Radiologist Referrals Generate Few High-Cost Exams

A study in the latest issue of the journal Radiology says that a radiologists recommendation accounts for only a small portion of high-cost imaging procedures. Researchers looked at nearly 30,000 high-cost imaging exams and found that 5.3% followed a radiologists recommendation. Chest CT was the most common, followed by abdominal CT and brain MRI, according to the study abstract. Pulmonary nodules or masses were the most common reason for follow-up imaging examinations.

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The ACR hopes these changes, including the addition of diagnostic performance feedback, will help reduce the number of patients with incidental nodules lost to follow-up each year.

And it can do so with almost 100% accuracy as a first reader, according to a new large-scale analysis.

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.