Clinical Radiology
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Referral guidelines (MBUR6)

Making the best use of clinical radiology services (MBUR), 6th edition (2007)

Making the best use of clinical radiology services

First published in 1989, The Royal College of Radiologists (RCR) has produced the referral guidelines, Making the best use of clinical radiology services, to help clinicians, radiologists, radiographers and other healthcare professionals to determine the most appropriate imaging investigation(s) for a wide range of clinical problems. They provide practical guidance based on the best available evidence, together with expert opinion where evidence is lacking or conflicting. 

The principal objectives of the RCR’s guidelines are:

  • To improve clinical practice by helping doctors working in hospitals and in primary care to choose the most appropriate imaging investigation or intervention for their patients
  • To reduce unnecessary exposure of patients to radiation
  • To assist in the equitable use of expensive machinery, staff and other resources.  

The 300+ guidelines are designed to assist the clinician in selecting the most appropriate investigation for a given diagnostic or imaging problem. For ease of use, the guidelines are split into 12 sections:
1. Breast disease
2. Cancer
3. Chest and cardiovascular system
4. ENT/head and neck
5. Gastrointestinal system
6. Interventional radiology
7. Musculoskeletal system
8. Neurological system
9. Obstetrics and gynaecology
10. Paediatrics
11. Trauma
12. Urological, adrenal and genitourinary.

Accessing MBUR6 in the UK
MBUR6 is available to all NHS users through a licence agreement with the Department of Health.

Access in England and Scotland is via the NHS N3 Network. In order to access the guidelines, users need to be logged onto the N3 network and then type the following address into the web browser - mbur.nhs.uk In certain cases, you may need to use http://mbur.nhs.uk Please note, there is no www prefix attached to the address.

Access in Wales can be achieved via HOWIS

Northern Ireland users can gain access through the honni (Health of Northern Ireland on the Net) resource. 

In the event of any errors or problems accessing the guidelines via these routes, please email support@e-lfh.org.uk, ensuring that eMBUR is mentioned in the email subject.

Members and Fellows of the RCR can access MBUR6 online via this website. Please log in to the members and Fellows area.

For any other enquiries, please email MBUR6@rcr.ac.uk

Printed copies
Up to 49 hard copies can be purchased online. For orders over 49 copies, please contact the Publications Administrator. If you wish to pay by cheque, please fill in the order form (UK orders only) and send it to the Publications Administrator, 38 Portland Place, 
London W1B 1JQ.

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