Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging Guidelines

Headache is the most common cause of neurological disorders. The usefulness of imaging tests may vary depending on the patient's clinical situation. The Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency have decided to develop evidence-based guidelines fo...

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Main Authors: Jo Sung Jung, Se Won Oh, Jinhee Jang, Chi-Hoon Choi, Soo Chin Kim, Won-Jin Moon, Miyoung Choi, Seung Eun Jung
Format: Article
Language:English
Published: The Korean Society of Radiology 2019-09-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2019.80.5.880
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author Jo Sung Jung
Se Won Oh
Jinhee Jang
Chi-Hoon Choi
Soo Chin Kim
Won-Jin Moon
Miyoung Choi
Seung Eun Jung
author_facet Jo Sung Jung
Se Won Oh
Jinhee Jang
Chi-Hoon Choi
Soo Chin Kim
Won-Jin Moon
Miyoung Choi
Seung Eun Jung
author_sort Jo Sung Jung
collection DOAJ
description Headache is the most common cause of neurological disorders. The usefulness of imaging tests may vary depending on the patient's clinical situation. The Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency have decided to develop evidence-based guidelines for the imaging tests necessary for diagnosing patients with selected, frequently encountered types of headache. Development, working, and advisory committees were formed. Recommendation statements were derived from the adaptive development methods provided by the existing guidelines. Non-contrast head CT is recommended in patients with acute thunderclap headache due to possible subarachnoid hemorrhage (SAH), and CT angiography is recommended to confirm aneurysmal SAH. In patients with non-acute headache and normal neurological findings, radiological examination is not recommended, but head MRI is recommended to investigate the cause of secondary headache. Non-contrast head MRI is recommended for new-onset headache with neurologic abnormalities in pregnant women.
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spelling doaj.art-c5515e11afc6418483ede8b6057399b82022-12-22T03:44:23ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282019-09-01805880895https://doi.org/10.3348/jksr.2019.80.5.880Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging GuidelinesJo Sung Jung0Se Won Oh1Jinhee Jang2Chi-Hoon Choi3Soo Chin Kim4Won-Jin Moon5Miyoung Choi6Seung Eun Jung7Department of Radiology, Soonchunhyang University Cheonan Hospital, Cheonan, KoreaDepartment of Radiology, Soonchunhyang University Cheonan Hospital, Cheonan, KoreaDepartment of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Radiology, Chungbuk National University Hospital, Cheongju, KoreaDepartment of Radiology, GangnamCenter, Seoul National University Hospital Healthcare System, Seoul, KoreaDepartment of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDivision for Healthcare Technology Assessment Research, National Evidence-Based Healthcare Collaborating Agency, Seoul, KoreaDepartment of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaHeadache is the most common cause of neurological disorders. The usefulness of imaging tests may vary depending on the patient's clinical situation. The Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency have decided to develop evidence-based guidelines for the imaging tests necessary for diagnosing patients with selected, frequently encountered types of headache. Development, working, and advisory committees were formed. Recommendation statements were derived from the adaptive development methods provided by the existing guidelines. Non-contrast head CT is recommended in patients with acute thunderclap headache due to possible subarachnoid hemorrhage (SAH), and CT angiography is recommended to confirm aneurysmal SAH. In patients with non-acute headache and normal neurological findings, radiological examination is not recommended, but head MRI is recommended to investigate the cause of secondary headache. Non-contrast head MRI is recommended for new-onset headache with neurologic abnormalities in pregnant women.https://doi.org/10.3348/jksr.2019.80.5.880headachesubarachnoid hemorrhagemagnetic resonance imaging
spellingShingle Jo Sung Jung
Se Won Oh
Jinhee Jang
Chi-Hoon Choi
Soo Chin Kim
Won-Jin Moon
Miyoung Choi
Seung Eun Jung
Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging Guidelines
대한영상의학회지
headache
subarachnoid hemorrhage
magnetic resonance imaging
title Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging Guidelines
title_full Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging Guidelines
title_fullStr Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging Guidelines
title_full_unstemmed Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging Guidelines
title_short Korean Clinical Imaging Guidelines for Diagnosis of Headache Based on the 2017 Evidence-Based Clinical Imaging Guidelines
title_sort korean clinical imaging guidelines for diagnosis of headache based on the 2017 evidence based clinical imaging guidelines
topic headache
subarachnoid hemorrhage
magnetic resonance imaging
url https://doi.org/10.3348/jksr.2019.80.5.880
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