Like any medical procedure or treatment, imaging should be chosen to suit your individual needs. This means it shouldn’t be used routinely when you see a health professional.

For example, the first and most important step when making an accurate diagnosis of an injury is for your health professional to take your medical history and perform a physical examination. Imaging tests can help with a diagnosis, but they don’t replace this step.

Each decision involves weighing up the benefits and risks of having an imaging test.

In the end, an imaging test should only be performed if it’s likely to help with diagnosis and improve the management of your health condition or injury.

References

Common types of imaging include:

• X-rays
• CT (computed tomography) scan
• MRI (magnetic resonance imaging)
• ultrasound
• nuclear medicine imaging, including positron-emission tomography (PET)

Each one uses a specific technology. They differ in how well they show what is happening in certain body tissues. For example, X-rays are often best at finding a break of a bone, whereas an MRI may be better for identifying a ligament injury. When your health professional decides what kind of imaging to recommend to you, they take the different strengths of each imaging type into account. 

No type of imaging is always better. Each has different potential advantages and disadvantages, including exposure to radiation with some types of imaging. Your health professional should discuss with you which type of imaging is most appropriate for you.

Here are different types of imaging with explanations on how they’re used, and some advantages and disadvantages of each one.

It's important to be well informed before making a decision about having an imaging test.

You need to know your imaging choices, find out the advantages and disadvantages of each type of imaging and talk to your health professional about any questions or concerns you may have.

Ask these 5 questions about any imaging test.

• Do I really need this test?
  A test should enable you and your health professional to detect or determine a problem or monitor its progress, and/or decide on the most effective and safest treatment.

• What are the risks?
  Examples include side effects and getting results called incidental findings that aren’t related to your problem but may lead to unnecessary tests or treatments.

• Are there simpler, safer options?
  For example, a medical history and physical examination may be just as accurate as an imaging test, or another type of imaging that doesn’t involve radiation may be safest.

• What happens if I don't do anything?
  Ask whether your condition could get worse – or better – if you don’t have the imaging test right away.

• What are the costs?
  Costs can be financial, emotional or just the waste of your time. Where there is a cost to the community, perhaps there’s a cheaper alternative.
  
  

References

Choosing Wisely Australia. 5 questions to ask your doctor or other healthcare provider. [Online] (accessed 30 October 2016).

Choosing Wisely Australia

Choosing Wisely Australia is an initiative that brings the community together to start important conversations among healthcare providers and consumers. These conversations aim to improve the quality of healthcare through reconsidering tests, treatments and procedures where evidence shows they provide no benefit or, in some cases, lead to harm.

Facilitated by NPS MedicineWise, it is led by a large cross-section of colleges, societies and associations that have identified practices that warrant scrutiny, and by examining the evidence and drawing on the expert opinion of their members, have developed lists of recommendations.

Three colleges and associations make recommendations on the use of X-rays for ankle injuries:

• Royal Australian and New Zealand College of Radiologists
• Australian Physiotherapy Association
• Australian College of Nursing

InsideRadiology

Produced by Australian and New Zealand radiologists and other health professionals about imaging (radiology) tests and procedures. It contains information for health consumers and treating health professionals, endorsed by the Royal Australian and New Zealand College of Radiologists (RANZCR).

RadiologyInfo

Public information resource for patients about imaging (radiology) tests developed by physicians from the Radiological Society of North America and the American College of Radiology.

Better Health Channel

Fully funded by the Victorian Government, this website provides health and medical information about imaging and related health conditions and injuries that is quality assured and reliable, up to date, locally relevant and easy to understand.

healthdirect

Jointly funded by the Australian Federal Government and the governments of the Australian Capital Territory, New South Wales, Northern Territory, South Australia, Tasmania, and Western Australia, this website provides services, including high quality information about imaging and related health conditions and injuries, by acting as a portal to reliable and reputable sources.