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Updated: Feb 13, 2026

Longitudinal Follow-Up of Urinary Tract Infections and Their Treatment in Mice using Bioluminescence Imaging
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Determining Adherence to Follow-up Imaging Recommendations.

Thusitha Mabotuwana1, Vadiraj Hombal2, Sandeep Dalal2

  • 1Radiology Solutions, Philips Healthcare, Bothell, Washington; Department of Radiology, University of Washington, Seattle, Washington.

Journal of the American College of Radiology : JACR
|March 6, 2018
PubMed
Summary

Adherence to radiology follow-up imaging recommendations is low, with only 58.14% compliance overall. Rates vary significantly by imaging modality, highlighting a need for improved patient and physician compliance strategies.

Keywords:
Medical informatics applicationsfollow-up imagingfollow-up imaging adherenceradiology reports

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Area of Science:

  • Radiology and Medical Imaging
  • Healthcare Management
  • Patient Outcomes

Background:

  • Radiology reports frequently include recommendations for follow-up imaging.
  • Non-adherence to these recommendations can result in delayed treatment, adverse patient outcomes, and increased healthcare costs.

Purpose of the Study:

  • To determine the adherence rates to follow-up imaging recommendations made in radiology reports.
  • To identify variations in adherence based on imaging modality.

Main Methods:

  • Retrospective analysis of 2,972,164 radiology examinations from January 1, 2010, to February 28, 2017.
  • Data extracted from a radiology information system at an academic institution.
  • Follow-up recommendations were identified, and adherence was tracked for up to 14 months.

Main Results:

  • Follow-up imaging recommendations were present in 10.6% of radiology reports.
  • The overall adherence rate for follow-up imaging was 58.14%.
  • Adherence varied by modality, with mammography (69.03%) and MRI (67.54%) showing higher rates, and nuclear medicine (37.93%) showing the lowest.

Conclusions:

  • Follow-up imaging adherence rates are generally low.
  • Significant variations in adherence exist across different imaging modalities.
  • Interventions are likely necessary to enhance compliance with follow-up imaging recommendations.