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Peer review in MRI: A quality improvement programme and pilot study.

J M Paul1, S L Stewart2

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Implementing radiographer-led peer review for MRI scans improved image quality and protocols. This quality improvement initiative enhanced staff confidence and can be extended to other imaging departments.

Keywords:
Action researchClinical governanceFeedbackMRIPeer-reviewQuality improvement

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Area of Science:

  • Radiology
  • Medical Imaging
  • Quality Improvement

Background:

  • Magnetic Resonance Imaging (MRI) sequence optimization is crucial for image quality.
  • Suboptimal protocols can lead to diagnostic errors and misinterpretations.

Purpose of the Study:

  • To implement and evaluate a peer review program for MRI images and protocols.
  • To enhance MRI image quality and standardize imaging protocols.

Main Methods:

  • A plan-do-check-act methodology was employed.
  • Radiographers used a checklist to score MRI images (Optimal, Diagnostic, Suboptimal).
  • Five Lumbar Spine MRI examinations were reviewed twice by two radiographers and a consultant radiologist.

Main Results:

  • Excellent intra-rater reliability was observed for both radiographers.
  • Inter-rater agreement improved from moderate (0.457) to substantial (0.606) after the first assessment.
  • Variations in sequence parameters were identified, leading to protocol enhancements via educational feedback.

Conclusions:

  • Radiographer-led peer review shows promise in improving MRI protocols and image quality.
  • This model can be adapted for clinical governance and healthcare improvement initiatives in other departments.
  • Effective peer review requires clear feedback objectives and strong professional relationships for development.