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ACR–ASNR–ASSR–SIR–SNIS PRACTICE PARAMETER FOR THE PERFORMANCE OF IMAGE-GUIDED EPIDURAL STEROID INJECTION

PREAMBLE

I.

INTRODUCTION

I.

INTRODUCTION

A.

Scope

I.

INTRODUCTION

B.

Overview

I.

INTRODUCTION

C.

Definitions

II.

INDICATIONS AND CONTRAINDICATIONS

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

A.

Physician

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

B.

Qualified Medical Physicist

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

C.

Non-Physician Radiology Provider (NPRP)

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

D.

Radiologic Technologist

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

E.

Nursing Services

IV.

WRITTEN REQUEST FOR THE EXAMINATION

V.

SPECIFICATIONS OF THE PROCEDURE

A.

Image Guidance

V.

SPECIFICATIONS OF THE PROCEDURE

B.

Facility

V.

SPECIFICATIONS OF THE PROCEDURE

C.

Medications

V.

SPECIFICATIONS OF THE PROCEDURE

D.

Patient Care

1.

Preprocedural Care

V.

SPECIFICATIONS OF THE PROCEDURE

D.

Patient Care

2.

Procedural Care

V.

SPECIFICATIONS OF THE PROCEDURE

D.

Patient Care

3.

Postprocedural Care

VI.

EQUIPMENT SPECIFICATIONS

VII.

DOCUMENTATION

VIII.

RADIATION SAFETY IN IMAGING

IX.

QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR Blackham, Kristine A MD, Chair Amrhein, Timothy J MD Smirniotopoulos, John MD	ASNR Barr, John MD Gibbs, Wende N. MD Thaker, Ashesh A MD	SNIS Brook, Allan L MD Ortiz, A. Orlando MBA, MD	ASSR Brown, Patrick MD Lee, Seon-Kyu MD, PhD Vander Velde, Theodore L MD
SIR Gupta, Amit MD Johnson, Thor MD

Committee on Practice Parameters – Neuroradiology

(ACR Committee responsible for sponsoring the draft through the process)

Shah, Lubdha M MD, Chair	Aiken, Ashley H MD	Amrhein, Timothy J MD	Austin, Matthew J MD
Becker, Jennifer L MD	Blackham, Kristine A MD	Chaudhry, Umar S MD	Chiang, Gloria C MD
Hutchins, Troy A MD	Mazaheri, Parisa MD	Ormsby, Jacob MBA, MD	Riley, Kalen MD
Sio, Terence Tai-Weng MD, MS

Committee on Practice Parameters and Technical Standards

(ACR Committee responsible for sponsoring the draft through the process)

Caplin, Drew M MD

Committee on Practice Parameters – Interventional and Cardiovascular Radiology

(ACR Committee responsible for sponsoring the draft through the process)

Kaufman, Claire MD, Chair	Daly, Kevin MD	Dickey, Kevin MD	Kay, Dennis MD
Lee, Margaret H MD	Makary, Mina S MD	Marx, M Victoria MD	Noor, Amir MD
Tomihama, Roger T MD	Yeisley, Christopher MD

Jordan, John E MD, Chair, Commission on Neuroradiology

Larson, David B MBA, MD, Chair, Commission on Quality and Safety

Min, Robert MD, Chair, Commission on Interventional Radiology & Cardiovascular Imaging

Comments Reconciliation Committee

Batlle, Juan C MBA, MD - CSC, Chair	Chu, Sammy MD - CSC, Co-Chair	Amrhein, Timothy J MD	Barr, John MD
Blackham, Kristine A MD	Brook, Allan L MD	Brown, Patrick MD	Caplin, Drew M MD
Gibbs, Wende N. MD	Gupta, Amit MD	Johnson, Thor MD	Jordan, John E MD
Kaufman, Claire MD	Larson, David B MBA, MD	Lee, Seon-Kyu MD, PhD	Min, Robert MD
Ortiz, A. Orlando MBA, MD	Shah, Lubdha M MD	Smirniotopoulos, John MD	Thaker, Ashesh A MD
Vander Velde, Theodore L MD

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Appendix A