On 2014 Jan 21, Anders von Heijne commented:

This study shows the importance of adequate clinical information in radiology referrals. Let me add some further comments. I would argue that a referral lacking in important clinical information does not fulfill basic requirements for justification. It makes it impossible to adhere to current EU regulations that demands that a radiological exam has to be justified. It also makes it more difficult to optimize the way the exam is performed - especially body CT and MRI where the scan protocols can be varied and individualized in so many ways. There are obvious differences between countries and health care systems when it comes to the quality of information in referrals, but a good referral is one of the most important determinants of the quality of the resulting radiological exam and report.

On 2014 Jan 21, Anders von Heijne commented:

This study shows the importance of adequate clinical information in radiology referrals. Let me add some further comments. I would argue that a referral lacking in important clinical information does not fulfill basic requirements for justification. It makes it impossible to adhere to current EU regulations that demands that a radiological exam has to be justified. It also makes it more difficult to optimize the way the exam is performed - especially body CT and MRI where the scan protocols can be varied and individualized in so many ways. There are obvious differences between countries and health care systems when it comes to the quality of information in referrals, but a good referral is one of the most important determinants of the quality of the resulting radiological exam and report.