Diagnostic Reading #43: Five “Must Read” Articles on Medical Imaging
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Recommendations on 2D X-ray versus 3D CT, and sports imaging are in the news.
This week’s articles in Diagnostic Reading include: guidance on when to use 2D radiography vs 3D CT in orthopaedics; a Q&A with a sports radiologist; radiologists play important role in scans during pregnancy; new guidelines for cybersecurity; and patient photos useful in radiology;
Although computed tomography for medical imaging has been available for some time, weight-bearing 3D CT is a relatively new modality. For the past year, Northwestern Memorial Hospital has been evaluating when and whether to use 3D CT rather than 2D weight-bearing radiography for preoperative planning and post-op evaluation. View the clinical studies and read the recommendations for when to use 3D CT for orthopaedic surgical planning and post-op evaluation rather than 2D radiographs.
Radiologists integral in reducing unnecessary scans during pregnancy – Axis Imaging News
Radiologists have a valuable role to play in advising referring physicians to minimize pregnant women’s exposure to radiation, according to a co-author of a study about trends in medical imaging during pregnancy published in JAMA Network Open. The author calls on radiologists to be vigilant about putting systems in place to ensure CT use in pregnant women is justified; radiologists also can help by providing information to referring physicians about “when to image, when not to image, and how to use the best evidence to guide imaging.”
How do Norwegians organize sports imaging? – AuntMinnie Europe
A sports radiologist in Norway—one of the founders of the Norwegian musculoskeletal (MSK) imaging society—discussed the many aspects of sports imaging in a Q&A interview with the European Society of Radiology. A capable sports radiologist searches for subtle injuries in athletes, with even the smallest ones not to be overlooked, he said. The radiologist is crucial in sports imaging, and sports radiologists provide a kind of insight that will guide the patient and the clinician. Read the related blog on A Day in the Life of a Sports Radiologist. #IDOR2019
Group asks radiologists to help address cybersecurity concerns – Radiology Business
With imaging now living in a digital world free of films, radiologists must remain vigilant of potential threats from hackers. Aware of these concerns, the National Cybersecurity Center of Excellence (NCCOE) recently released draft guidelines to help safeguard picture archiving and communication systems. It’s essential that the imaging business quickly take action to protect patient records and reduce the likelihood of a breach, the group stated.
Photos of patients taken at the same time they receive a portable radiography exam can yield a variety of clinical benefits for radiologists—such as reduced errors in diagnosis and treatment—according to recently published research in the American Journal of Roentgenology. The photographs can be useful in the detection of wrong-patient errors and provision of image-related clinical context, which can improve radiograph interpretation, according to the researchers. Prior research had shown that portable chest radiography was the modality with the largest number of close calls related to wrong-patient or wrong-dictation results.
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