Premium
ACR appropriateness criteria ® ipsilateral radiation for squamous cell carcinoma of the tonsil
Author(s) -
Yeung Anamaria Reyna,
Garg Madhur Kumar,
Lawson Joshua,
McDonald Mark W.,
Quon Harry,
Ridge John A.,
Saba Nabil,
Salama Joseph K.,
Smith Richard V.,
Yom Sue S.,
Beitler Jonathan J.
Publication year - 2012
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21993
Subject(s) - medicine , tonsil , guideline , appropriate use criteria , appropriateness criteria , radiation therapy , head and neck cancer , head and neck , delphi method , radiology , oncology , medical physics , surgery , pathology , statistics , mathematics
Background Controversy exists as to the criteria for selecting patients with carcinoma of the tonsil for treatment with ipsilateral radiotherapy (RT). Methods The American College of Radiology (ACR) Appropriateness Criteria are evidence‐based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current literature from peer reviewed journals and the application of a well‐established consensus methodology (modified Delphi) to rate the appropriateness of treatment procedures by the panel. In those instances where evidence is not definitive, expert opinion may be used to recommend treatment. Results The ACR Expert Panel on Radiation Oncology – Head and Neck Cancer developed consensus recommendations for selecting patients with tonsillar carcinoma for ipsilateral RT. Conclusion Patients that are appropriate for ipsilateral RT have less than 1 cm of tumor invasion into the soft palate or base of tongue, and nodal stage of N0 to 1. © 2012 American College of Radiology. Head Neck, 2012