TY - JOUR
T1 - ACR Appropriateness Criteria® Neuroendocrine Imaging
AU - Expert Panel on Neurologic Imaging:
AU - Burns, Judah
AU - Policeni, Bruno
AU - Bykowski, Julie
AU - Dubey, Prachi
AU - Germano, Isabelle M.
AU - Jain, Vikas
AU - Juliano, Amy F.
AU - Moonis, Gul
AU - Parsons, Matthew S.
AU - Powers, William J.
AU - Rath, Tanya J.
AU - Schroeder, Jason W.
AU - Subramaniam, Rathan M.
AU - Taheri, M. Reza
AU - Whitehead, Matthew T.
AU - Zander, David
AU - Corey, Amanda
N1 - Publisher Copyright:
© 2019 American College of Radiology
PY - 2019/5/1
Y1 - 2019/5/1
N2 - 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.
AB - 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.
KW - AUC
KW - Apoplexy
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - Diabetes insipidus
KW - Pituitary
KW - Pituitary adenoma
KW - Precocious puberty
KW - Sella turcica
UR - http://www.scopus.com/inward/record.url?scp=85064495270&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2019.02.017
DO - 10.1016/j.jacr.2019.02.017
M3 - Article
C2 - 31054742
AN - SCOPUS:85064495270
SN - 1546-1440
VL - 16
SP - S161-S173
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 5
ER -