Improving the appropriateness of imaging utilization remains one of the most important goals for radiology. While no one will question the value of an imaging study whose findings will guide patient care decisions, the ordering of imaging studies that are unlikely to provide a significant clinical impact is a problem for the major stakeholders in this process including radiology practices (capacity issues leading to patient backlogs), radiologists (more imaging exams that need to be interpreted contributing to burnout), and, most importantly, patients (undergoing unnecessary examinations with additional costs and potential complications). Eliminating these inappropriately ordered imaging examinations improves the overall quality and safety of the services provided by our field while reducing the associated costs, both direct and indirect. With estimates of MRI and CT imaging inappropriateness as high as 26% for example, there is abundant opportunity for improvement (
- Lehnert B.E.
- Bree R.L.
Analysis of appropriateness of outpatient CT and MRI referred from primary care clinics at an academic medical center: how critical is the need for improved decision support?.
J Am Coll Radiol. 2010; 7 (Published Online First: 2010/03/03): 192-197https://doi.org/10.1016/j.jacr.2009.11.010
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- Analysis of appropriateness of outpatient CT and MRI referred from primary care clinics at an academic medical center: how critical is the need for improved decision support?.J Am Coll Radiol. 2010; 7 (Published Online First: 2010/03/03): 192-197https://doi.org/10.1016/j.jacr.2009.11.010
- Clinical decision support: impact on appropriate imaging utilization.Acad Radiol. 2022; (Published Online First: 2022/11/07)https://doi.org/10.1016/j.acra.2022.10.006
Published online: May 22, 2023
Accepted: March 13, 2023
Received in revised form: March 1, 2023
Publication stageIn Press Corrected Proof
© 2023 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved All rights reserved.