The 2012 CAR Diagnostic Imaging Referral Guidelines are intended for physicians and are aimed at assisting them in making decisions in regard to appropriate imaging studies for specific cases.
These Referral Guidelines are not intended as a means of restricting the physician’s role in the process of decision-making in regard to the imaging studies to be requested. The Referral Guidelines are evidence-informed and are based on expert opinion or case studies.
They should not be used to diminish in any way the freedom of attending physicians to determine and order imaging studies for their patients for whom they have the ultimate responsibility. Discussion between the radiologist and the physician, particularly during multidisciplinary team meetings, must always take precedence.
A full reference guide will soon be available to outline the recommendations, level of evidence and dose.
Each set of guidelines below was prepared by an expert advisory working group. The CAR gratefully acknowledges the many individuals that were consulted in the revision of these guidelines.
Dr. Martin Reed, Chair of the CAR Referral Guidelines Working Group, speaking at the CAR symposium in Ottawa on January 29, 2018.
Next to him are from left to right: Dr. Victor Ng, CFPC physician advisor, Dr. Paul Pageau, CAEP President and Mr. Tai Huynh, Choosing Wisely Canada campaign director.
Symposium on DI Referrals and Appropriateness
As part of our ongoing work on diagnostic imaging referral guidelines and quality improvement, the Canadian Association of Radiologists (CAR) convened two symposiums on diagnostic imaging referral guidelines, appropriateness, and computerized clinical decision support systems (CDS). These events took place in January 2018 and June 2018.
The symposiums were led by the the CAR’s Referral Guidelines Working Group, chaired by Dr. Martin Reed. The objective was to provide guidance to the CAR Board of Directors on the best way forward for our referral guidelines and work on CDS. The working group felt it was important to engage stakeholders at the national level to learn more about their work and how the CAR might collaborate with them on projects designed to enhance patient care and ensure the appropriateness of imaging orders.
The goal of these symposiums was to open lines of communication and collaboration on issues and strategies related to imaging referrals and quality improvement. The connections made will serve to advance project plans to expand and enhance our diagnostic imaging referral guidelines, while setting a foundation for the broader use and implementation of CDS technologies across Canada.
Copies of the January and June reports can be found below:
2012 CAR Diagnostic Imaging Referral Guidelines
- Section A: Central nervous system
- Section B: Head and neck
- Section C: Spine
- Section D: Musculoskeletal system
- Section E: Cardiovascular
- Section F: Thoracic
- Section G: Gastrointestinal system
- Section H: Urological, adrenal and genitourinary systems
- Section I: Obstetrics and gynaecology
- Section J: Trauma
- Section K: Cancer
- Section L: Pediatrics
- Section M: Breast disease