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DOI: 10.1148/radiol.2352040307
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(Radiology 2005;235:371-374.)
© RSNA, 2005


Special Reviews

Clinical Prediction Rules in Trauma Imaging: Who, How, and Why?1

C. Craig Blackmore, MD, MPH

1 From the Department of Radiology and Harborview Injury Prevention and Research Center, Harborview Medical Center, University of Washington, Box 359728, 325 Ninth Ave, Seattle, WA 98104. From the 2003 RSNA Annual Meeting. Received February 16, 2004; revision requested April 21; revision received May 29; accepted June 22. Supported in part by AHRQ grant K08 HS11291. Address correspondence to the author (e-mail: craige@u.washington.edu).

Clinical prediction rules are multifactorial tools used to aid in clinical decision making. In radiology, clinical prediction rules are an important method for determining who should undergo imaging and, in combination with cost-effectiveness analysis, how imaging should be performed. To be useful, clinical prediction rules should be clinically important, have face validity, be reproducible and easy to use, be clinically relevant, and suggest a course of action. To insure generalizability, clinical prediction rules should also be validated in subjects distinct from those used to develop the rule. In this review, several examples from trauma imaging are used to demonstrate the development, validation, and use of clinical prediction rules.

© RSNA, 2005




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