ACR Appropriateness Criteria® Dizziness and Ataxia: 2023 Update.

Autor:	Wang LL; University of Cincinnati Medical Center, Cincinnati, Ohio. Electronic address: lily.wang@uc.edu., Thompson TA; Research Author, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Shih RY; Panel Chair, Uniformed Services University, Bethesda, Maryland., Ajam AA; Ohio State University, Columbus, Ohio., Bulsara K; UCONN Health, University of Connecticut, Farmington, Connecticut, Neurosurgery expert., Burns J; Montefiore Medical Center, Bronx, New York., Davis MA; Yale University School of Medicine, New Haven, Connecticut; Committee on Emergency Radiology-GSER., Ivanidze J; Weill Cornell Medical College, New York, New York., Kalnins A; University of Chicago, Chicago, Illinois., Kuo PH; University of Arizona, Tucson, Arizona; Commission on Nuclear Medicine and Molecular Imaging., Ledbetter LN; University of California, Los Angeles, Los Angeles, California., Pannell JS; University of California, San Diego, San Diego, California., Pollock JM; Oregon Health & Science University, Portland, Oregon., Shakkottai VG; University of Texas Southwestern Medical Center, Dallas, Texas; American Academy of Neurology., Shih RD; Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida; American College of Emergency Physicians., Soares BP; The University of Vermont Medical Center, Burlington, Vermont., Soderlund KA; Naval Medical Center Portsmouth, Portsmouth, Virginia., Utukuri PS; Columbia University Medical Center, New York, New York., Woolsey S; Association for Utah Community Health, Salt Lake City, Utah; American Academy of Family Physicians., Policeni B; Specialty Chair, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2024 Jun; Vol. 21 (6S), pp. S100-S125.
DOI:	10.1016/j.jacr.2024.02.018
Abstrakt:	Diagnostic evaluation of a patient with dizziness or vertigo is complicated by a lack of standardized nomenclature, significant overlap in symptom descriptions, and the subjective nature of the patient's symptoms. Although dizziness is an imprecise term often used by patients to describe a feeling of being off-balance, in many cases dizziness can be subcategorized based on symptomatology as vertigo (false sense of motion or spinning), disequilibrium (imbalance with gait instability), presyncope (nearly fainting or blacking out), or lightheadedness (nonspecific). As such, current diagnostic paradigms focus on timing, triggers, and associated symptoms rather than subjective descriptions of dizziness type. Regardless, these factors complicate the selection of appropriate diagnostic imaging in patients presenting with dizziness or vertigo. This document serves to aid providers in this selection by using a framework of definable clinical variants. 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 process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation. (Copyright © 2024 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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