Research
Open Access
Canadian Association of Radiologists Diagnostic Imaging Referral Guidelines: a guideline development protocol
Candyce Hamel, Ryan Margau, Paul Pageau, Marc Venturi, Leila Esmaeilisaraji, Barb Avard, Sam Campbell, Noel Corser, Nicolas Dea, Edmund Kwok, Cathy MacLean, Erin Sarrazin, Charlotte J. Yong-Hing and Kaitlin Zaki-Metias
March 14, 2023 11 (2) E248-E254; DOI: https://doi.org/10.9778/cmajo.20220098
Candyce Hamel
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Ryan Margau
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Paul Pageau
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Marc Venturi
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Leila Esmaeilisaraji
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Barb Avard
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Sam Campbell
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Noel Corser
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Nicolas Dea
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Edmund Kwok
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Cathy MacLean
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Erin Sarrazin
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Charlotte J. Yong-Hing
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Kaitlin Zaki-Metias
Canadian Association of Radiologists (Hamel, Venturi, Esmaeilisaraji), Ottawa, Ont.; Department of Medical Imaging (Margau, Avard), North York General Hospital, Toronto, Ont.; Department of Emergency Medicine (Pageau), University of Ottawa, and Emergency Medicine (Pageau), The Ottawa Hospital, Ottawa, Ont.; Charles V. Keating Emergency and Trauma Centre (Campbell), Queen Elizabeth II Health Sciences Centre; Department of Emergency Medicine (Campbell), Dalhousie University, Halifax, NS; Society of Rural Physicians of Canada (Corser), Shawville, Que.; Hinton Medical Clinic (Corser), Hinton, Alta.; Department of Surgery (Dea), Vancouver General Hospital; Division of Neurosurgery (Dea), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Kwok), University of Ottawa; Ottawa Hospital Research Institute (Kwok), Ottawa, Ont.; Department of Academic Family Medicine (MacLean), University of Saskatchewan, Saskatoon, Sask.; Nurse Practitioner Association of Canada (Sarrazin); BC Cancer (Yong-Hing); Department of Radiology (Yong-Hing), University of British Columbia, Vancouver, BC; Trinity Health Oakland Hospital and Wayne State University School of Medicine (Zaki-Metias), Pontiac, Mich.
Online appendices
- Appendix 1: Additional information of Expert Panel recruitment
- Appendix 2: Title and abstract stop-screening approach
- Appendix 3: DistillerSR AI Re-ranking output
- Appendix 4: Modified AGREE-II tool
- Appendix 5: Draft guideline table of contents
- Reviewer comments
- Original submission
- PRISMA-P checklist