“…Despite the existence of established guidelines and scoring systems, adherence to these tools in clinical practice varies [12]. It is crucial to investigate factors influencing adherence, such as physician awareness, education, and perceived risk tolerance, to bridge the gap between evidence-based recommendations and real-world practice [13]. For all the above reasons, the lack of effect on the use of CT scans may lie in the complexity of the diagnostic work-up, which combines several stages of risk stratification, with the use of scores comprising a total of more than a dozen elements.…”