Unnecessary computed tomography and magnetic resonance imaging rates in a tertiary care hospital
Journal Title: The European Research Journal - Year 2017, Vol 3, Issue 1
Abstract
Objective. The actual rate of unnecessary imaging is unknown in our country. In this study we aimed to detect unnecessary computed tomography (CT) and magnetic resonance imaging (MRI) rates and the radiological quality of these examinations in our hospital. Methods. CT/MRI request documents of 1,713 patients who had multidetector CT or MRI examination in a 2-month period at a single tertiary care hospital were obtained. We evaluated that whether the disorder that mentioned in request document was present or not in multidetector CT or MR images from the picture and archiving communicating system of our hospital. Scoring was done as follows; score 0 (there is no pathologic finding), score 1 (suspicious findings), and score 2 (presence of mentioned pathology). The radiological quality of the examinations was scored as follows; grade 0 (poor quality), grade 1 (moderate quality), and grade 2 (good quality). Results. There was not any pathologic finding in 35% of the patients included in the study (score 0, unnecessary imaging). There was/were finding(s) regarding to the disorder that mentioned in the request document in 43% of the patients (score 2). Suspicious findings were existed in the remaining patients (score 1). In the assessment of radiologic quality of the examinations that included in the study; 94% of the radiologic examinations had good quality and the remaining had moderate (0.2%) and poor (5.5%) quality. Conclusions. Unnecessary CT or MRI rate was detected as 35% in our hospital. Unnecessary imaging causes increased nephrogenic systemic fibrosis, contrast-induced nephropathy and/or radiation risks, and total cost. It may also cause reduced patient compliance and prolongation of therapy period.
Authors and Affiliations
Mehmet Kilin, Evrim Ozmen, Oktay Algin
Keywords
Related Articles
- EP ID EP196730
- DOI 10.18621/eurj.2017.5000196214
- Views 66
- Downloads 0
The effectiveness of soft and semi-rigid cervical collars on acute cervical radiculopathy
Objectives. Cervical radiculopathy is one of the common causes of the neck pain. Medical devices in the form of cervical collars are frequently recommended in acute cervical radiculopathy. We aim to investigate and compa...
Renal angiosarcoma: a rare case report
Angiosarcomas constitute about 2% of all sarcomas and generally are worst prognostic subtype of soft tissue sarcomas. Angiosarcomas are very aggressive tumors and one year after diagnosis half of patients dies with metas...
Evaluation of nursing students’ diagnoses using the Omaha System
Objectives: Nursing process guides the students in the diagnosing, planning, intervention and evaluation of patients/families, and it also gives a systematic point of view. The Omaha System is used as a nursing classific...
Inlay butterfly cartilage tympanoplasty for large central perforations
Objective. The aim of this study is to evaluate the results of inlay butterfly tympanoplasty technique in large central tympanic membrane perforations. Methods. The files of the patients who underwent inlay butterfly car...
Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta
Objective: To evaluate and describe a surgical approach for uterine preservation and management of postpartum hemorrhage in placenta accreta spectrum (PAS). Methods: We analyzed the data of patients who were diagnosed w...