Do not perform chest X-ray in a child with suspected non-severe community-acquired pneumonia or with uncomplicated acute asthma.
In case of suspected pneumonia in a child, X-ray findings are not useful to suggest the etiology or to distinguish between a bacterial or non-bacterial pneumonia. Chest X-ray does not affect the clinical outcomes, but rather exposes children to additional radiation...
Don’t routinely prescribe imaging for low back pain without warning signs or symptoms (Red Flags)
Low back pain is usually benign and self-limiting. The history and physical examination, inclusive of neurological assessment, can exclude serious clinical situations. Imaging in low back pain without Red Flags is in generally inappropriate (at least for the first 6...
Do not use brain scintigraphic examinations such as brain SPECT (Single Photon Emission Tomography) with dopamine transporter marker (DAT-SCAN) or myocardial examination with Metaiodobenzylguanidine (MIBG) as well as positron emission brain tomography (PET) with any radionuclide, for diagnostic confirmation of Parkinson’s disease or to evaluate its progression.
The finding of a positive brain SPECT (single photon emission tomography) scan with dopamine transporter marker (DAT-SCAN) does not establish a diagnosis of Parkinson’s disease, which is instead based on the presence of clinical elements that meet the current...
Ionizing Radiation: X-rays should not be carried out unless a specific clinical indication.
Radiological examinations are a valuable diagnostic aid but the possible damage they can cause to the patient, future generations and the environment must be taken into account. In particular, given the mutagenicity and carcinogenicity of ionizing radiation,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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