Applications of justification and optimization in medical imaging: Examples of clinical guidance for computed tomography use in emergency medicine

Annals of Emergency Medicine

Volumn 63, Issue 1, 2014, Pages 25-32

  Sierzenski, Paul R ^a   Linton, Otha W ^b   Amis, E Stephen ^c   Courtney, D Mark ^d   Larson, Paul A ^e   Mahesh, Mahadevappa ^f   Novelline, Robert A ^g   Frush, Donald P ^h   Mettler, Fred A ⁱ   Timins, Julie K ^b   Tenforde, Thomas S ^j   Boice, John D ^j   Brink, James A ^g   Bushberg, Jerrold T ^k   Schauer, David A ^j  

^a CHRISTIANA CARE HEALTH SYSTEM   (United States)

^b Montefiore Medical Center ^*

^c ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^d NORTHWESTERN UNIVERSITY   (United States)

^e Radiology Associates of the Fox Valley   (United States)

^f JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^g MASSACHUSETTS GENERAL HOSPITAL   (United States)

^h DUKE UNIVERSITY MEDICAL CENTER   (United States)

ⁱ New Mexico VAHCS   (United States)

^j NATIONAL COUNCIL ON RADIATION PROTECTION AND MEASUREMENTS   (United States)

^k UNIVERSITY OF CALIFORNIA   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; DEFENSIVE MEDICINE; DIAGNOSTIC IMAGING; EMERGENCY MEDICINE; EMERGENCY PHYSICIAN; EVIDENCE BASED MEDICINE; FLANK PAIN; HUMAN; IONIZING RADIATION; KIDNEY COLIC; PRIORITY JOURNAL; RADIATION EXPOSURE; RADIATION PHYSICS; RADIATION PROTECTION; TRAUMATIC BRAIN INJURY; BRAIN INJURY; EMERGENCY HEALTH SERVICE; PRACTICE GUIDELINE; RADIOGRAPHY; STANDARDS; STATISTICS AND NUMERICAL DATA; UNITED STATES;

BRAIN INJURIES; DEFENSIVE MEDICINE; EMERGENCY SERVICE, HOSPITAL; HUMANS; PRACTICE GUIDELINES AS TOPIC; TOMOGRAPHY, X-RAY COMPUTED; UNITED STATES;

EID: 84890799918     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2013.08.027     Document Type: Article

References (50)

