Radiology. 2001 Sep;220(3):566-75. doi: 10.1148/radiol.2203001465.
In this review, the principles of evidence-based health care and their application to radiology are discussed. Evidence-based health care involves the more formal integration of the best research evidence with clinical expertise and explicit acknowledgment of patient values in clinical decision making, as compared with conventional practice. Recently, many health care disciplines have adopted the principles and practice of evidence-based health care. In radiology, including its diagnostic and interventional aspects, these developments have received limited attention. This review of evidence-based health care could, therefore, be useful to radiologists at any stage of their training or career, to encourage the practice of evidence-based radiology. The development of evidence-based health care is described, and evidence-based health care and evidence-based radiology are defined. The importance of evidence-based health care as a new approach to the practice of medicine and its importance for transdisciplinary collaboration are discussed. The skills required to practice evidence-based radiology are identified, and the roles of evidence-based radiology in radiologic practice, education, and research are discussed.
在本综述中,将讨论循证医疗的原则及其在放射学中的应用。与传统医疗实践相比,循证医疗在临床决策中涉及将最佳研究证据与临床专业知识更正式地整合,并明确考虑患者价值观。近来,许多医疗学科都采用了循证医疗的原则与实践。在放射学领域,包括其诊断和介入方面,这些进展受到的关注有限。因此,这篇关于循证医疗的综述可能对处于培训或职业生涯任何阶段的放射科医生有用,以鼓励循证放射学的实践。文中描述了循证医疗的发展,并对循证医疗和循证放射学进行了定义。讨论了循证医疗作为一种新的医学实践方法的重要性及其对跨学科合作的重要性。确定了实施循证放射学所需的技能,并讨论了循证放射学在放射学实践、教育和研究中的作用。