Akademik Veri Yönetim Sistemi
The European Research Journal, cilt.3, sa.1, ss.49-54, 2017 (TRDizin)
Objectives. The actual rate of unnecessary imaging is unknown in our country. In this study we aimed to detectunnecessary computed tomography (CT) and magnetic resonance imaging (MRI) rates and the radiologicalquality of these examinations in our hospital. Methods. CT/MRI request documents of 1,713 patients who hadmultidetector CT or MRI examination in a 2-month period at a single tertiary care hospital were obtained. Weevaluated that whether the disorder that mentioned in request document was present or not in multidetectorCT or MR images from the picture and archiving communicating system of our hospital. Scoring was done asfollows; score 0 (there is no pathologic finding), score 1 (suspicious findings), and score 2 (presence ofmentioned pathology). The radiological quality of the examinations was scored as follows; grade 0 (poorquality), grade 1 (moderate quality), and grade 2 (good quality). Results. There was not any pathologic findingin 35% of the patients included in the study (score 0, unnecessary imaging). There was/were finding(s)regarding to the disorder that mentioned in the request document in 43% of the patients (score 2). Suspiciousfindings were existed in the remaining patients (score 1). In the assessment of radiologic quality of theexaminations that included in the study; 94% of the radiologic examinations had good quality and the remaininghad moderate (0.2%) and poor (5.5%) quality. Conclusions. Unnecessary CT or MRI rate was detected as 35%in our hospital. Unnecessary imaging causes increased nephrogenic systemic fibrosis, contrast-inducednephropathy and/or radiation risks, and total cost. It may also cause reduced patient compliance andprolongation of therapy period