Transitioning to Patient-Centered Radiology: Exploring the Feasibility of Patient-Radiologist Video Imaging Review: A...

To assess the feasibility, acceptability, and efficacy of a patient-radiologist video image review.

In this prospective observational study, radiologist-led patient video visits were piloted from December 2021 to December 2023. Visits were offered to patients in our lung screening program and patients with incidental pulmonary nodules. All visits were conducted using Zoom virtual meeting platform (Zoom Communications, Inc. San Jose, California). At each visit, the radiologist reviewed the imaging findings and answered all questions. Our patient navigator scheduled the recommended follow-up by the radiologist and documented the visit in our institution's electronic medical record. Visits concluded with a patient survey.

In all, 156 video visits were offered to patients with a median age of 61 years (interquartile range, 54-67); 92 were women. Sixty-three (40%) of the video visits offered were declined by patients, 73 (78%) visits were completed by 71 patients, 10 (11%) patients did not attend the scheduled visit, and 10 (11%) patients were scheduled outside of our study time frame (after December 30, 2023). The mean video visit duration was 12 min. Of the 156 patients, 127 had follow-up imaging scheduled. Patients who completed a video visit were significantly more likely to return for follow-up imaging compared with those who declined video visits (62 of 66, 94%, versus 49 of 61, 80%) (P = .019). Of the 58 patients who completed the postvisit questionnaire, 95% (57 of 58) reported that the visit made them more likely to return for follow-up imaging, 59% (34 of 58) reported a decrease in their imaging-related anxiety, and 98% (57 of 58) wanted to use imaging review for future scans.

Radiologist-patient virtual image reviews are feasible when performed in conjunction with patient navigators. Virtual visits provide an opportunity to engage patients, address communication gaps, and impact imaging follow-up rates.