Evidence Based Imaging

Evidence-Based Imaging is a user-friendly guide to the evidence-based science and merit defining the appropriate use of medical imaging in both adult and pediatric patients. Chapters are divided into major areas of medical imaging and cover the most prevalent diseases in developed countries, including the four major causes of mortality and morbidity: injury, coronary artery disease, cancer, and cerebrovascular disease. This book gives the reader a clinically-relevant overview of evidence-based imaging, with topics including epidemiology, patient selection, imaging strategies, test performance, cost-effectiveness, radiation safety and applicability. Each chapter is framed around important and provocative clinical questions relevant to the daily physician’s practice. Key points and summarized answers are highlighted so the busy clinician can quickly understand the most important evidence-based imaging data. A wealth of illustrations and summary tables reinforces the key evidence. This revised, softcover edition adds ten new chapters to the material from the original, hardcover edition, covering radiation risk in medical imaging, the economic and regulatory impact of evidence-based imaging in the new healthcare reform environment in the United States, and new topics on common disorders. By offering a clear understanding of the science behind the evidence, Evidence-Based Imaging fills a void for radiologists, family practitioners, pediatricians, surgeons, residents, and others with an interest in medical imaging and a desire to implement an evidence-based approach to optimize quality in patient care.

This practical book is ideal for readers who want to rapidly determine the appropriate imaging for pediatric patients. The text provides a concise and accessible summary of the literature on how and when to use imaging studies. Chapters address the essentials, such as cost-effectiveness, and are written in collaboration by renowned specialists in the fields of pediatrics and pediatric radiology. Topics cover common clinical scenarios in neuroimaging and musculoskeletal, chest, and abdominal imaging. Each imaging recommendation is presented along with the supporting data and the strength of the evidence.

This book presents evidence-based criteria to systematically assess the appropriate use of medical imaging in the emergency department and other acute care settings. ​Over the last decade, there have been profound changes in the diagnostic testing and work-up of patients presenting to the emergency department with emergent symptoms. One of the most far-reaching changes has been the increased availability, speed, and accuracy of imaging due, in part, to technical improvements in imaging modalities such as CT, MR, and PET. Although the use of high-end imaging has plateaued in general, increased utilization continues in the ED. These patients are more acutely ill and there is additional pressure to make an accurate diagnosis as quickly as possible to facilitate prompt disposition or treatment. There is also strong evidence for the beneficial use of imaging in the emergency setting that results in improved patient outcomes. This book answers that need by providing protocols and guidelines for neuroradiological, cardiothoracic, abdominal and pelvic, musculoskeletal, and pediatric imaging are reviewed in terms of the available imaging modalities, diagnostic criteria, and treatment options. Distinguished by its unique focus on evidence-based emergency imaging in adults, children, and special populations, this book is a unique resource for radiologists, emergency medicine physicians, and physicians in other specialties who need to be informed about the most appropriate uses of diagnostic imaging in the emergency care setting.

Diagnostic Imaging for the Emergency Physician, written and edited by a practicing emergency physician for emergency physicians, takes a step-by-step approach to the selection and interpretation of commonly ordered diagnostic imaging tests. Dr. Joshua Broder presents validated clinical decision rules, describes time-efficient approaches for the emergency physician to identify critical radiographic findings that impact clinical management and discusses hot topics such as radiation risks, oral and IV contrast in abdominal CT, MRI versus CT for occult hip injury, and more. Diagnostic Imaging for the Emergency Physician has been awarded a 2011 PROSE Award for Excellence for the best new publication in Clinical Medicine. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Choose the best test for each indication through clear explanations of the "how" and "why" behind emergency imaging. Interpret head, spine, chest, and abdominal CT images using a detailed and efficient approach to time-sensitive emergency findings. Stay on top of current developments in the field, including evidence-based analysis of tough controversies - such as indications for oral and IV contrast in abdominal CT and MRI versus CT for occult hip injury; high-risk pathology that can be missed by routine diagnostic imaging - including subarachnoid hemorrhage, bowel injury, mesenteric ischemia, and scaphoid fractures; radiation risks of diagnostic imaging - with practical summaries balancing the need for emergency diagnosis against long-terms risks; and more. Optimize diagnosis through evidence-based guidelines that assist you in discussions with radiologists, coverage of the limits of "negative" or "normal" imaging studies for safe discharge, indications for contrast, and validated clinical decision rules that allow reduced use of diagnostic imaging. Clearly recognize findings and anatomy on radiographs for all major diagnostic modalities used in emergency medicine from more than 1000 images. Find information quickly and easily with streamlined content specific to emergency medicine written and edited by an emergency physician and organized by body system.

