| Evidence-based radiology: why and how? | |
| | |
MedLine Citation:
|
PMID: 20069736 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To provide an overview of evidence-based medicine (EBM) in relation to radiology and to define a policy for adoption of this principle in the European radiological community. RESULTS: Starting from Sackett's definition of EBM we illustrate the top-down and bottom-up approaches to EBM as well as EBM's limitations. Delayed diffusion and peculiar features of evidence-based radiology (EBR) are defined with emphasis on the need to shift from the demonstration of the increasing ability to see more and better, to the demonstration of a significant change in treatment planning or, at best, of a significant gain in patient outcome. The "as low as reasonably achievable" (ALARA) principle is thought as a dimension of EBR while EBR is proposed as part of the core curriculum of radiology residency. Moreover, we describe the process of health technology assessment in radiology with reference to the six-level scale of hierarchy of studies on diagnostic tests, the main sources of bias in studies on diagnostic performance, and levels of evidence and degrees of recommendations according to the Centre for Evidence-Based Medicine (Oxford, UK) as well as the approach proposed by the GRADE working group. Problems and opportunities offered by evidence-based guidelines in radiology are considered. Finally, we suggest nine points to be actioned by the ESR in order to promote EBR. CONCLUSION: Radiology will benefit greatly from the improvement in practice that will result from adopting this more rigorous approach to all aspects of our work. |
| | |
Authors:
|
Francesco Sardanelli; Myriam G Hunink; Fiona J Gilbert; Giovanni Di Leo; Gabriel P Krestin |
Related Documents
:
|
16750936 - The architecture of evidence-based gynaecology. 9822516 - Is curettage needed for uncomplicated incomplete spontaneous abortion? 16850046 - Evidence synthesis and development of guidelines in interventional pain management. 16708666 - Promoting evidence-based practice in stroke care in australia. 10253926 - "hazardous" wastes of the clinical chemistry laboratory. 23550236 - Work related encounters in general practice. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: European radiology Volume: 20 ISSN: 1432-1084 ISO Abbreviation: Eur Radiol Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2010-01-12 Completed Date: 2010-03-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
|
Languages: eng Pagination: 1-15 Citation Subset: IM |
Affiliation:
|
Dipartimento di Scienze Medico-Chirurgiche, Unit? di Radiologia, IRCCS Policlinico San Donato, Universit? degli Studi di Milano, Via Morandi 30, 20097 San Donato Milanese, Milan, Italy. f.sardanelli@grupposandonato.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Clinical Trials as Topic
/
trends* Diagnostic Imaging / trends* Evidence-Based Practice / trends* Internationality Radiology / trends* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Variable selection patterns on the labellum shape of Geoblasta pennicillata, a sexually deceptive or...
Next Document: ESUR guidelines for MR imaging of the sonographically indeterminate adnexal mass: an algorithmic app...