Imaging Hub
Choosing Wisely has recommendations from member colleges, societies and associations on the imagines. Champion Health Services have been putting recommendations into practice within the hospitals and health services. For primary care, NPS MedicineWise has developed a number of educational programs and continuing professional development resources. We also have a range of resources for consumers.
Check out how Choosing Wisely is reducing unnecessary imaging and get inspired to further the conversation to reduce unnecessary tests in your setting.
In practice in hospitals
In practice in Primary Care
Consumer resources
Choosing Wisely recommendations
In practice in Hospitals
In practice in Primary Care
Consumer resources
Choosing Wisely recommendations
Australasian College for Emergency Medicine
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22 Apr 2015
Avoid requesting computed tomography (CT) imaging of kidneys, ureters and bladder (KUB) in otherwise healthy emergency department patients, age <50 years, with a known history of kidney stones, presenting with symptoms and signs consistent with uncomplica
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24 Jan 2020
Don’t request imaging of the cervical spine in trauma patients, unless indicated by a validated decision rule
Australasian Faculty of Occupational and Environmental Medicine
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25 Sept 2017
Do not request low back X-rays or other forms of low back imaging as part of a routine preplacement medical examination.
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25 Sept 2017
Do not order X-rays or other imaging for acute non-specific low back pain, unless there are red flags or other clinical reasons to suspect serious spinal pathology.
Australasian Faculty of Rehabilitation Medicine
Australian and New Zealand Association of Neurologists
Australian College of Nursing
Australian Rheumatology Association
Haematology Society of Australia and New Zealand
Human Genetics Society of Australasia
Internal Medicine Society of Australia and New Zealand
Medical Oncology Group of Australia
Royal Australasian College of Surgeons
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24 Jan 2020
Don’t do computed tomography (CT) for the evaluation of suspected appendicitis in children and young adults until after ultrasound has been considered as an option.
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24 Jan 2020
Don’t routinely obtain radiographic imaging for patients who meet diagnostic criteria for uncomplicated acute rhinosinusitis.
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24 Jan 2020
Don’t obtain computed tomography (CT) or magnetic resonance imaging (MRI) in patients with a primary complaint of hoarseness prior to examining the larynx.
Society of Obstetric Medicine of Australia and New Zealand
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24 Jan 2020
Do not test for inherited thrombophilia for placental mediated complications
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24 Jan 2020
Do not do repeat testing for proteinuria in established pre-eclampsia
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24 Jan 2020
Do not undertake methylenetetrahydrofolate reductase (MTHFR) polymorphism testing as part of a routine evaluation for thrombophilia in pregnancy
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24 Jan 2020
Do not measure erythrocyte sedimentation rate (ESR) in pregnancy
The Australia and New Zealand Child Neurology Society
The Australian Physiotherapy Association
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24 Jan 2020
Don’t request imaging for patients with non-specific low back pain and no indicators of a serious cause for low back pain.
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24 Jan 2020
Don't request imaging of the cervical spine in trauma patients, unless indicated by a validated clinical decision rule.
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24 Jan 2020
Don’t request imaging for acute ankle trauma unless indicated by the Ottawa Ankle Rules (localised bone tenderness or inability to weight-bear as defined in the Rules).
The Endocrine Society of Australia
The Royal Australian and New Zealand College of Ophthalmologists
The Royal Australian and New Zealand College of Radiologists
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24 Jan 2020
Don’t request imaging for acute ankle trauma unless indicated by the Ottawa Ankle Rules (localised bone tenderness or inability to weight-bear as defined in the Rules).
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24 Jan 2020
Don’t request any diagnostic testing for suspected pulmonary embolism (PE) unless indicated by Wells Score (or Charlotte Rule) followed by PE Rule-out Criteria (in patients not pregnant).
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24 Jan 2020
Don't perform imaging for patients with non-specific acute low back pain and no indicators of a serious cause for low back pain.
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24 Jan 2020
Don't request imaging of the cervical spine in trauma patients, unless indicated by a validated clinical decision rule.
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24 Jan 2020
Don't request imaging of the cervical spine in trauma patients, unless indicated by a validated clinical decision rule.
The Royal Australian College of General Practitioners
