Öz
Radyolojik tetkikler X ışınının keşfedilmesinden bu yana tanıda önemli bir yer tutmaktadır. Günümüze kadar olan süreçte ilerleyen teknoloji ile birlikte görüntüleme yöntemlerinin çeşitliği ve kullanım alanları genişlemiştir. Son yıllarda radyolojik tetkiklerin kullanımında sayısal olarak artış olduğu görülmektedir. Bu artış başta sağlık ve ekonomi olmak üzere birçok alanda olumsuz sonuçlar doğurabilmektedir. Radyolojik görüntülemelerdeki sayısal artışla baş edebilmek için aşırı sayıda ya da gereksiz yapılan görüntülemeler mercek altına alınmalıdır. Bu derlemede radyolojik tetkik sayısındaki artışın sebep ve sonuçları ortaya konulacaktır.
Anahtar Kelimeler
Bilgisayarlı tomografi gereksiz görüntüleme manyetik rezonans görüntüleme radyolojik görüntüleme radyolojik tetkik sayısı
Kaynakça
- Ciarrapico AM, Ugenti R, Di Minco L, et al. Diagnostic imaging and spending review: extreme problems call for extreme measures. Radiol Med. 2017;122(4):288-293. doi:10.1007/s11547-016-0721-7
- Winder M, Owczarek AJ, Chudek J, Pilch-Kowalczyk J, Baron J. Are We overdoing it? Changes in diagnostic imaging workload during the years 2010-2020 including the impact of the SARS-CoV-2 pandemic. Healthcare (Basel). 2021;9(11):1557. doi:10.3390/healthcare9111557
- Demir MC. Radyolojik görüntüleme isterken doktorların göz önünde bulundurdukları durumlar. Hacettepe University, Faculty of Medicine, Department of Emergency Medicine, Specialist Thesis. Ankara/Türkiye. 2016.
- Larson DB, Johnson LW, Schnell BM, Salisbury SR, Forman HP. National trends in CT use in the emergency department: 1995-2007. Radiology. 2011;258(1):164-173. doi:10.1148/radiol.10100640
- Jame SZB, Sari AA, Majdzadeh R, Rashidian A, Arab M, Rahmani H. The extent of inappropriate use of magnetic resonance imaging in low back pain and its contributory factors. Int J Prev Med. 2014;5(8):1029-1036. PMID: 25489452; PMCID: PMC4258662.
- Lehnert BE, Bree RL. Analysis of appropriateness of outpatient CT and MRI referred from primary care clinics at an academic medical center: how critical is the need for improved decision support? J Am Coll Radiol. 2010;7(3):192-197. doi:10.1016/j.jacr.2009.11.010
- Türk Radyoloji Derneği. Radyolojik Tetkik Yoğunluğu, Tetkik Yoğunluğundan Kaynaklanan Problemlerin Analiz ve Çözüm Önerileri. https://www.turkrad.org.tr/assets/slider-photos/Radyolojik-Tetkik-Yogunlugu-Raporu.pdf. Accessed August 21, 2023.
- Lysdahl KB, Hofmann BM. What causes increasing and unnecessary use of radiological investigations? a survey of radiologists’ perceptions. BMC Health Services Research. 2009;9(1):155. doi:10.1186/1472-6963-9-155
- Hendee WR, Becker GJ, Borgstede JP, et al. Addressing overutilization in medical imaging. Radiology. 2010;257(1):240-245. doi:10.1148/radiol.10100063
- Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-2617. doi:10.1001/jama.293.21.2609
- Albert JM. Radiation Risk From CT: Implications for cancer screening. American Journal of Roentgenology. 2013;201(1):W81-W87. doi:10.2214/AJR.12.9226
- Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138(4):273-287. doi:10.7326/0003-4819-138-4-200302180-00006
- Bruls RJM, Kwee RM. Workload for radiologists during on-call hours: dramatic increase in the past 15 years. Insights Imaging. 2020;11:121. doi:10.1186/s13244-020-00925-z
- Parikh JR, Geise RA, Bluth EI, et al. Potential radiation-related effects on radiologists. American Journal of Roentgenology. 2017;208(3):595-602. doi:10.2214/AJR.16.17212
- Berrington de González A, Ntowe E, Kitahara CM, et al. Long-term mortality in 43 763 U.S. Radiologists compared with 64 990 U.S. Psychiatrists. Radiology. 2016;281(3):847-857. doi:10.1148/radiol.2016152472
Öz
Since the discovery of X-rays, radiological examinations have held a crucial role in diagnosis. With the progression of technology over time, the diversity and applications of imaging methods have expanded significantly. In recent years, there has been a notable increase in the use of radiological examinations. This surge can have adverse effects in various domains, primarily impacting healthcare and the economy. In order to cope with the numerical increase in radiological imaging, excessive or unnecessary imaging should be taken under the spotlight. In this review, the reasons and consequences of the increase in the number of radiological examinations will be revealed.
