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Use of Advanced Imaging Techniques During Visits to Emergency Departments--implications, Costs, Patient Benefits/risks

Overview
Journal Br J Radiol
Specialty Radiology
Date 2015 Dec 24
PMID 26693970
Citations 7
Authors
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Abstract

25 years ago, on a Friday evening at 9 pm, the emergency department (ED) was full of patients with a wide range of clinical problems. Their investigations included plain radiographs, but no other imaging was included until the next working day. At present, many patients are receiving advanced imaging such as ultrasound, CT and MRI, often delivered out of hours--an obvious advance for patients or sometimes an unnecessary development? In this article, we will consider how to assess patient benefits and whether increased use of advanced imaging is an overall advance for patients. We will address the general implications for healthcare services which come with greater use of advanced imaging. We will then address the effect of advanced imaging on individual fictional ED patients with a variety of complaints.

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References
1.
Birnbaum B, Jeffrey Jr R . CT and sonographic evaluation of acute right lower quadrant abdominal pain. AJR Am J Roentgenol. 1998; 170(2):361-71. DOI: 10.2214/ajr.170.2.9456947. View

2.
Ganguli S, Raptopoulos V, Komlos F, Siewert B, Kruskal J . Right lower quadrant pain: value of the nonvisualized appendix in patients at multidetector CT. Radiology. 2006; 241(1):175-80. DOI: 10.1148/radiol.2411050191. View

3.
Allemann F, Cassina P, Rothlin M, Largiader F . Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study. Eur J Surg. 1999; 165(10):966-70. DOI: 10.1080/110241599750008099. View

4.
Cabarrus M, Ambekar A, Lu Y, Link T . MRI and CT of insufficiency fractures of the pelvis and the proximal femur. AJR Am J Roentgenol. 2008; 191(4):995-1001. DOI: 10.2214/AJR.07.3714. View

5.
Brenner D, Hall E . Computed tomography--an increasing source of radiation exposure. N Engl J Med. 2007; 357(22):2277-84. DOI: 10.1056/NEJMra072149. View