It is still true that the best way to maximize value and impact on disease while minimizing cost and radiation dose is to do only appropriate exams and not do inappropriate exams. But how to decide what is appropriate? Many of the standard criteria – such as those published by the ACR – are as evidence based as the current peer-reviewed literature evidence will support. But sometimes there may not be scientific evidence available for a hard clinical question – particularly if a randomized trial might be very expensive and take a long time. Under those circumstances, expert opinion is often a pretty good alternative.
Expert opinion can be incorporated into computerized decision support programs but also into daily practice. Indeed, every radiologist is on their own an expert in imaging and its appropriate use – which is valuable if they use this local expertise to guide choice of exams through being a consultant.
Your practice should make radiologist consultation easy to access … and widely known as a valuable service.
See this article.