Anahtar Kelimeler
Computed tomography magnetic resonance imaging number of radiological examinations radiological imaging unnecessary imaging
Kaynakça
- Ciarrapico AM, Ugenti R, Di Minco L, et al. Diagnostic imaging and spending review: extreme problems call for extreme measures. Radiol Med. 2017;122(4):288-293. doi:10.1007/s11547-016-0721-7
- Winder M, Owczarek AJ, Chudek J, Pilch-Kowalczyk J, Baron J. Are We overdoing it? Changes in diagnostic imaging workload during the years 2010-2020 including the impact of the SARS-CoV-2 pandemic. Healthcare (Basel). 2021;9(11):1557. doi:10.3390/healthcare9111557
- Demir MC. Radyolojik görüntüleme isterken doktorların göz önünde bulundurdukları durumlar. Hacettepe University, Faculty of Medicine, Department of Emergency Medicine, Specialist Thesis. Ankara/Türkiye. 2016.
- Larson DB, Johnson LW, Schnell BM, Salisbury SR, Forman HP. National trends in CT use in the emergency department: 1995-2007. Radiology. 2011;258(1):164-173. doi:10.1148/radiol.10100640
- Jame SZB, Sari AA, Majdzadeh R, Rashidian A, Arab M, Rahmani H. The extent of inappropriate use of magnetic resonance imaging in low back pain and its contributory factors. Int J Prev Med. 2014;5(8):1029-1036. PMID: 25489452; PMCID: PMC4258662.
- Lehnert BE, Bree RL. Analysis of appropriateness of outpatient CT and MRI referred from primary care clinics at an academic medical center: how critical is the need for improved decision support? J Am Coll Radiol. 2010;7(3):192-197. doi:10.1016/j.jacr.2009.11.010
- Türk Radyoloji Derneği. Radyolojik Tetkik Yoğunluğu, Tetkik Yoğunluğundan Kaynaklanan Problemlerin Analiz ve Çözüm Önerileri. https://www.turkrad.org.tr/assets/slider-photos/Radyolojik-Tetkik-Yogunlugu-Raporu.pdf. Accessed August 21, 2023.
- Lysdahl KB, Hofmann BM. What causes increasing and unnecessary use of radiological investigations? a survey of radiologists’ perceptions. BMC Health Services Research. 2009;9(1):155. doi:10.1186/1472-6963-9-155
- Hendee WR, Becker GJ, Borgstede JP, et al. Addressing overutilization in medical imaging. Radiology. 2010;257(1):240-245. doi:10.1148/radiol.10100063
- Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-2617. doi:10.1001/jama.293.21.2609
- Albert JM. Radiation Risk From CT: Implications for cancer screening. American Journal of Roentgenology. 2013;201(1):W81-W87. doi:10.2214/AJR.12.9226
- Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138(4):273-287. doi:10.7326/0003-4819-138-4-200302180-00006
- Bruls RJM, Kwee RM. Workload for radiologists during on-call hours: dramatic increase in the past 15 years. Insights Imaging. 2020;11:121. doi:10.1186/s13244-020-00925-z
- Parikh JR, Geise RA, Bluth EI, et al. Potential radiation-related effects on radiologists. American Journal of Roentgenology. 2017;208(3):595-602. doi:10.2214/AJR.16.17212
- Berrington de González A, Ntowe E, Kitahara CM, et al. Long-term mortality in 43 763 U.S. Radiologists compared with 64 990 U.S. Psychiatrists. Radiology. 2016;281(3):847-857. doi:10.1148/radiol.2016152472
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Radyoloji ve Organ Görüntüleme |
| Bölüm | Derleme makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 13 Aralık 2023 |
| Yayımlanma Tarihi | 18 Aralık 2023 |
| Gönderilme Tarihi | 1 Ekim 2023 |
| Kabul Tarihi | 3 Kasım 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 8 Sayı: 4 |
