Despite our best intentions, most of what constitutes modern medical imaging practice is based on habit, anecdotes, and scientific writings that are too often fraught with biases. Best estimates suggest that only around 30% of what constitutes “imaging knowledge” is substantiated by reliable scientific inquiry. This poses problems for clinicians and radiologists, because inevitably, much of what we do for patients ends up being inefficient, inefficacious, or occasionally even harmful. In recent years, recognition of how the unsubstantiated practice of medicine can result in poor-quality care and poorer health outcomes has led to a number of initiatives. Most significant in my mind is the evidencebased medicine movement that seeks to.
