June 24, 2026 · Journal of the American College of Radiology : JACR · DOI: 10.1016/j.jacr.2026.06.003

ACR Appropriateness Criteria® Myelopathy: 2026 Update

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The authors aim to provide updated evidence-based guidelines for the imaging evaluation of myelopathy, a condition characterized by spinal cord dysfunction, to help differentiate between extrinsic and intrinsic causes. This document outlines the appropriateness criteria for imaging in various myelopathy scenarios, including acute, chronic, and vascular etiologies, to inform clinical decision-making regarding surgical or medical interventions. The guidelines are developed through a systematic review of the literature and expert consensus, ensuring they reflect the most current understanding of the condition.

Expert Panel on Neurological Imaging, Miriam Peckham, Troy A Hutchins, Timothy J Amrhein, Rami W Eldaya, Allison Grayev, Brent Griffith, Alvand Hassankhani, Marcus Mazur, Jacob Ormsby, Omar Parvez, Charles Reitman, Nicholas Spina, Michel Toledano, Guhanand Venkataraman, Noushin Yahyavi-Firouz-Abadi, Robert Y Shih

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