Advances in the Decision to Image or Not to Image

To the Editor In his Viewpoint, Deng¹ calls attention to an important issue but relies on outdated information.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.