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Principles of Evidence-Based Imaging

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Evidence-Based Imaging in Pediatrics

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Abstract

The standard medical education in Western medicine has emphasized skills and knowledge learned from experts, particularly those encountered in the course of postgraduate medical education, and through national publications and meetings. This reliance on experts, referred to by Dr. Paul Gerber of Dartmouth Medical School as “eminence-based medicine” (1), is based on the construct that the individual practitioner, particularly a specialist devoting extensive time to a given discipline, can arrive at the best approach to a problem through his or her experience. The practitioner builds up an experience base over years and digests information from national experts who have a greater base of experience due to their focus in a particular area. The evidence-based imaging (EBI) paradigm, in contradistinction, is based on the precept that a single practitioner cannot through experience alone arrive at an unbiased assessment of the best course of action. Assessment of appropriate medical care should instead be derived through evidence-based process. The role of the practitioner, then, is not simply to accept information from an expert, but rather to assimilate and critically assess the research evidence that exists in the literature to guide a clinical decision (2–4).

Medicine is a science of uncertainty and an art of probability.

Sir William Osler

This chapter is based on a previous chapter titled “Principles of Evidence-Based Imaging” by LS Medina and CC Blackmore that appeared in Evidence-Based Imaging: Optimizing Imaging in Patient Care edited by LS Medina and CC Blackmore. New York: Springer Science+Business Media, 2006.

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Author information

Authors and Affiliations

  1. Co-Director Division of Neuroradiology and Brain Imaging, Director of the Health Outcomes, Policy, and Economics (HOPE) Center, Department of Radiology, Miami Children’s Hospital, 33155, Miami, FL, USA

    L. Santiago Medina

  2. Center for Health Care Solutions, Department of Radiology, Virginia Mason Medical Center, 98111, Seattle, WA, USA

    C. Craig Blackmore MD, MPH (Scientific Director)

  3. Department of Radiology, Emory University School of Medicine, 30322, Atlanta, Georgia, USA

    Kimberly E. Applegate MD, MS, FACR (Vice Chair of Quality and Safety)

Authors
  1. L. Santiago Medina
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  2. C. Craig Blackmore MD, MPH
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  3. Kimberly E. Applegate MD, MS, FACR
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Corresponding author

Correspondence to L. Santiago Medina .

Editor information

Editors and Affiliations

  1. Dept. Radiology, Miami Children's Hospital, SW 114 Street 7420, Miami , 33156, U.S.A.

    L. Santiago Medina

  2. Dept. Radiology, Riley Children's Hospital, Barnhill Drive 702 , Indianapolis, 46202-5200, U.S.A.

    Kimberly E. Applegate

  3. Harborview Medical Center, University of Washington, Ninth Avenue 325, Seattle, 98104-2499, U.S.A.

    C. Craig Blackmore

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Medina, L.S., Blackmore, C.C., Applegate, K.E. (2010). Principles of Evidence-Based Imaging. In: Medina, L., Applegate, K., Blackmore, C. (eds) Evidence-Based Imaging in Pediatrics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0922-0_1

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  • DOI: https://doi.org/10.1007/978-1-4419-0922-0_1

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