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Culture is shifting towards clinical decision support tools for appropriate use of imaging.
Internet communication is also a suitable medium for conveying guidelines on the appropriate use of imaging techniques, and on safety considerations.
The utilization of these systems requires a disciplined approach to obtaining a menstrual history, relatively simple laboratory investigations, and the appropriate use of imaging techniques accessible to most clinicians worldwide.
Appropriate use of imaging coupled with review of relevant clinical information regarding the patient are important to reach an accurate diagnosis.
Nonetheless, some authors advocate that a clinical diagnosis of endometriosis alone based on a structured evaluation with detailed history-taking, physical examination and the appropriate use of imaging techniques might be as accurate as laparoscopy [ 16– 16].
Based on the discussion above, it is clear that the proper use of imaging in cancer is a complex issue and at best only guidelines on the appropriate use of imaging techniques can be provided in the chapters which follow.
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Appropriate use of these imaging techniques and their timing in relation to the treatment schedule, particularly in the context of clinical trials, is fundamental.
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.
The workshop served as a forum to exchange information on challenges and solutions for improving justification and the appropriate use of diagnostic imaging.
A common standardised imaging procedure will help promote the appropriate use of FDG PET/CT imaging and increase the value of publications and, therefore, their contribution to evidence-based medicine.
An example is ACR Select, a comprehensive national standards CDS database that provides evidence-based decision support for the appropriate use of all medical imaging procedures, which has been adopted by over 100 facilities and handles 20 million orders per year.
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