TY - JOUR
T1 - ACR Appropriateness Criteria® Plexopathy
T2 - 2021 Update
AU - Expert Panel on Neurological and Musculoskeletal Imaging
AU - Boulter, Daniel J.
AU - Job, Joici
AU - Shah, Lubdha M.
AU - Wessell, Daniel E.
AU - Lenchik, Leon
AU - Parsons, Matthew S.
AU - Agarwal, Vikas
AU - Appel, Marc
AU - Burns, Judah
AU - Hutchins, Troy A.
AU - Kendi, A. Tuba
AU - Khan, Majid A.
AU - Liebeskind, David S.
AU - Moritani, Toshio
AU - Ortiz, A. Orlando
AU - Shah, Vinil N.
AU - Singh, Simranjit
AU - Than, Khoi D.
AU - Timpone, Vincent M.
AU - Beaman, Francesca D.
AU - Corey, Amanda S.
N1 - Publisher Copyright:
© 2021 American College of Radiology
PY - 2021/11
Y1 - 2021/11
N2 - Plexopathy may be caused by diverse pathologies, including trauma, nerve entrapment, neoplasm, inflammation, infection, autoimmune disease, hereditary disease, and idiopathic etiologies. For patients presenting with brachial or lumbosacral plexopathy, dedicated plexus MRI is the most appropriate initial imaging modality for all clinical scenarios and can identify processes both intrinsic and extrinsic to the nerves. Other imaging tests may be appropriate for initial imaging depending on the clinical scenario. This document addresses initial imaging strategies for brachial and lumbosacral plexopathy in the following clinical situations: nontraumatic plexopathy with no known malignancy, traumatic plexopathy (not perinatal), and plexopathy occurring in the context of a known malignancy or posttreatment syndrome. 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 - Plexopathy may be caused by diverse pathologies, including trauma, nerve entrapment, neoplasm, inflammation, infection, autoimmune disease, hereditary disease, and idiopathic etiologies. For patients presenting with brachial or lumbosacral plexopathy, dedicated plexus MRI is the most appropriate initial imaging modality for all clinical scenarios and can identify processes both intrinsic and extrinsic to the nerves. Other imaging tests may be appropriate for initial imaging depending on the clinical scenario. This document addresses initial imaging strategies for brachial and lumbosacral plexopathy in the following clinical situations: nontraumatic plexopathy with no known malignancy, traumatic plexopathy (not perinatal), and plexopathy occurring in the context of a known malignancy or posttreatment syndrome. 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 - Brachial plexopathy
KW - Brachial plexus
KW - Brachial plexus neuritis
KW - Lumbar plexopathy
KW - Lumbosacral plexus
KW - Sacral plexopathy
UR - http://www.scopus.com/inward/record.url?scp=85119036229&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2021.08.014
DO - 10.1016/j.jacr.2021.08.014
M3 - Article
C2 - 34794598
AN - SCOPUS:85119036229
SN - 1546-1440
VL - 18
SP - S423-S441
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -