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Clinicians were well aware of their responsibility to request the most appropriate examination.
In some cases it may be that the most appropriate examination for answering the clinical question uses non-ionising radiation, e.g., MRI or US.
Clinical imaging guidelines are intended to help physicians decide when an imaging study would be useful and identify the most appropriate examination for a particular patient.
If GPs are undertaking primary diagnosis and management of patients, then clinical radiologists are acting as first-line clinicians and it is entirely reasonable for the radiologist to undertake the most appropriate examination.
The physician aims to prescribe the most appropriate examination to effectively diagnose the nature of the nodule, whether benign or malignant, and to avoid morbidity and/or mortality due to unnecessary invasive explorations [ 21].
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MRI's performance was generally superior to ultrasound, mammography, and clinical examination, and it may be considered the most appropriate test in this setting.
MRI's performance was generally superior to that of US, mammography, and clinical examination, and in light of those findings, MRI may be considered the most appropriate test in this setting.
Magnetic resonance imaging (MRI) seems to be the most appropriate radiological examination [3, 4].
Nonetheless, as recognised in the EU report, additional measures are needed on both a European and national levels to reinforce the use of guidelines, particularly since they are specifically designed to help health professionals in deciding the most appropriate imaging examinations for given clinical indications/scenarios.
Therefore, apart from confirming that each MI examination requested is the most responsive and appropriate examination for the child at that point in time (justification), it is equally important that imaging practitioners 'child-size' (optimise) each MI examination according to the child's physical characteristics and/or underlying clinical indications [9, 10, 11, 12].
Being an operator-dependent technique, the reliability and reproducibility of GSUS may be improved by selecting the most appropriate joint recess for the examination, another issue that is still under debate [ 5].
More suggestions(15)
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