1. National Council on Radiation Protection and Measurements Ionizing Radiation Exposure of the Population of the United States 2009 NCRP Bethesda, MD NCRP Report No. 160
2. National Council on Radiation Protection and Measurements Ionizing Radiation Exposure of the Population of the United States 1987 NCRP Bethesda, MD NCRP Report No. 93
3. D.C. Levin, V.M. Rao, and L. Parker The recent downturn in utilization of CT: the start of a new trend? J Am Coll Radiol 9 2012 795 798
4. National Council on Radiation Protection and Measurements Limitation of Exposure to Ionizing Radiation 1993 NCRP Bethesda (MD) NCRP Report No. 116
5. T. Tompane, R. Bush, and T. Dansky Diagnostic imaging studies performed in children over a nine-year period Pediatrics 131 2013 1 8
6. C.I. Lee, N.A. Ponce, and S.A. Ettner Ordering of CT by emergency department provider type: analysis of a nationally representative sample AJR Am J Roentgenol 199 2012 1054 1059
7. A.L. Hryhorczuk, R.C. Mannix, and G.A. Taylor Pediatric abdominal pain: use of imaging in the emergency department in the United States from 1999 to 2007 Radiology 263 2012 778 785
8. D.B. Diercks, A. Mehrotra, and D.J. Nazarian Clinical policy: critical issues in the evaluation of adult patients presenting to the emergency department with acute blunt abdominal trauma Ann Emerg Med 57 2011 387 404
9. T.D. Kirsch, Y.H. Hsieh, and L. Horana Computed tomography scan utilization in emergency departments: a multi-state analysis J Emerg Med 41 2011 302 309
10. K.E. Kocher, W.J. Meurer, and R. Fazel National trends in use of computed tomography in the emergency department Ann Emerg Med 58 2011 452 462
11. S. Jha, A. Ho, and M. Bhargavan Imaging evaluation for suspected pulmonary embolism: what do emergency physicians and radiologists say? AJR Am J Roentgenol 194 2010 W38 W48
12. N. Kuppermann, J.F. Holmes, and P.S. Dayan Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study Lancet 374 2009 1160 1170
13. Sentinel event alert: safety implementing health information and converging technologies. The Joint Commission Issue 47; 2011. Available at: http://www.jointcommission.org/assets/1/18/SEA-47.pdf. Accessed July 15, 2013.
14. E.S. Amis Jr., P.F. Butler, and K.E. Applegate American College of Radiology white paper on radiation dose in medicine J Am Coll Radiol 4 2007 272 284
15. J.S. Huff, W.W. Decker, and J.V. Quinn Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncope Ann Emerg Med 49 2007 431 444
16. S.E. Mirvis, and K. Shanmuganathan The 2008 radiographics monograph issue: emergency imaging in adults Radiographics 28 2008 1539 1540
17. O.W. Linton, T.S. Tenforde, and E.S. Amis Summary of workshop on CT in emergency medicine: ensuring appropriate use J Am Coll Radiol 8 2011 325 329
18. K.D. Hentel, R. Sharma, and C. Wladyka Appropriate use of CT in the emergency department Emerg Med 43 2011 6 13
19. American College of Emergency Physicians Clinical policy for children younger than three years presenting to the emergency department with fever Ann Emerg Med 42 2003 530 545
20. J.A. Edlow, P.D. Panagos, and S.A. Goodwin Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache Ann Emerg Med 52 2008 407 436
21. J.M. Howell, O.L. Eddy, and T.W. Lukens Clinical policy: critical issues in the evaluation and management of emergency department patients with suspected appendicitis Ann Emerg Med 55 2010 71 116
22. A.S. Jagoda, J.J. Bazarian, and J.J. Bruns Jr. Clinical policy: neuroimaging and decisionmaking in adult mild traumatic brain injury in the acute setting Ann Emerg Med 52 2008 714 748
23. H.I. Litt, C. Gatsonis, and B. Snyder CT angiography for safe discharge of patients with possible acute coronary syndromes N Engl J Med 366 2012 1393 1403
24. J.E. Winslow, J.W. Hinshaw, and M.J. Hughes Quantitative assessment of diagnostic radiation doses in adult blunt trauma patients Ann Emerg Med 52 2008 93 97
25. ® 2000 Radiology 214 Suppl 2000 3 46
26. M.J. Haydel, C.A. Preston, and T.J. Mills Indications for computed tomography in patients with minor head injury N Engl J Med 343 2000 100 105
27. I.G. Stiell, G.A. Wells, and K. Vandemheen The Canadian CT Head Rule for patients with minor head injury Lancet 357 2001 1391 1396
