiographic techniques are helpful in some patients, especially in the setting of vertigo. 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.

LanguageEnglish (US)
PagesS321-S331
JournalJournal of the American College of Radiology
Volume15
Issue number11
DOIs
StatePublished - Nov 1 2018

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Vertigo
Hearing Loss
Guidelines
Temporal Bone
Neural Pathways
Expert Testimony
Radiology
Hearing
Head
Brain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Hearing Loss and/or Vertigo. / Expert Panel on Neurologic Imaging.

In: Journal of the American College of Radiology, Vol. 15, No. 11, 01.11.2018, p. S321-S331.

Research output: Contribution to journalArticle

Expert Panel on Neurologic Imaging. / ACR Appropriateness Criteria® Hearing Loss and/or Vertigo. In: Journal of the American College of Radiology. 2018 ; Vol. 15, No. 11. pp. S321-S331.
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