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Open Access 01-12-2023 | Computed Tomography | Critical Review

Measuring appropriateness of diagnostic imaging: a scoping review

Authors: Felix Walther, Maria Eberlein-Gonska, Ralf-Thorsten Hoffmann, Jochen Schmitt, Sophia F. U. Blum

Published in: Insights into Imaging | Issue 1/2023

Abstract

In radiology, the justification of diagnostic imaging is a key performance indicator. To date, specific recommendations on the measurement of appropriateness in diagnostic imaging are missing. To map the study literature concerning the definition, measures, methods and data used for analyses of appropriateness in research of diagnostic imaging. We conducted a scoping review in Medline, EMBASE, Scopus and the Cochrane Central Register of Controlled Trials. Two independent reviewers undertook screening and data extraction. After screening 6021 records, we included 50 studies. National guidelines (n = 22/50) or American College of Radiology Appropriateness Criteria (n = 23/50) were used to define and rate appropriateness. 22/50 studies did not provide methodological details about the appropriateness assessment. The included studies varied concerning modality, amount of reviewed examinations (88–13,941) and body regions. Computed tomography (27 studies, 27,168 examinations) was the most frequently analyzed modality, followed by magnetic resonance imaging (17 studies, 6559 examinations) and radiography (10 studies, 7095 examinations). Heterogeneous appropriateness rates throughout single studies (0–100%), modalities, and body regions (17–95%) were found. Research on pediatric and outpatient imaging was sparse. Multicentric, methodologically robust and indication-oriented studies would strengthen appropriateness research in diagnostic imaging and help to develop reliable key performance indicators.

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American College of Radiology: ACR appropriateness criteria: overview. https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria/Overview (2022). Accessed 21 Jul 2022.

European Society of Radiology (ESR) (2019) Methodology for ESR iGuide content. Insights Imaging 10(1):32. https://doi.org/10.1186/s13244-019-0720-zCrossRef

Hofmann B, Andersen ER, Kjelle E (2021) Visualizing the invisible: invisible waste in diagnostic imaging. Healthcare. https://doi.org/10.3390/healthcare9121693CrossRefPubMedPubMedCentral

Hendee WR, Becker GJ, Borgstede JP et al (2010) Addressing overutilization in medical imaging. Radiology 257(1):240–245. https://doi.org/10.1148/radiol.10100063CrossRefPubMed

Rao VM, Levin DC (2012) The overuse of diagnostic imaging and the choosing wisely initiative. Ann Intern Med 157(8):574–576. https://doi.org/10.7326/0003-4819-157-8-201210160-00535CrossRefPubMed

OECD. Health at a Glance 2021. 2021.

Brown SD, Hardy SM, Bruno MA (2022) Rationing and disparities in health care: implications for radiology clinical practice guidelines. J Am Coll Radiol 19(1, Part A):84–89. https://doi.org/10.1016/j.jacr.2021.09.023CrossRefPubMed

Wintermark M, Rosenkrantz AB, Rezaii PG et al (2021) Predicted cost savings achieved by the radiology support, communication and alignment network from reducing medical imaging overutilization in the medicare population. J Am Coll Radiol 18(5):704–712. https://doi.org/10.1016/j.jacr.2020.12.011CrossRefPubMed

Jenkins HJ, Downie AS, Maher CG, Moloney NA, Magnussen JS, Hancock MJ (2018) Imaging for low back pain: is clinical use consistent with guidelines? A systematic review and meta-analysis. Spine J 18(12):2266–2277. https://doi.org/10.1016/j.spinee.2018.05.004CrossRefPubMed

10.

Hasenfuß G, Fölsch UR (2017) Klug entscheiden: Rationale, Umsetzung, Evaluation. Z Evid Fortbild Qual Gesundhwes 129:37–40. https://doi.org/10.1016/j.zefq.2017.10.011CrossRefPubMed

11.

Mildenberger P, Brady AP, Onur M et al (2020) Performance indicators for radiation protection management: suggestions from the European Society of Radiology. Insights Imaging 11(1):134. https://doi.org/10.1186/s13244-020-00923-1CrossRef

12.

Howlett DC, Law C, Brady AP et al (2020) The current status of radiological clinical audit and feedback on the ESR guide to clinical audit in radiology and the ESR clinical audit tool (Esperanto) – an ESR survey of European radiology departments. Insights Imaging 11(1):37. https://doi.org/10.1186/s13244-020-00843-0CrossRef

13.

ESR Esperanto (2019) The ESR guide to clinical audit and clinical audit tool. https://www.myesr.org/media/4136

14.

European Society of Radiology (ESR) (2018) The ESR audit tool (Esperanto): genesis, contents and pilot. Insights Imaging 9(6):899–903. https://doi.org/10.1007/s13244-018-0651-0CrossRef

15.

