DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
Current Location:
> This Story

Log in or Register to rate this News Story
Forward Printable StoryPrint Comment



CT Homepage

New study highlights gender disparity in radiology Less female radiologists are publishing research

The Image Gently Alliance 10 years later: challenges met and the future direction An update on the organization that pioneered safer imaging for kids

Q&A with Dr. Donald P. Frush; A more personalized approach to pediatric CT exams How a quantitative method could improve dose optimization when scanning children

Availity announces debut of pre-clearance service at HIMSS Confirms imaging authorization in minutes and ensures patient payments prior to visit

NCCN adds Axumin to guidelines for prostate cancer treatment Enhances support for imaging agent from private payors

Study suggests most emergency CT exams for head trauma may be unnecessary Not in line with current medical criteria

Aidoc launches first AI-powered full-body solution for CT analysis Supports radiologists covering head, c-spine, chest and abdomen

Radiology practices are willing to pay more for a better RIS Survey finds customizable systems with better workflow justify expense to providers

Philips to sell Dunlee facility to new CT tube company Chronos Imaging reportedly purchasing the Aurora, IL, site

FDA greenlights AI software for stroke warning in CT analysis Enables specialists to intervene before notified by a radiologist

Incidental findings from chest scans costly, lengthen hospital stays

by Lee Nelson , Contributing Reporter
In a new study of 376 patients who complained of chest pains, it was found that routine imaging scans uncovered incidental findings in more than half of the patients — only 7 percent of which were medically significant.

The researchers, who have published their findings in the May issue of the Journal of Hospital Medicine, are urging radiologists and hospitals to find ways to safely reduce the added cost and potential risk of keeping these patients in the hospital longer than necessary.

Story Continues Below Advertisement

The (#1 Resource) for Medical Imaging and Peripherals. Call 1-949-273-8000

As a Master Distributor for major brands Barco, Philips, and Sony, we offer custom imaging solutions. With our renowned OEM Solutions and Service/Repair Center, Ampronix is a one-stop shop for HD Medical LCD Displays--Printers--Recorders--4K Cameras

“We were not surprised that incidental findings were so common on radiologic imaging, as there is established literature on this point,” Dr. Venkat Gundareddy told HCB News. He is director of the Collaborative Inpatient Medicine Service at Johnson Hopkins Bayview Medical Center in Baltimore.

“Our surprise came when we saw that there was a clear association with these incidental findings and increase in length of hospitalization,” he said. “Though our study does not prove causality, this does speak to concerns of increased health care resource utilization.”

In addition to hiking-up medical bills, longer stays in the hospital may also be unnecessarily exposing these patients to hospital-acquired conditions, added Gundareddy. In fact, the study showed these medically insignificant findings kept patients in the hospital an average of 26 percent longer than people without incidentals.

“For patients who go to the hospital with chest pain, they should take away from this study that certain radiologic imaging studies, like CT scans, can yield a lot of incidental findings unrelated to their chest pain," Gundareddy said. "While most of these are of little clinical significance, some might warrant further work up."

Counseling patients about the possibility of discovering incidental findings based on the imaging modality used is very important to alleviate patient concerns. Being judicious in using these imaging modalities and "choosing wisely" could limit unnecessary costs for health care, he added.

“In the future, as we get more and more sensitive testing, it will become all the more important that we have robust guidelines on reporting and work-up of these incidental findings,” he said.

The higher sensitivity and accuracy of X-ray, MR, ultrasound, and especially CT have led to more incidental findings such as kidney cysts, renal stones, thyroid nodules, enlarged lymph nodes, bone lesions, lung nodules and masses.

In this research, age and gender were looked at, but Gundareddy said the sex distribution between the two groups (with and without incidental findings) was similar. However, patients with incidental findings were older than the patients without incidental findings.

Among those whose incidental findings were considered major, they included masses concerning for malignancy. Some of the incidental findings of minor clinical significance were pulmonary nodules, atelectasis of lungs and renal cysts.

CT Homepage

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to, Inc. Copyright ©2001-2018, Inc.