University of California, San Diego, San Diego, California.
Panel Chair, Atlanta VA Health Care System and Emory University, Atlanta, Georgia.
J Am Coll Radiol. 2024 Jun;21(6S):S21-S64. doi: 10.1016/j.jacr.2024.02.015.
Cerebrovascular disease encompasses a vast array of conditions. The imaging recommendations for stroke-related conditions involving noninflammatory steno-occlusive arterial and venous cerebrovascular disease including carotid stenosis, carotid dissection, intracranial large vessel occlusion, and cerebral venous sinus thrombosis are encompassed by this document. Additional imaging recommendations regarding complications of these conditions including intraparenchymal hemorrhage and completed ischemic strokes are also discussed. 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.
脑血管病包括广泛的疾病。本文件涵盖了与非炎症性狭窄性动静脉脑血管疾病相关的中风相关疾病的影像学建议，包括颈动脉狭窄、颈动脉夹层、颅内大血管闭塞和脑静脉窦血栓形成。本文还讨论了这些疾病的并发症的其他影像学建议，包括脑实质血肿和已完成的缺血性中风。美国放射学院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。指南的制定和修订过程支持对同行评议期刊上的医学文献进行系统分析。既定的方法学原则，如推荐评估、制定和评估或 GRADE 的分级，被用来评估证据。RAND/UCLA 适宜性方法用户手册提供了用于确定特定临床情况下影像学和治疗程序适宜性的方法。在缺乏或存在争议的同行评议文献的情况下，专家可能是制定建议的主要可用证据来源。
