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Comment & Response
April 2017

Advances in the Decision to Image or Not to Image

Author Affiliations
  • 1Department of Radiology, Boston Children’s Hospital, Boston, Massachusetts
  • 2Department of Radiology, Harvard Medical School, Boston, Massachusetts
  • 3Department of Radiology and Medical Imaging, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
  • 4University of Cincinnati School of Medicine, Cincinnati, Ohio
JAMA Oncol. 2017;3(4):564-565. doi:10.1001/jamaoncol.2016.5061

To the Editor In his Viewpoint, Deng1 calls attention to an important issue but relies on outdated information. He ignores physician-developed protocols, peer-reviewed research, and many recent initiatives and technological advances that help ensure that patients receive safe and appropriate medical imaging scans.

First, Deng assumes that physicians worldwide continue to use a “one-protocol-fits-all” approach when ordering scans and fails to account for the development of more specialized, tailored protocols, especially in leading medical centers.

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