Research Methods in Radiology provides concise, practical insights on how to design clinical and experimental studies in diagnostic imaging. This unique resource encompasses contributions from leaders in academic radiology as well as top epidemiologists, biostatisticians, and librarians with vast multidisciplinary and radiology research experience. The material reflects years of expertise teaching core biostatistics in radiology principles to residents, fellows, radiologists, and epidemiologists. Given the vast amount of published information on research methodology and statistics in radiology, the authors' goal was to write a high-yield review and study tool rather than a comprehensive book. Key topics are succinctly addressed in each chapter, including measurements in radiology; decision analysis in radiology; and systemic reviews, evidence-based imaging, and knowledge translation. Online exercises related to each topic enable residents to prepare for radiology board examinations and research radiologists to apply knowledge to clinical studies. Key Highlights Introductory chapters on analysis of diagnostic tests, linear and logistic regression, meta-analysis, statistical inference, and economic evaluation provide easy-to-follow tutorials Each chapter includes learning objectives, basic concepts, supplementary tables, and ancillary online material Case studies with images, graphs, and tables highlight primary "take home" points Sample size calculations are illustrated for a wide range of research questions Code is included for use in R, free open-source software for statistical analysis This book is an indispensable review of research methodology for radiology students and residents. Practicing clinicians will also benefit from this precisely focused reference tool on clinical and experimental research.

This book for emergency physicians and fellows training in emergency medicine provides evidence-based information on what diagnostic tests to ask for and when and how to use particular decision rules. The new edition builds on the success of the current book by modifying the presentation of the evidence, increasing the coverage, and updating the current information throughout.

This book offers a unique insight into the rapidly changing radiology service, and offers introductory chapters which provide the fundamental underpinning knowledge required for safe and effective GI practice. Subsequent chapters discuss the evidence base related to a range of imaging procedures suitable for investigation of upper and lower GI symptoms, supported by key pathology chapters. The book also explores the range of treatments available for the more common GI tract pathology. Multi professional authorship. Detailed evidence-informed explanations of a range of individual GI procedures, including suggestions for problem solving and adaptation of technique. With extensive illustrations, medical images, boxes and tables. References and further reading. /ul>

Evidence-Based Neuroimaging is a user-friendly guide that employs evidence-based medicine criteria to systematically review the evidence defining the appropriate use of medical imaging for the brain, spine, head, and neck. Edited by L. Santiago Medina, Pina C. Sanelli, and Jeffrey G. Jarvik, the book provides a systematic framework for understanding the best imaging choices for patient care. Chapters highlight key points that support clinical applications, allowing fast access to pertinent information including patient selection, imaging strategies, test performance, cost-effectiveness, and applicability. The diagnostic imaging of many common diseases, disorders, and conditions are covered, including multiple sclerosis, acute ischemic stroke, dementia, Alzheimer’s disease, traumatic brain injury, autism, spinal trauma, spinal infections, neck masses, thyroid cancer, and cervical lymph node metastasis. By offering a clear understanding of the science behind the evidence, the book fills a void for radiologists, neurologists, neurosurgeons, pediatricians, primary care physicians, and other clinicians with an interest in neuroimaging and a desire to implement an evidence-based approach into their daily practice.