title: ACR Appropriateness criteria® for nasopharyngeal carcinoma.
abstract: Nasopharyngeal carcinoma (NPC) presents mostly with locally advanced disease and is treated with multimodal therapy; however, consensus is lacking for different clinical scenarios.
  
  
  
  The American College of Radiology (ACR) Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
  
  
  
  The ACR Expert Panel on Radiation Oncology - Head and Neck Cancer developed consensus recommendations for guiding management of nasopharyngeal carcinoma.
  
  
  
  Multidisciplinary evaluation is essential to guiding the optimal use of surgery, radiation, and systemic therapy in this disease. © 2015 Wiley Periodicals, Inc. Head Neck 38: 979-986, 2016.
authors.affiliation: Emory University, Atlanta, Georgia, American Society of Clinical Oncology.
authors.forename: Nabil F
authors.initials: NF
authors.lastname: Saba
authors.affiliation: Duke University, Durham, North Carolina.
authors.forename: Joseph K
authors.initials: JK
authors.lastname: Salama
authors.affiliation: Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Beitler
authors.affiliation: Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Busse
authors.affiliation: Maimonides Cancer Center, Brooklyn, New York.
authors.forename: Jay S
authors.initials: JS
authors.lastname: Cooper
authors.affiliation: Radiological Associates of Sacramento, Sacramento, California.
authors.forename: Christopher U
authors.initials: CU
authors.lastname: Jones
authors.affiliation: Cleveland Clinic, Cleveland, Ohio.
authors.forename: Shlomo
authors.initials: S
authors.lastname: Koyfman
authors.affiliation: Johns Hopkins University, Baltimore, Maryland.
authors.forename: Harry
authors.initials: H
authors.lastname: Quon
authors.affiliation: Fox Chase Cancer Center, Philadelphia, Pennsylvania, American College of Surgeons.
authors.forename: John A
authors.initials: JA
authors.lastname: Ridge
authors.affiliation: Henry Ford Health System, Detroit, Michigan.
authors.forename: Farzan
authors.initials: F
authors.lastname: Siddiqui
authors.affiliation: University of Michigan, Ann Arbor, Michigan, American Society of Clinical Oncology.
authors.forename: Francis
authors.initials: F
authors.lastname: Worden
authors.affiliation: University Hospitals Case Medical Center, Cleveland, Ohio.
authors.forename: Min
authors.initials: M
authors.lastname: Yao
authors.affiliation: University of California San Francisco, San Francisco, California.
authors.forename: Sue S
authors.initials: SS
authors.lastname: Yom
mesh_terms: D002277:Carcinoma / Q000000981:diagnostic imaging / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D059186:Chemoradiotherapy, Adjuvant; D003131:Combined Modality Therapy; D018572:Disease-Free Survival; D055088:Early Detection of Cancer / Q000379:methods; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D000077274:Nasopharyngeal Carcinoma; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D009305:Nasopharynx / Q000601:surgery*; D009361:Neoplasm Invasiveness / Q000473:pathology; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011788:Quality of Life; D012955:Societies, Medical; D016019:Survival Analysis; D014481:United States
keywords: Appropriateness criteria for nasopharyngeal cancer; cancer of the nasopharynx; nasopharyngeal carcinoma (NPC); squamous cell carcinoma of the nasopharynx