Diagnostic Imaging: Best Practice: Difference between revisions
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== Introduction == | == Introduction == | ||
Diagnostic imaging has evolved significantly over the past decades, and has become an important component of the health care system. | |||
= | The use of diagnostic imaging has doubled in the United States over a 16 year period<ref name=":0">Ford B, Dore M, Moullet P. [https://www.aafp.org/pubs/afp/issues/2021/0101/p42.pdf Diagnostic imaging: appropriate and safe use. American Family Physician.] 2021 Jan 1;103(1):42-50.</ref> | ||
= | Inappropriate diagnostic imaging is a major contributor to unnecessary health care expenditure and overtreatment. Improved awareness of the risks, benefits and evidence-based recommendations can improve decision-making and avoid unnecessary imaging.<ref name=":0" /> | ||
== | == Risks of Inappropriate Imaging == | ||
=== Radiation Exposure === | |||
or | |||
=== Iatrogenic Effects === | |||
=== "Incidentalomas" === | |||
Incidental abnormal radiographic findings occur in 20-50% of imaging studies.<ref name=":0" />Discernment is required to determine when such findings require further investigation or pose no threat in the absence of symptoms. | |||
== Asymptomatic Imaging == | |||
=== The Evidence === | |||
== Clinical Recommendations == | |||
=== Musculoskeletal Imaging === | |||
=== MRI Contra-indications === | |||
== Conclusion == | |||
== Resources == | |||
*[https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria ACR Appropriateness Criteria:] Evidence-based guidelines to guide imaging decision-making | |||
*[https://www.xrayrisk.com/calculator/calculator American Society of Radiologic Technologists:] Radiation risk calculator | |||
*[https://www.imagegently.org/ Image Gently]: Free resources to reduce unnecessary imaging in children | |||
*[https://www.imagewisely.org/ Image Wisely:] Free resources to reduce unnecessary imaging in adults | |||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 16:11, 1 March 2024
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Original Editor - Melissa Coetsee
Top Contributors - Melissa Coetsee
Introduction[edit | edit source]
Diagnostic imaging has evolved significantly over the past decades, and has become an important component of the health care system.
The use of diagnostic imaging has doubled in the United States over a 16 year period[1]
Inappropriate diagnostic imaging is a major contributor to unnecessary health care expenditure and overtreatment. Improved awareness of the risks, benefits and evidence-based recommendations can improve decision-making and avoid unnecessary imaging.[1]
Risks of Inappropriate Imaging[edit | edit source]
Radiation Exposure[edit | edit source]
Iatrogenic Effects[edit | edit source]
"Incidentalomas"[edit | edit source]
Incidental abnormal radiographic findings occur in 20-50% of imaging studies.[1]Discernment is required to determine when such findings require further investigation or pose no threat in the absence of symptoms.
Asymptomatic Imaging[edit | edit source]
The Evidence[edit | edit source]
Clinical Recommendations[edit | edit source]
Musculoskeletal Imaging[edit | edit source]
MRI Contra-indications[edit | edit source]
Conclusion[edit | edit source]
Resources[edit | edit source]
- ACR Appropriateness Criteria: Evidence-based guidelines to guide imaging decision-making
- American Society of Radiologic Technologists: Radiation risk calculator
- Image Gently: Free resources to reduce unnecessary imaging in children
- Image Wisely: Free resources to reduce unnecessary imaging in adults
References[edit | edit source]
- ↑ 1.0 1.1 1.2 Ford B, Dore M, Moullet P. Diagnostic imaging: appropriate and safe use. American Family Physician. 2021 Jan 1;103(1):42-50.
