The American College of Radiology seeks and encourages collaboration with other organizations on the development of the American College of Radiology (ACR) Appropriateness Criteria® through society representation on expert panels. Participation by representatives from collaborating societies on the expert panel does not necessarily imply individual or society endorsement of the final document.
ACR Appropriateness Criteria
ACR appropriateness criteria® ipsilateral radiation for squamous cell carcinoma of the tonsil†
Version of Record online: 17 JAN 2012
Copyright © 2012 American College of Radiology
Head & Neck
Volume 34, Issue 5, pages 613–616, May 2012
How to Cite
Yeung, A. R., Garg, M. K., Lawson, J., McDonald, M. W., Quon, H., Ridge, J. A., Saba, N., Salama, J. K., Smith, R. V., Yom, S. S., Beitler, J. J. and Expert Panel on Radiation Oncology—Head & Neck Cancer (2012), ACR appropriateness criteria® ipsilateral radiation for squamous cell carcinoma of the tonsil. Head Neck, 34: 613–616. doi: 10.1002/hed.21993
This guideline was developed in 2011.
- Issue online: 6 APR 2012
- Version of Record online: 17 JAN 2012
- Manuscript Accepted: 14 SEP 2011
- appropriateness criteria;
- ipsilateral radiotherapy;
- tonsillar cancer;
- radiation therapy volume;
- oropharynx cancer
Controversy exists as to the criteria for selecting patients with carcinoma of the tonsil for treatment with ipsilateral radiotherapy (RT).
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.
The ACR Expert Panel on Radiation Oncology – Head and Neck Cancer developed consensus recommendations for selecting patients with tonsillar carcinoma for ipsilateral RT.
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