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Radiologists' recommendations for additional imaging (RAI) in the inpatient setting
Ettore Squillaci1, Francesca Bolacchi2, Francesca Ricci2
1Fondazione PTV Policlinico Tor Vergata, Viale Oxford 81, 00 133, Rome, Italy. ettoresquillaci@tiscali.it.
La Radiologia Medica
|January 3, 2019
Summary
Radiologists frequently recommended additional imaging examinations (RAI) in inpatient CT and US scans, particularly for chest CT. Radiologists' experience level inversely impacted RAI rates, suggesting a need for further investigation.
Area of Science:
- Radiology
- Medical Imaging
- Health Services Research
Background:
- Radiologists' additional recommended imaging examinations (RAI) are common in inpatient settings.
- Understanding factors influencing RAI is crucial for optimizing diagnostic pathways.
Purpose of the Study:
- To quantify the rate of RAI in hospital inpatients undergoing CT and US.
- To investigate the impact of clinical variables on RAI rates.
Main Methods:
- Retrospective analysis of 1996 inpatient CT and US examinations.
- Manual extraction of RAI data from radiology reports.
- Inclusion of radiologist experience, patient demographics, and clinical information.
Main Results:
- 34% of examinations included RAI.
- Chest CT, PET-CT, abdominal CT, and abdominal MRI were most frequent for RAI.
- RAI rates were inversely correlated with radiologists' years of experience.
- Pneumonia follow-up showed high RAI for lung nodules.
Conclusions:
- A significant percentage of inpatient CT and US reports included RAI.
- Radiologists' experience is a key factor influencing RAI.
- Further research is needed to validate findings and assess clinical actionability of RAI.
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