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The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement
The study analyzes the correlation between the indications and results of head CT examinations in search of evidence of the excessive use of this diagnostic method. In total, 1160 referrals for urgent head CT were analyzed retrospectively, including the following parameters: patients’ sex and age, t...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610557/ https://www.ncbi.nlm.nih.gov/pubmed/36295628 http://dx.doi.org/10.3390/medicina58101468 |
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author | Rosół, Izabela Ciesielka, Jakub Matlakiewicz, Magdalena Grześków, Michał Cebula, Maciej Gruszczyńska, Katarzyna Winder, Mateusz |
author_facet | Rosół, Izabela Ciesielka, Jakub Matlakiewicz, Magdalena Grześków, Michał Cebula, Maciej Gruszczyńska, Katarzyna Winder, Mateusz |
author_sort | Rosół, Izabela |
collection | PubMed |
description | The study analyzes the correlation between the indications and results of head CT examinations in search of evidence of the excessive use of this diagnostic method. In total, 1160 referrals for urgent head CT were analyzed retrospectively, including the following parameters: patients’ sex and age, type of scan (C−, C+, angio-CT), description of symptoms and presence of diagnostic target. Pathologies identified by the radiologist were assigned to four classes, regarding the severity of diagnosed conditions. The analysis of the CT results has shown that over half (55.22%) of the examinations revealed no deviations or showed chronic, asymptomatic lesions. As many as 73.71% referrals constituted group 0 in terms of the lack of a diagnostic target of a specific pathology. The presence of specific clinical targeting in a referral correlated significantly with a higher frequency of acute diagnosis. Contrast-enhanced follow-up examinations allowed the unequivocal classification of patients into extreme classes (I or IV) and accurate identification of patients requiring urgent or chronic treatment. Excessive use of diagnostic imaging is harmful, not only to patients, who often are unnecessarily exposed to radiation, but also to the quality of healthcare, since it increases the costs and radiologists’ workload. |
format | Online Article Text |
id | pubmed-9610557 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96105572022-10-28 The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement Rosół, Izabela Ciesielka, Jakub Matlakiewicz, Magdalena Grześków, Michał Cebula, Maciej Gruszczyńska, Katarzyna Winder, Mateusz Medicina (Kaunas) Article The study analyzes the correlation between the indications and results of head CT examinations in search of evidence of the excessive use of this diagnostic method. In total, 1160 referrals for urgent head CT were analyzed retrospectively, including the following parameters: patients’ sex and age, type of scan (C−, C+, angio-CT), description of symptoms and presence of diagnostic target. Pathologies identified by the radiologist were assigned to four classes, regarding the severity of diagnosed conditions. The analysis of the CT results has shown that over half (55.22%) of the examinations revealed no deviations or showed chronic, asymptomatic lesions. As many as 73.71% referrals constituted group 0 in terms of the lack of a diagnostic target of a specific pathology. The presence of specific clinical targeting in a referral correlated significantly with a higher frequency of acute diagnosis. Contrast-enhanced follow-up examinations allowed the unequivocal classification of patients into extreme classes (I or IV) and accurate identification of patients requiring urgent or chronic treatment. Excessive use of diagnostic imaging is harmful, not only to patients, who often are unnecessarily exposed to radiation, but also to the quality of healthcare, since it increases the costs and radiologists’ workload. MDPI 2022-10-16 /pmc/articles/PMC9610557/ /pubmed/36295628 http://dx.doi.org/10.3390/medicina58101468 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Rosół, Izabela Ciesielka, Jakub Matlakiewicz, Magdalena Grześków, Michał Cebula, Maciej Gruszczyńska, Katarzyna Winder, Mateusz The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement |
title | The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement |
title_full | The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement |
title_fullStr | The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement |
title_full_unstemmed | The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement |
title_short | The Assessment of the Rationale for Urgent Head CT—Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement |
title_sort | assessment of the rationale for urgent head ct—comparative analysis of referrals and results of examinations without and with contrast enhancement |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610557/ https://www.ncbi.nlm.nih.gov/pubmed/36295628 http://dx.doi.org/10.3390/medicina58101468 |
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