ACR-ASNR-ASSR-SIR-SNIS Practice Parameter for the Performance of Image-Guided Epidural Steroid Injection

The practice parameter was revised collaboratively by the American College of Radiology (ACR), the American Brachytherapy Society (ABS), the American College of Nuclear Medicine (ACNM), the American Radium Society (ARS), the Society of Interventional Radiology (SIR), and the Society of Nuclear Medicine and Molecular Imaging (SNMMI). Epidural steroid injections (ESI) are widely used procedures for managing spinal pain and radiculopathy in patients who do not respond to conservative therapy. This multidisciplinary practice parameter reviews evidence for the efficacy and safety of ESI and provides best practice recommendations.