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Medical imaging clinical appropriateness:rational examination according to evidence-based medical imaging
Lyu Han, Wang Zhenchang, Liu Xiaoqing, Kong Yuanyuan, Zeng Na, Li Mengyi, Zhao Pengfei, You Hong, Yang Zhenghan, Zhang Zhongtao
Published 2020-11-01
Cite as Chin J Surg, 2020, 58(11): 831-834. DOI: 10.3760/cma.j.cn112139-20200604-00433
Abstract
The rational clinical examination is important. The authors raised the concept of "medical imaging clinical appropriateness (MICA) " to meet the medical need in clinic (for diagnosis or assessment of a kind of disease or syndrome), which means radiologists and clinicians work together to carefully evaluate the necessity and rationality of an examination according to evidence of evidence-based medicine, expertise, experience, and patient′s willing.The necessity is prerequisite, the rationality is the core, the evaluation of evidence is the basis, the application of evidence-based medicine is the important method. This work will provide us a series of criteria in the format of guidelines, providing evidence of rational examination for clinicians. Based on hard working and cooperation between radiologists and clinicians, we will establish the system of MICA in China, standardizing medical process, promoting rationalization, optimizing medical resources allocation and usage.
Key words:
Evidence-based medicine; Medical imaging; Grading of recommendations assessment, development and evaluation; Quality evaluation
Contributor Information
Lyu Han
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Wang Zhenchang
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Liu Xiaoqing
Department of Infectious Diseases, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China
Kong Yuanyuan
National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Zeng Na
National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Li Mengyi
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Zhao Pengfei
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
You Hong
Liver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Yang Zhenghan
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Zhang Zhongtao
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
