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OtherACR APPROPRIATENESS CRITERIA

Plexopathy

B.C. Bowen and D.J. Seidenwurm for the Expert Panel on Neurologic Imaging
American Journal of Neuroradiology February 2008, 29 (2) 400-402;
B.C. Bowen
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D.J. Seidenwurm
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Article Figures & Data

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    Table 1:

    Clinical Condition—Brachial Plexopathy

    MRI, neck, and/or chest, and/or upper extremityCT, neck, and/or chest, and/or upper extremityX-ray, chestX-ray, cervical spineFDG-PET, whole body
    Without and with contrastWithout contrastWithout and with contrastWithout contrast
    Sudden onset8a7a5a4a331
    Chronic8a7a5a4a342b
    Post-traumatic, nonacute*8a7a4a5a331
    Cancer patient; no history of local radiation therapy8a7a5a4a437c
    Cancer patient; post-radiation therapy8a7a5a4a437d
    • Note:—Appropriateness criteria scale from 1 to 9; 1, least appropriate; 9, most appropriate.

    • * CT myelography, cervical and/or thoracic spine = rating of 6, X-ray, myelography, cervical and/or thoracic spine = rating of 5 and usually performed with CT.

    • a One or more anatomically contiguous studies may be appropriate depending on clinical circumstances.

    • b May be appropriate if malignancy suspected.

    • c May be useful for staging and characterizing local lesion.

    • d Best imaging tool to distinguish between tumor recurrence and radiation plexopathy.

    • View popup
    Table 2:

    Clinical Condition—Lumbar Plexopathy

    MRI, abdomen and/or pelvisCT, abdomen and/or pelvisX-ray, lumbosacral spineFDG-PET, whole body
    Without and with contrastWithout contrastWithout and with contrastWithout contrast
    Sudden onset8a7a5a4a31
    Chronic8a7a5a4a42b
    Post-traumatic, nonacute8a7a4a5a31
    Cancer patient; no history of local radiation therapy8a7a5a4a37c
    Cancer patient; post-radiation therapy8a7a5a4a37d
    • Note:—Appropriateness criteria scale from 1 to 9; 1, least appropriate; 9, most appropriate.

    • a One or more anatomically contiguous studies may be appropriate depending on clinical circumstances.

    • b May be appropriate if malignancy suspected.

    • c May be useful for staging and characterizing local lesion.

    • d Best imaging tool to distinguish between tumor recurrence and radiation plexopathy.

    • View popup
    Table 3:

    Clinical Condition—Sacral Plexopathy

    MRI, abdomen and/or pelvisCT, abdomen and/or pelvisX-ray, lumbosacral spineX-ray, pelvisFDG-PET, whole body
    Without and with contrastWithout contrastWithout and with contrastWithout contrast
    Sudden onset8a7a5a4a331
    Chronic8a7a5a4a432b
    Post-traumatic, nonacute8a7a4a5a331
    Cancer patient; no history of local radiation therapy8a7a5a4a337c
    Cancer patient; post-radiation therapy8a7a5a4a337d
    • Note:—Appropriateness criteria scale from 1 to 9; 1, least appropriate; 9, most appropriate.

    • a One or more anatomically contiguous studies may be appropriate depending on clinical circumstances.

    • b May be appropriate if malignancy suspected.

    • c May be useful for staging and characterizing local lesion.

    • d Best imaging tool to distinguish between tumor recurrence and radiation plexopathy.

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American Journal of Neuroradiology: 29 (2)
American Journal of Neuroradiology
Vol. 29, Issue 2
February 2008
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B.C. Bowen, D.J. Seidenwurm
Plexopathy
American Journal of Neuroradiology Feb 2008, 29 (2) 400-402;

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Plexopathy
B.C. Bowen, D.J. Seidenwurm
American Journal of Neuroradiology Feb 2008, 29 (2) 400-402;
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    • MR Techniques and Image Contrast
    • MR Imaging: Normal versus Abnormal Plexus
    • Indications for MR Imaging of the Brachial Plexus
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Cited By...

  • The Diagnostic Value of CT Myelography, MR Myelography, and Both in Neonatal Brachial Plexus Palsy
  • MR Imaging Findings in Brachial Plexopathy with Thoracic Outlet Syndrome
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  • Orbits, Vision, and Visual Loss
  • Vertigo and Hearing Loss
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