“It's all in the history”: A service evaluation of the quality of radiological requests in acute imaging

Abdominal radiograph preliminary clinical evaluation image test bank project

“…consideration of the inclusion of this facility could be made for the future development of image test banks. A comprehensive clinical history is often not included for emergency department referrals (19); this may inhibit the ability of a radiographer to accurately provide a PCE for a radiograph.…”

Reason for exam Imaging Reporting and Data System (RI-RADS): A grading system to standardize radiology requisitions

“…This gap has been addressed in a largescale study of the accuracy of clinical information provided in pediatric imaging requisitions, showing misleading, incorrect or incomplete data in nearly 27% of the cases, and variable quality of the provided information in the remainder of the requisitions [10]. These concerning findings have been confirmed in other settings, such as intensive care units where discrepancy rates as high as 62% have been reported [9,[11][12][13]. A study on the influence of the clinical history on the accuracy of imaging reports showed that 19% of the computerized T tomography reports were amended when detailed history was provided, and more than 50% of these changes were perceived significant [14].…”

“…Detailed patient history is critical for accurate and efficient interpretation of imaging studies by radiologists. However, in daily clinical practice, the history provided to the radiologists is commonly incomplete or nonexistent [9]. Radiologists often encounter imaging requisitions with limited clinical information that fail to define a question or indication to perform the study.…”

Requests for radiologic imaging: Prevalence and determinants of inadequate quality according to RI-RADS

“…RI-RADS found broad support among a panel of 87 radiologists with diverse levels of experience from various settings [5]. It can be regarded as an improvement to non-standardized systems that were used in previous studies [6][7][8][9][10][11][12].…”

“…Patient characteristics such as age, gender, and hospital status (inpatient, outpatient, or emergency), indication for imaging, requesting specialty, imaging modality, time of imaging, and relationship with any previous imaging may potentially affect the quality of an imaging request. The determinants of poor quality imaging requests are currently unknown because previous studies on this topic did not perform a comprehensive analysis taking into account multiple variables [6][7][8][9][10][11][12].…”