Don’t perform routine magnetic resonance imaging (MRI) of the knee in the event of acute pain from trauma or chronic pain.
MRI of the knee is often prescribed before an orthopaedic clinical examination or specialist request, to patients of any age. Patient history, accurate physical examination and knee radiography, appropriate as a first-line diagnostic examination if an imaging...
Don’t perform magnetic resonance imaging (MRI) for non-traumatic headache in the absence of warning clinical signs.
Too many MRIs are performed at the first sign of non-traumatic headache; in addition, the clinical suspicion is rarely mentioned in the request, which would suggest how to perform an appropriate examination, as there are different ways to perform an MRI examination...
Don’t perform magnetic resonance imaging (MRI) of the spine within the first six weeks in patients with low back pain in the absence of warning signs or symptoms (red flags).
Usually, MRI is prescribed at the first complaint of back pain and sciatica, without performing a first-line conservative treatment with both pharmacologic and nonpharmacological (e.g., exercises, remaining active) therapy. In the absence of serious neurological or...
Don’t request the determination of serum biomarkers like CEA, CA-125, HE4, CA-15.3, -fetoprotein or CA-19.9 for the diagnosis of neoplastic disease in asymptomatic patients.
The diagnostic sensitivity and specificity of these biomarkers are not sufficient to allow their use (diagnosis, screening, case-finding) in a population with a low prevalence of neoplastic diseases. Their use is recommended for the monitoring of the neoplasms that...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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