A Reinvigorated Mandate for Clinical Practice Guidelines at the CAR

A Reinvigorated Mandate for Clinical Practice Guidelines at the CAR

Working group takes on review of guidelines, seeks volunteers

Guidelines matter. They are one of the CAR’s raisons d’être. Accordingly, the CAR Clinical Practice Guidelines working group, which provides leadership and oversight for all CPGs, position statements, advisories, and guides, is currently developing a strategic process for the regular review and revisions of all published CAR guidelines to ensure they are current and relevant.

The working group has a five-year plan to ensure that publicly available CPGs remain relevant to practice, are reviewed at a minimum every three years and updated with new knowledge or with changes in technology and practice. Going forward, prioritization of the review, revision, or development of CPGs will be based on new research, CAR strategic goals, planned accreditation initiatives, and patient safety issues as they may arise.

Reaching out to our expert members – we need you

CAR practice guidelines are created by experts in the field and solicit member feedback prior to adoption. The guidelines, position statements, and advisories currently available on the CAR website must be reviewed and revised on a regular basis. Over the next few years, you may be contacted by the CAR to review an existing document in your area of expertise. This may be to ensure that it remains relevant and current, or to collaborate in the development of a new guideline, position statement or advisory.

Recent CPG Developments

CT Lung Cancer Screening

Two new reference materials for the CAR Guide on CT Lung Cancer Screening were released in early 2017. The Guide, along with the reference materials, are due for publication in the CARJ and will be posted on the CAR website later this year. The CAR thanks Dr. Jana Taylor (pictured right), radiologist at the McGill University Health Center; Assistant Professor and Residency Program Director, McGill University, for her leadership, and her working group for the development of this important resource.

Contrast Agents in Diagnostic Imaging

In response to a recent advisory from the European Medicines Agency related to the use of gadolinium and other contrast agents, three CPG working groups were convened over the spring of 2017:

  1. CAR Practice Guidelines for the prevention of contrast-induced nephropathy
  2. CAR Practice Guideline for the use of gadolinium-based contrast agents (GBCAs) in renal impairment
  3. Gadolinium-Based Contrast Agents Advisory


New Chair of the CPG Working Group

Dr. Reza Forghani (pictured right), Associate Chief, Department of Radiology, Jewish General Hospital and Assistant Professor, McGill University, was selected as the new chair of the Clinical Practice Guidelines Working Group in 2016.

He states that “it is thanks to the volunteer work of dedicated Radiologists from across Canada that the CAR guidelines come to fruition.”

The CAR and Dr. Forghani wish to take this opportunity to acknowledge and thank the exceptional good work and dedication of all past and present CPG WG members and chairs.





Standing on the shoulders of giants

The CAR would like to take this opportunity to sincerely thank Dr. Gregory Butler (pictured right), previous Chair of the CPG WG, for his countless contributions and many years of dedication and support of radiology and of the CAR. A radiologist at the Valley Regional Hospital and Assistant Professor at the Department of Diagnostic Radiology, Dalhousie Medical School, Dr. Butler led the CPG WG as Chair from 2009 to 2015. The CAR is grateful that Dr. Butler will stay on as a member of the WG to support the new chair and the ongoing CPG related activities of the CAR.

New CPGs on the horizon


The CAR will consider developing new CPGs if the topic is consistent with the CAR’s priorities and goals or if there is an immediate need in order to optimize patient care. Dr. Forghani further states that “all suggestions for new CPGs are welcome, and will be presented to and considered by the CPG WG.”

Reach out, let us know if...


If you believe that there is an important patient safety issue or new techniques or technologies affecting Radiology practice, or if you are interested in volunteering on future CAR CPG working groups, please contact Markirit Armutlu, CAR Director of Quality Assurance at marmutlu@car.ca. We want you on board and look forward to hearing from you!


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