Well according to this, EBM requires use of "the best available external clinical evidence from systematic research".
The best clinical evidence based approach to monitoring lymphoedema is BIS.
Doesn't really seem to leave any wriggle room.
"Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. ... [It] means integrating individual clinical expertise with the best available external clinical evidence from systematic research."[1] The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients."
https://en.wikipedia.org/wiki/Evidence-based_medicine
In the pyramid below from https://en.wikipedia.org/wiki/Hierarchy_of_evidence, evidence regarding BIS sits near the top of the pyramid, while volumetric analysis sits near the bottom. So it would seem that there is little wriggle room once these guidelines are evaluated.
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