Strong consideration should, therefore, be given to treatment of these patients in centers with expertise in combined modality treatment and a well-established supportive care system.
As reports on surgical treatment for nephrolithisasis in ADPKD patients are limited, it is reasonable to choose suitable therapeutic modality based on experience and expertise of each center.
On the other hand, it is our personal opinion that if a center/institution/department has developed a particular expertise with one modality, then an abrupt change to another may be detrimental and is not recommended: the best treatment may be the one that you know better.
Rats, Rattus norvegicus, for example, perform better in an olfactory set-up than when they have to learn visually (Eichenbaum, Fagan, & Cohen, 1986), thus highlighting the importance of species-specific expertise in certain modalities.
This therapeutic modality will likely expand, as centers' expertise, comfort level and further evidence gathers.
Thus, the choice of modality is often based on the expertise of the treating clinicians.
The best test or combination of tests will be defined by local cost, availability, and expertise with a given modality, in addition to patient specific circumstances.
The choice between these imaging modalities often depends on the local expertise and available equipment.
Creative Arts Therapists, as noted above, have the additional training and expertise in their arts modalities.
As with all imaging modalities, local preference can vary significantly: availability, expertise, cost and general familiarity all play a role.
Since most existing research uses 2D viewing modalities, we also examined the effect of expertise and diagnosis on eye-gaze behaviour and diagnostic accuracy in an independent-slice brain tumour detection task.
