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ACR Appropriateness Criteria® Orbital Imaging and Vision Loss-Child.
Maheshwari, Mohit; Ho, Mai-Lan; Bosemani, Thangamadhan; Dahmoush, Hisham; Fredrick, Douglas; Guimaraes, Carolina V; Gulko, Edwin; Jaimes, Camilo; Joseph, Madeline M; Kaplan, Summer L; Miyamoto, R Christopher; Nadel, Helen R; Partap, Sonia; Pfeifer, Cory M; Pruthi, Sumit.
Afiliação
  • Maheshwari M; Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: mmaheshwari@childrenswi.org.
  • Ho ML; Panel Vice Chair, Nationwide Children's Hospital, Columbus, Ohio.
  • Bosemani T; Radiology Associates of North Texas, Fort Worth, Texas.
  • Dahmoush H; Lucile Packard Children's Hospital at Stanford, Stanford, California.
  • Fredrick D; Oregon Health & Science University-Casey Eye Institute, Portland, Oregon; American Academy of Pediatrics.
  • Guimaraes CV; University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
  • Gulko E; Westchester Medical Center, Valhalla, New York.
  • Jaimes C; Massachusetts General Hospital, Boston, Massachusetts.
  • Joseph MM; University of Florida College of Medicine Jacksonville, Jacksonville, Florida; American College of Emergency Physicians.
  • Kaplan SL; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Committee on Emergency Radiology-GSER.
  • Miyamoto RC; Peyton Manning Children's Hospital at Ascension St. Vincent, Indianapolis, Indiana; American Academy of Otolaryngology-Head and Neck Surgery.
  • Nadel HR; Lucile Packard Children's Hospital at Stanford, Stanford, California; Commission on Nuclear Medicine and Molecular Imaging.
  • Partap S; Stanford University, Stanford, California; American Academy of Pediatrics.
  • Pfeifer CM; Phoenix Children's Hospital, Phoenix, Arizona.
  • Pruthi S; Specialty Chair, Vanderbilt Children's Hospital, Nashville, Tennessee.
J Am Coll Radiol ; 21(6S): S219-S236, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38823946
ABSTRACT
Orbital disorders in children consist of varied pathologies affecting the orbits, orbital contents, visual pathway, and innervation of the extraocular or intraocular muscles. The underlying etiology of these disorders may be traumatic or nontraumatic. Presumed location of the lesion along with the additional findings, such as eye pain, swelling, exophthalmos/enophthalmos, erythema, conjunctival vascular dilatation, intraocular pressure, etc, help in determining if imaging is needed, modality of choice, and extent of coverage (orbits and/or head). Occasionally, clinical signs and symptoms may be nonspecific, and, in these cases, diagnostic imaging studies play a key role in depicting the nature and extent of the injury or disease. In this document, various clinical scenarios are discussed by which a child may present with an orbital or vision abnormality. Imaging studies that might be most appropriate (based on the best available evidence or expert consensus) in these clinical scenarios 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Orbitárias Limite: Child / Humans País/Região como assunto: America do norte Idioma: En Revista: J Am Coll Radiol Assunto da revista: RADIOLOGIA Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Orbitárias Limite: Child / Humans País/Região como assunto: America do norte Idioma: En Revista: J Am Coll Radiol Assunto da revista: RADIOLOGIA Ano de publicação: 2024 Tipo de documento: Article