Clinical decision rules in radiology

Academic Radiology
Martin H Reed

Abstract

Clinical decision rules to guide physicians in the appropriate use of diagnostic imaging studies need to be developed, in part, to control the overutilization of imaging studies. These rules need to be evidence based. Randomized control trials can be designed to assess the value of imaging studies and interventional procedures at levels five and six, patient outcome and societal efficacies, in Fryback and Thornbury's hierarchical model of efficacy. Results of these trials can be used to develop clinical decision rules. However, the efficacy of most diagnostic imaging studies can be assessed better at levels three and four, diagnostic thinking and therapeutic efficacies. Studies can be designed to determine clinical situations in which imaging studies will be of no value or to determine clinical criteria for the use of imaging studies. Systematic reviews of the literature and other techniques of analysis of evidence, such as decision trees, also can be used to develop evidence-based clinical decision rules for the use of diagnostic imaging procedures.

References

Apr 1, 1991·Medical Decision Making : an International Journal of the Society for Medical Decision Making·D G Fryback, J R Thornbury
Feb 20, 1986·The New England Journal of Medicine·J W Mold, H F Stein
Sep 1, 1984·The British Journal of Radiology·I K Fry
Oct 1, 1995·Annals of Emergency Medicine·A H AnisA Laupacis
Feb 28, 1996·JAMA : the Journal of the American Medical Association·I G StiellM L Sivilotti
Aug 1, 1997·Annals of Internal Medicine·D J CookS R Weingarten
Aug 16, 1997·Lancet·A K Dixon
Mar 27, 1999·Annals of Emergency Medicine·I G Stiell, G A Wells
Feb 13, 2001·AJR. American Journal of Roentgenology·D BrennerW Berdon
Aug 30, 2001·Radiology·UNKNOWN Evidence-Based Radiology Working Group
Jan 17, 2003·The New England Journal of Medicine·Alejandro HobermanEllen R Wald
Jan 17, 2003·The New England Journal of Medicine·F Bruder Stapleton
Dec 31, 2003·Clinical Radiology·L Matowe, F J Gilbert
Jun 9, 2004·Lancet·Debasish Debnath
Nov 2, 2004·Radiology·Stefan TiggesDavid A Schulman
Aug 18, 2005·Journal of the National Cancer Institute·Yu ShenDonald A Berry

❮ Previous
Next ❯

Citations

Oct 21, 2010·The British Journal of Radiology·B RoudsariJ Jarvik
Sep 16, 2010·Annals of Plastic Surgery·Shareef Jandali, David W Low
Apr 7, 2009·Academic Radiology·Ruth C Carlos
Mar 18, 2008·Academic Radiology·Ruth C Carlos
Feb 7, 2012·Journal of the American College of Radiology : JACR·Martin H Reed
Dec 11, 2019·Academic Radiology·Stephen M Borstelmann

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.