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Radiological Investigation I: X-ray and CT01:30

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Surgeons versus radiologists: do we care what they think?

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Area of Science:

  • Medical Imaging
  • Surgical Care
  • Radiology Reporting

Background:

  • Acute surgical care relies heavily on urgent imaging services.
  • There is limited data on the utilization of radiological images and reports by surgical teams.
  • This study addresses the gap in understanding the frequency and timeliness of image and report access in acute surgical admissions.

Purpose of the Study:

  • To determine the rates at which surgical teams view radiology images and reports for acute surgical admissions.
  • To assess the timeliness of image and report availability for surgical teams.
  • To investigate viewing patterns based on imaging modality and time of day (in-hours vs. after-hours).

Main Methods:

  • A retrospective analysis of radiological studies performed during a one-month period at an Australian tertiary university teaching hospital.
  • Classification of investigations by modality and availability ('in-hours' or 'after-hours').
  • Calculation of time from imaging to report availability using electronic hospital system timestamps; Spearman's rho test used for correlation analysis.

Main Results:

  • Out of 40,042 investigations, 1156 met study criteria; 82% had both images and reports viewed.
  • CT scans showed the shortest median viewing times for both images (14 min) and reports (25 min).
  • CT and MRI scans had the highest proportion (95%) of both images and reports viewed; X-ray reports were viewed least often (73%).

Conclusions:

  • Surgical teams demonstrate high utilization of acute surgical radiological imaging and associated reports.
  • The likelihood of a radiology report being viewed decreases with the simplicity of the imaging study.
  • Findings highlight the importance of timely access to imaging reports for surgical decision-making.