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
SEARCH
Current Location:
>
> This Story


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

 

CT Homepage

CT lung cancer screening combined with smoking cessation is worth expense $14,000 saved per quality-adjusted life-years gained: study

Bracco Imaging acquires SurgVision Enables development of a real-time fluorescence image-guided surgery platform

Study places CT among 10 most over-utilized medical exams... twice Ultrasound also makes the list

Anthem presses forward with new MR, CT reimbursement guidelines An effort to increase usage of free-standing scan facilities

Merry X-Ray acquires Consensys Imaging Service Expands presence in MR, CT and other imaging modality markets

Cone beam CT technology brings 3-D imaging to physicians’ offices A desirable technology for meeting the needs of orthopaedic specialists

Toshiba Medical to showcase its Aquilion LB CT at ASTRO meeting Ideal for bariatric patients

Dr. Linda Pauliks Miller Children's & Women's Hospital Long Beach name medical director of pediatric & congenital cardiac imaging

Children undergoing CT scans for head injuries at risk for radiation overexposure Roughly half of kids visiting ER receive scans

FDA gives nod to Hitachi’s Supria True64 CT System Economy compact model system that consists of a premium image quality chain

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

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
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
Quotes
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 DOTmed.com, Inc. Copyright ©2001-2017 DOTmed.com, Inc.
ALL RIGHTS RESERVED