EuroSafe Imaging 2018
Plain radiographic studies, MR, CT, Computer applications, Action 8 - Radiation protection training and learning material, Action 1 - Guidelines, implementation policies, and Clinical Decision Support (ESR iGuide), Action 6 - Education and training in medical radiation protection, Action 1 - Clinical decision support, clinical imaging guidelines, Diagnostic procedure, Quality assurance
M. G. M. Hunink, J. Vilar, V. Sinitsyn, A. Rovira-Cañellas, B. Hamm, M. Fuchsjäger, C. Catalano, M.-F. Bellin, C. D. Becker, E. Sorantin, I. McCall
Conclusion and recommendations
The ESR iGuide initiative is part of the ESR's quality and safety mission.
The ESR considers imaging referral guidelines essential for improving appropriateness in medical imaging,
and delivery of guidelines at the point of care through a clinical decision support system is the most effective way to do so.
The launch of a new stand-alone ESR iGuide web portal at ECR 2018 ensures that the ESR's guidance is widely available and can be consulted in a user-friendly format.
The development of CDS-ready referral guidelines is also part of the EuroSafe Imaging Call for Action,
and an essential tool for radiation protection of patients.
The cooperation between the ACR and the ESR has shown that in the vast majority of cases,
American and European experts are in agreement on the appropriateness of different imaging modalities for a variety of clinical indications.
Most of the changes made in the ESR content version were modified appropriateness recommendations for the advanced imaging modalities of Computed Tomography and Magnetic Resonance Imaging,
accounting for almost two thirds of all ESR adaptations.
Non-ionising modalities were generally rated as more appropriate by the European experts: MRI category changes resulted in a higher appropriateness category in 62 percent of cases,
and 86 percent of Ultrasound changes were upgrades to a higher appropriateness category.