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Evidence-Based Neuroimaging Diagnosis and Treatment pp 3–18Cite as

Evidence-Based Imaging: Principles

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Part of the book series: Evidence-Based Imaging ((Evidence-Based Imag.))

Abstract

The standard medical education in Western medicine has emphasized skills and knowledge learned from experts, particularly those encountered in the course of postgraduate medical education, and through national publications and meetings. This reliance on experts, referred to by Dr. Paul Gerber of Dartmouth Medical School as “eminence-based medicine” [1], is based on the construct that the individual practitioner, particularly a specialist devoting extensive time to a given discipline, can arrive at the best approach to a problem through his or her experience. The practitioner builds up an experience base over years and digests information from national experts who have a greater base of experience due to their focus in a particular area. The evidence-based imaging (EBI) paradigm, in contradistinction, is based on the precept that a single practitioner cannot through experience alone arrive at the best course of action. Assessment of appropriate medical care should instead be derived through an evidence-based process. The role of the practitioner, then, is not simply to accept information from an expert but rather to assimilate and critically assess the research evidence that exists in the literature to guide a clinical decision [2–4].

Medicine is a science of uncertainty and an art of probability.

Sir William Osler

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Acknowledgment

We appreciate the contribution of Ruth Carlos, MD, MS, to the discussion of likelihood ratios in this chapter.

Author information

Authors and Affiliations

  1. Division of Neuroradiology-Neuroimaging, Department of Radiology, Miami Children’s Hospital, Miami, FL, 33155, USA

    L. Santiago Medina

  2. Department of Radiology, Virginia Mason Medical Center, Seattle, WA, 98111, USA

    C. Craig Blackmore

  3. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, 30322, USA

    Kimberly E. Applegate

  4. Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

    L. Santiago Medina

  5. Former Lecturer in Radiology, Harvard Medical School, Boston, MA, USA

    L. Santiago Medina

Authors
  1. L. Santiago Medina
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  2. C. Craig Blackmore
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  3. Kimberly E. Applegate
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Corresponding author

Correspondence to L. Santiago Medina .

Editor information

Editors and Affiliations

  1. Division of Neuroradiology-Neuroimaging, Department of Radiology, Miami Children’s Hospital, Miami, FL, USA

    L. Santiago Medina

  2. Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

    L. Santiago Medina

  3. Former Lecturer in Radiology, Harvard Medical School, Boston, MA, USA

    L. Santiago Medina

  4. Department of Radiology, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA

    Pina C. Sanelli

  5. Department of Radiology, Harborview Medical Center, University of Washington, Seattle, WA, USA

    Jeffrey G. Jarvik

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Medina, L.S., Blackmore, C.C., Applegate, K.E. (2013). Evidence-Based Imaging: Principles. In: Medina, L.S., Sanelli, P.C., Jarvik, J.G. (eds) Evidence-Based Neuroimaging Diagnosis and Treatment. Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3320-0_2

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  • DOI: https://doi.org/10.1007/978-1-4614-3320-0_2

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3319-4

  • Online ISBN: 978-1-4614-3320-0

  • eBook Packages: MedicineReference Module Medicine

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