ACR Appropriateness Criteria® Scoliosis-Child

Publication date: May 2019Source: Journal of the American College of Radiology, Volume 16, Issue 5, SupplementAuthor(s): Expert Panel on Pediatric Imaging:, Jeremy Y. Jones, Gaurav Saigal, Susan Palasis, Timothy N. Booth, Laura L. Hayes, Ramesh S. Iyer, Nadja Kadom, Abhaya V. Kulkarni, Sarah S. Milla, John S. Myseros, Charles Reitman, Richard L. Robertson, Maura E. Ryan, Jacob Schulz, Bruno P. Soares, Aylin Tekes, Andrew T. Trout, Boaz KarmazynAbstractScoliosis is frequently encountered in childhood, with prevalence of 2%. The majority is idiopathic, without vertebral segmentation anomaly, dysraphism, neuromuscular abnormality, skeletal dysplasia, tumor, or infection. As a complement to clinical assessment, radiography is the primary imaging modality used to classify scoliosis and subsequently monitor its progression and response to treatment. MRI is utilized selectively to assess for neural axis abnormalities in those at higher risk, including those with congenital scoliosis, early onset idiopathic scoliosis, and adolescent idiopathic scoliosis with certain risk factors. CT, although not routinely employed in the initial evaluation of scoliosis, may have a select role in characterizing the bone anomalies of congenital scoliosis and in perioperative planning.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 revis...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research