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Choosing Wisely UK

Royal College of Radiologists (2018)

In spite of the recommendation, MRI is useful for differentiating PD from vascular parkinsonism and atypical parkinsonism syndromes in the differential diagnosis of parkinsonian syndromes (progressive supranuclear palsy, multiple system atrophy and corticobasal degeneration). CT is the alternative when MRI is contraindicated. Nuclear medicine imaging with dopamine transporter is recommended in difficult cases to differentiate true PD and the parkinsonian syndromes from essential tremor and ...

Choosing Wisely UK

Royal College of Radiologists (2018)

It may be used to guide injection. It is reserved for cases with unresponsive to first line treatment and clinically guided injection. It is indicated preoperatively if the surgeon requires assessment if rotator cuff integrity. The etiology of traumatic shoulder pain can often be made based on clinical examination, radiographs, and mechanism of injury. Traumatic shoulder injuries can generally be separated into injuries requiring acute surgical management and injuries in which conservative ...

Choosing Wisely UK

Royal College of Radiologists (2018)

Further investigations are generally unnecessary. According to the NICE guideline and several clinical trials, no correlation was found between the size of MN on US and the positive clinical tests. If the diagnosis of forefoot pain is uncertain, use XR to assess forefoot bones, joints and alignment. In experienced hands, US with dynamic assessment can confirm a diagnosis of Morton’s neuroma and guide injection treatment if required. It is helpful when clinical suspicion is high and ...

Choosing Wisely UK

Faculty of Sexual and Reproductive Health

This guidance provides evidence-based recommendations and good practice points for health professionals on the use of combined hormonal contraceptives (i.e. the combined oral contraceptive pill, transdermal patch and combined vaginal ring) currently available in the UK. It is intended for any health care professional or health service providing contraception or conception advice in the UK.

Choosing Wisely UK

Royal College of Radiologists (2018)

Typically, radiography is the initial imaging study used to evaluate chronic pain in a native knee. When pain persists but the initial radiographs are normal or demonstrate a joint effusion, MRI is usually considered the next imaging study. However, the use of MRI may be premature and unnecessary in some patients, as it is estimated that approximately 20% of patients with chronic knee pain have had an MRI performed without recent (within the prior year) radiographs.