In this review, the principles of evidence-based health care and their appl
ication to radiology are discussed. Evidence-based health care involves the
more formal integration of the best research evidence with clinical expert
ise and explicit acknowledgment of patient values in clinical decision maki
ng, as compared with conventional practice. Recently, many health care disc
iplines have adopted the principles and practice of evidence-based health c
are. In radiology, including its diagnostic and interventional aspects, the
se developments have received limited attention. This review of evidence-ba
sed health care could, therefore, be useful to radiologists at any stage of
their training or career, to encourage the practice of evidence-based radi
ology. The development of evidence-based health care is described, and evid
ence-based health care and evidence-based radiology are defined. The import
ance of evidence-based health care as a new approach to the practice of med
icine and its importance for transdisciplinary collaboration are discussed.
The skills required to practice evidence-based radiology are identified, a
nd the roles of evidence-based radiology in radiologic practice, education,
and research are discussed.