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Related Concept Videos

Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

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 the...
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Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
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Related Experiment Video

Updated: Jun 6, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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Threshold Benchmarking for Radiology Report Turnaround Times in Payment Programs: Current Thoughts and Literature

N Kadom1, V Burugu2, Ms White3

  • 1Professor of Radiology and Imaging Sciences, Emory University, Department of Radiology and Imaging Sciences, Atlanta, Georgia; Radiology Quality Programs Director, Emory Healthcare; ACR Metrics Committee Chair.

Journal of the American College of Radiology : JACR
|June 4, 2026
PubMed
Summary

Radiology report turnaround time (R-TAT) is a valuable internal quality metric. However, national threshold-based benchmarks are not supported by current evidence due to risks and lack of adjustment for complexity.

Keywords:
CMSTATmeasuresradiology

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Published on: July 12, 2024

Area of Science:

  • Radiology Quality Metrics
  • Health Services Research
  • Healthcare Policy

Background:

  • Report turnaround time (R-TAT) is a key quality metric in radiology.
  • The Centers for Medicare & Medicaid Services (CMS) are shifting from continuous R-TAT reporting to threshold-based benchmarks in 2026.
  • This transition necessitates an evaluation of R-TAT's utility and the evidence for national benchmarking.

Purpose of the Study:

  • To assess how radiology practices have utilized R-TAT for quality improvement.
  • To examine the evidence supporting the implementation of national threshold-based R-TAT measures.
  • To evaluate the risks and feasibility of proposed CMS policy changes.

Main Methods:

  • A systematic literature review adhering to PRISMA guidelines was conducted.
  • Studies published between 2000 and 2024 focusing on radiology R-TAT were included.
  • Data were analyzed for practice settings and intervention types, followed by a narrative review of threshold-based benchmarking.

Main Results:

  • 13 studies met inclusion criteria, primarily from US academic practices.
  • Interventions included technology adoption, targeted projects, and operational changes, with context-specific R-TAT improvements.
  • Concerns were identified regarding clinical risk, unintended consequences, and measurement validity of unadjusted threshold-based R-TAT metrics.

Conclusions:

  • R-TAT serves as a useful internal performance indicator for workflow and operational improvements.
  • Current evidence does not support uniform national threshold-based R-TAT benchmarks without adjustments for case complexity, modality, and practice factors.
  • Continuous R-TAT measures are more suitable for local quality improvement, advocating for balancing measures in future policy.