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Ultrasound I: Abdominal Ultrasonography01:20

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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
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Breaking Bad News in Ultrasound: Perspectives From Radiologists and Radiology Residents From a Developing Nation.

Michael Teklehaimanot Abera1, Yodit Abraham Yaynishet1, Kibruyisfaw Weldeab Abore2

  • 1Department of Radiology, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|December 25, 2025
PubMed
Summary

Ethiopian radiologists are less likely to share severe ultrasound findings with patients. This highlights a need for improved communication training and standardized protocols in radiology, especially in developing nations.

Keywords:
breaking bad newspatient–physician communicationradiology communicationultrasound

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Area of Science:

  • Medical Imaging
  • Radiology Communication
  • Patient-Centered Care

Background:

  • Delivering bad news is challenging for radiologists, particularly in developing nations with rising health literacy.
  • Patients increasingly desire detailed diagnostic information.

Purpose of the Study:

  • To investigate Ethiopian radiologists' and radiology residents' preferences for breaking bad news during ultrasound exams.
  • To identify factors influencing these communication preferences.

Main Methods:

  • Nationwide online survey of practicing radiologists and residents across 6 Ethiopian programs.
  • Utilized a pretested, self-administered questionnaire.
  • Descriptive analysis performed using SPSS 26.

Main Results:

  • Response rate of 36.2% (181 respondents).
  • Preference for breaking bad news inversely correlated with diagnostic severity.
  • 58% disagreed with communicating severe findings, compared to 9.9% for no abnormalities.

Conclusions:

  • Radiologists' willingness to communicate decreases as ultrasound findings become more severe.
  • A significant gap exists in managing difficult news delivery in diagnostic imaging.
  • Need for research-informed communication role agreements and structured training to enhance patient care and trust.