J Korean Med Sci.  2016 Feb;31(Suppl 1):S38-S44. 10.3346/jkms.2016.31.S1.S38.

Imaging Guidelines for Enhancing Justifications for Radiologic Studies

Affiliations
  • 1Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Radiology and the Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. radbaek@naver.com
  • 3Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 4Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
  • 5Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.

Abstract

Justification in the field of radiology refers to the appropriate use of radiologic imaging modalities, and may be achieved by establishing clinical imaging guidelines (CIGs). Recently, CIGs have been shown to be useful in selecting the proper medical imaging modality, resulting in the reduction of inappropriate radiologic examinations, thereby enhancing justifications. However, the development of CIGs is both time-consuming and difficult as the methodology of evidence-based medicine should be adhered to. Thus, although the radiologic societies in developed countries such as the United Kingdom and USA are already developing and implementing CIGs in their clinical practices, CIGs are not yet readily available in many other countries owing to differences in medical circumstances and resources. In this review, we assess the role and limitations of CIGs by examining the current status of CIGs in developed countries, and also describe the specific efforts made to establish CIGs in Korea.

Keyword

Justification; Clinical Imaging Guideline; Radiation Exposure; Computed Tomography; Evidence-based Medicine

MeSH Terms

*Diagnostic Imaging
Evidence-Based Medicine
*Guidelines as Topic
Humans
Radiation Protection
Societies, Scientific
Tomography, X-Ray Computed

Figure

  • Fig. 1 Limitations and solutions for the implementation of clinical imaging guidelines.

  • Fig. 2 Practical efforts for justification of medical radiation exposure in Korea.


Cited by  1 articles

Prospects on the increase of radiological examinations in Korea
Joon-Il Choi
J Korean Med Assoc. 2020;63(3):136-139.    doi: 10.5124/jkma.2020.63.3.136.


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