Siddiqui Farzan, Smith Richard V, Yom Sue S, Beitler Jonathan J, Busse Paul M, Cooper Jay S, Hanna Ehab Y, Jones Christopher U, Koyfman Shlomo A, Quon Harry, Ridge John A, Saba Nabil F, Worden Francis, Yao Min, Salama Joseph K
Henry Ford Health System, Detroit, Michigan.
Montefiore Medical Center, American College of Surgeons, Bronx, New York.
Head Neck. 2017 Mar;39(3):407-418. doi: 10.1002/hed.24639. Epub 2016 Dec 29.
The American College of Radiology (ACR) 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. Here, we present the Appropriateness Criteria for cancers arising in the nasal cavity and paranasal sinuses (maxillary, sphenoid, and ethmoid sinuses). This includes clinical presentation, prognostic factors, principles of management, and treatment outcomes. Controversies regarding management of cervical lymph nodes are discussed. Rare and unusual nasal cavity cancers, such as esthesioneuroblastoma and sinonasal undifferentiated carcinomas, are included. © 2016 American College of Radiology. Head Neck, 2016 © 2016 Wiley Periodicals, Inc. Head Neck 39: 407-418, 2017.
美国放射学会（ACR）适宜性标准是针对特定临床情况的循证指南，每年由多学科专家小组进行审查。指南的制定和修订包括对同行评审期刊上的当前医学文献进行广泛分析，并应用成熟的方法（兰德/加州大学洛杉矶分校适宜性方法以及推荐评估、制定与评价分级系统或GRADE）来评估特定临床场景下成像和治疗程序的适宜性。在证据不足或不明确的情况下，专家意见可补充现有证据以推荐成像或治疗方法。在此，我们展示鼻腔和鼻窦（上颌窦、蝶窦和筛窦）癌症的适宜性标准。这包括临床表现、预后因素、管理原则和治疗结果。讨论了关于颈部淋巴结管理的争议。纳入了罕见和不常见的鼻腔癌症，如嗅神经母细胞瘤和鼻窦未分化癌。©2016美国放射学会。《头颈》，2016年©2016威利期刊公司。《头颈》39: 407 - 418, 2017年。