28. L. Papa, I.G. Stiell, and C.M. Clement Performance of the Canadian CT Head Rule and the New Orleans Criteria for predicting any traumatic intracranial injury on computed tomography in a United States Level I trauma center Acad Emerg Med 19 2012 2 10
29. J.A. Oman, R.J. Cooper, J.F. Holmes NEXUS II Investigators Performance of a decision rule to predict need for computed tomography among children with blunt head trauma Pediatrics 117 2006 e238 e246
30. S.A. Almenawer, I. Bogza, and B. Yarascavitch The value of scheduled repeat cranial computed tomography after mild head injury: single-center series and meta-analysis Neurosurgery 72 2013 56 64
31. H.M. Zafar, A.M. Mills, and R. Khorasan Clinical decision support for imaging in the era of the Patient Protection and Affordable Care Act J Am Coll Radiol 9 2012 907 918
32. D.W. Baker, A. Qaseem, and P.P. Reynolds Design and use of performance measures to decrease low-value services and achieve cost-conscious care Ann Intern Med 158 2012 1 5
33. Shaha S. EHR saves lives: cuts sepsis deaths by 25%. It takes a community. The all scripts blog [Internet]. [Cited May 5, 2012]. Available at: http://blog.allscripts.com/2012/05/02/ehr-saves-lives-cuts-sepsis-deaths-by-25/. Accessed May 5, 2012.
34. C.G. Blackmore, R.S. Mecklenburg, and G.S. Kaplan Effectiveness of clinical decision support in controlling inappropriate imaging J Am Coll Radiol 8 2011 19 25
35. V.M. Vartanians, C.L. Sistrom, and J.B. Weilburg Increasing the appropriateness of outpatient imaging: effects of a barrier to ordering low-yield examinations Radiology 255 2010 842 849
36. E.S. Berner Clinical Decision Support Systems: State of the Art 2009 Agency for Healthcare Research & Quality Rockville, MD AHRQ Publication No. 09-0069-EF
37. C.L. Sistrom, P.A. Dang, and J.B. Weilburg Effect of computerized order entry with integrated decision support on the growth of outpatient procedure volumes: seven-year time series analysis Radiology 251 2009 147 155
38. C.D. Scales Jr., A.C. Smith, and J.M. Hanley The new prevalence of kidney stones in the United States AUA 2012 Abstract 2293
39. M.S. Pearle, E.A. Calhoun, and G.C. Curhan Urologic Diseases in America project: urolithiasis J Urol 173 2005 848 857
40. Jung MW, Kelly MK, Griffith B, et al. Use of screening head CT in the setting of blunt head injury in a level 1 trauma center: are we following clinical guidelines? [Abstract] Presented at the RSNA;SSC11-04. Available at: http://rsna2012.rsna.org/search/event-display.cfm?em-id=12020912. Accessed May 12, 2013.
41. B. Griffith, M.K. Kelly, and P. Vallee Screening cervical spine CT in the emergency department: a collaborative multi-phase approach to improving imaging over-utilization RSNA 2012 LL-QSE-MO2B
42. F.V. Coakley, R. Gould, and B.M. Yeh CT radiation dose: what can you do right now in your practice? AJR Am J Roentgenol 196 2011 619 625
43. M.F. McNitt-Gray AAPM/RSNA physics tutorial for residents: topics in CT. Radiation dose in CT Radiographics 22 2002 1541 1553
44. M.K. Kalra, S.M. Rizzo, and R.A. Novelline Technologic innovations in computer tomography dose reduction: implications in emergency settings Emerg Radiol 11 2005 127 128
45. M.K. Kalra, S.M. Rizzo, and R.A. Novelline Reducing radiation dose in emergency computed tomography with automatic exposure control techniques Emerg Radiol 11 2005 267 274
46. K.J. Strauss, M.J. Goske, and S.C. Kaste Image gently: ten steps you can take to optimize image quality and lower CT dose for pediatric patients AJR Am J Roentgenol 194 2010 868 873
47. US Department of Health and Human Services Report on Carcinogens 2005 US Dept of Health & Human Services, Public Health Service, National Toxicology Program Washington, DC
48. D.A. Schauer, and O.W. Linton NCRP Report No. 160, Ionizing Radiation Exposure of the Population of the United States, Medical Exposures - are we doing less with more, and is there a role for health physicists? Health Phys 97 2009 1 5
49. J. Lenzer Unnecessary care: are doctors in denial and is profit drive healthcare to blame? BMJ 345 2012 1 3
50. Massachusetts Medical Society Investigation of Defensive Medicine in Massachusetts 2012 Massachusetts Medical Society Waltham, MA [Updated 2008; cited October 31, 2012]. Available at: http://www.massmed.org/defensivemedicine Accessed October 31, 2012