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Clinical imaging guidelines part 2: Risks, benefits, barriers, and solutions.

James Malone1, Maria del Rosario-Perez2, Lodewijk Van Bladel3

  • 1Trinity College Centre for Health Sciences, St. James Hospital, Dublin, Ireland.

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Developing international clinical imaging guidelines requires global collaboration. Addressing barriers like governance and finance, and integrating radiation protection with patient care, is crucial for effective deployment and improved healthcare.

Keywords:
Appropriateness guidelinescommunicationhealth outcomesradiation and pregnancyradiation riskreferral guidelines

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Area of Science:

  • Medical Imaging
  • Health Policy
  • Radiation Protection

Background:

  • International collaboration on clinical appropriateness/referral guidelines for medical imaging was the focus of a UN-convened meeting.
  • This paper addresses barriers to developing and deploying these guidelines, reflecting attendee discussions.

Purpose of the Study:

  • To identify and discuss barriers to the successful development and deployment of clinical imaging guidelines.
  • To propose strategies for overcoming these barriers and fostering international collaboration.

Main Methods:

  • The study reflects discussions from an international technical meeting focused on clinical imaging guidelines.
  • Issues were categorized under seven key headings: Strategy, Governance, Finance, Benefits/Risks, Patient Information, Pregnancy Concerns, and Research Agenda.

Main Results:

  • Guideline development is a global task, not suited for a few organizations.
  • Guidelines should aim for better healthcare delivery, lower costs, and reduced radiation dose/risks.
  • Radiation protection must be integrated into the broader healthcare context.

Conclusions:

  • Successful development and deployment of clinical imaging guidelines necessitate a global approach and strategic planning.
  • Integrating radiation protection, patient information, and addressing financial/governance issues are key to effective implementation.
  • Guidelines should emphasize benefits, manage risks, and incorporate the precautionary principle for patient safety.