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Canadian Association of Radiologists Diagnostic Imaging Referral Guidelines: a guideline development protocol.

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  • 1Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich. chamel@car.ca.

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The Canadian Association of Radiologists is updating its diagnostic imaging referral guidelines with a new methodology. These updated guidelines will be Canadian-specific, evidence-based, and integrated into clinical decision support systems.

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Area of Science:

  • Radiology and Medical Imaging
  • Clinical Practice Guidelines
  • Health Policy

Background:

  • The Canadian Association of Radiologists (CAR) last updated its diagnostic imaging referral guidelines in 2012.
  • There is a need for current, comprehensive, Canadian-specific guidelines to aid clinical decision-making.
  • Existing guidelines require updating to reflect current best practices and patient needs.

Purpose of the Study:

  • To develop updated, evidence-based diagnostic imaging referral guidelines for Canada.
  • To create guidelines that are suitable for integration into clinical decision support systems.
  • To ensure guidelines are Canadian-specific, reflecting the healthcare system and patient values.

Main Methods:

  • Expert panels comprising radiologists, referring clinicians, and patient advisors will be formed for 13 clinical sections.
  • Systematic rapid scoping reviews will identify existing guidelines from other groups.
  • An adapted Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework will be used, considering benefits, harms, values, equity, accessibility, resources, and cost.

Main Results:

  • The project aims to produce comprehensive guidelines across 13 clinical sections.
  • Recommendations will be contextualized for the Canadian healthcare system.
  • The new methodology ensures a transparent and structured approach to guideline development.

Conclusions:

  • Updated diagnostic imaging referral guidelines are essential for safe and effective patient care in Canada.
  • The new CAR guidelines will provide clinicians with evidence-based tools for optimal imaging selection.
  • Integration into clinical decision support systems will enhance guideline accessibility and utility.