在头部和部放射学中进行额外成像的建议的可行性
Jeffrey P Guenette1, Elyse Lynch2, Nooshin Abbasi2
1Center for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts; Director, Head and Neck Imaging and Interventions and Medical Director, Brigham Research Imaging Core, Boston, Massachusetts.
Journal of the American College of Radiology : JACR
|January 14, 2024
概括
放射科医生很少在头部和部CT和MRI扫描中为额外成像 (RAI) 提出可行的建议. 提高RAI可操作性需要优质的倡议和基于证据的指导方针,以改善患者护理.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 医疗信息学 医疗信息学
背景情况:
- 关于额外成像 (RAI) 的建议缺乏在头部和部CT和MRI中建立的最佳实践.
- 评估RAI的可操作性对于改善诊断准确性和患者结果至关重要.
研究的目的:
- 量化RAI在头部和部CT和MRI中的可操作性.
- 确定最常见的RAI和相关的放射学因素.
- 评估放射科医生经验和实践类型对RAI可操作性的影响.
主要方法:
- 从一个多机构系统 (2021年6月至2022年5月) 进行头CT和MRI报告的回顾性审查.
- 用于评分RAI可操作性的验证分类法.
- 混合效应建模分析了放射学家因素和RAI可操作性之间的关联.
主要成果:
- 在4382个RAI中,只有3.9%是可起诉的.
- 最常见的RAI是甲状腺超声波,部CT和大脑MRI.
- 培训时间超过23年的放射科医生和社区放射科医生显示,可采取行动的RAI的几率较低.
结论:
- 可操作的RAI很少在头部和部成像中产生,这阻碍了必要的后续跟踪.
- 需要采取质量改善举措,包括同行比较和临床决策支持.
- 开发基于证据的最佳实践可以提高RAI跟踪和及时性能.
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