Peters MDJ, Marnie C, Tricco AC et al (2020) Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth 18(10):2119–2126. https://doi.org/10.11124/jbies-20-00167CrossRefPubMed

16.

Khalil H, Peters M, Godfrey CM, McInerney P, Soares CB, Parker D (2016) An evidence-based approach to scoping reviews. Worldviews Evid Based Nurs 13(2):118–123. https://doi.org/10.1111/wvn.12144CrossRefPubMed

17.

Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E (2018) Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol 18(1):143. https://doi.org/10.1186/s12874-018-0611-xCrossRefPubMedPubMedCentral

18.

Tricco AC, Lillie E, Zarin W et al (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 169(7):467–473. https://doi.org/10.7326/m18-0850CrossRefPubMed

19.

Cristofaro M, Busi Rizzi E, Schininà V, Chiappetta D, Angeletti C, Bibbolino C (2012) Appropriateness: analysis of outpatient radiology requests. Radiol Med 117(2):322–332. https://doi.org/10.1007/s11547-011-0725-2CrossRefPubMed

20.

Bertin CL, Ponthus S, Vivekanantham H, Poletti PA, Kherad O, Rutschmann OT (2019) Overuse of plain abdominal radiography in emergency departments: a retrospective cohort study. BMC Health Serv Res. https://doi.org/10.1186/s12913-019-3870-2CrossRefPubMedPubMedCentral

21.

Bouëtté A, Karoussou-Schreiner A, Ducou Le Pointe H et al (2019) National audit on the appropriateness of CT and MRI examinations in Luxembourg. Insights Imaging. https://doi.org/10.1186/s13244-019-0731-9CrossRefPubMedPubMedCentral

22.

Martins R, Raimundo P, Alves P et al (2020) Appropriateness of radiology test requests by an emergency department: a retrospective study. Acta Med Port 33(1):7–14. https://doi.org/10.20344/amp.12075CrossRefPubMed

23.

Vilar-Palop J, Hernandez-Aguado I, Pastor-Valero M, Vilar J, González-Alvarez I, Lumbreras B (2018) Appropriate use of medical imaging in two Spanish public hospitals: a cross-sectional analysis. BMJ Open. https://doi.org/10.1136/bmjopen-2017-019535CrossRefPubMedPubMedCentral

24.

Salman L, Edwards Y, Majeed M (2019) Adherence to diagnostic guidelines for suspected pulmonary embolism. Am J Respir Crit Care Med 199(9):A2006

25.

Hextrum S, Ortiz J, Hornik J, Rosenblum J, Bar B (2017) Emergent computed tomography angiography of intra-and extracranial vessels; ordering patterns and yield at a single institution. Ann Neurol 82(Supplement 21):S100. https://doi.org/10.1002/ana.25024CrossRef

26.

Gorey D, Umana E, Anderson T (2017) Emergency department: are we doing too many chest X-rays. Ir J Med Sci 186(6):S252. https://doi.org/10.1007/s11845-017-1629-5CrossRef

27.

Goiney C, Carlson B, Relyea-Chew A, Creutzfeldt C, Yuan C, Mossa-Basha M (2017) Imaging appropriateness criteria may guide effective use of CT angiography in acute stroke workup. Stroke 48(Supplement 1)

28.

Figar S, Findakly S, Wong C, Du L (2017) Retrospective audit of plain film imaging in acute ankle trauma: Are we choosing wisely? J Med Imaging Radiat Oncol 61(Supplement 1):149–150. https://doi.org/10.1111/1754-9485.12657CrossRef

29.

Ngo D, Leong K, Marks G, Somasundaram A, Richards J, Du L (2016) A single centre audit to assess clinical decision rules for imaging in suspected PE based on RANZCR guidelines. J Med Imaging Radiat Oncol 60(Supplement 1):13. https://doi.org/10.1111/17549485.12519CrossRef

30.

Kelleher K, Ahmed I (2016) An audit of abdominal x-rays; if their indications are appropriate, in particular for constipation, in a paediatric population. Ir J Med Sci 185(SUPPL. 5):S202–S203. https://doi.org/10.1007/s11845-016-1467-xCrossRef

31.

Cheng C, Brownlee R (2016) A review of computed tomography imaging requests in the emergency department-Are automated approval systems the answer or part of the problem? J Med Imaging Radiat Oncol 60(Supplement 1):14. https://doi.org/10.1111/17549485.12519CrossRef

32.

Bonner R, Barnewolt B, Halin N, Mostofi M (2016) Portable chest x-ray utilization in the emergency department. Acad Emerg Med 23(SUPPL. 1):S57. https://doi.org/10.1111/acem.12974CrossRef

33.

Beinvogl B, McSweeney M, Sabharwal S, Nurko S (2016) Abdominal radiographs: Appropriately used in the management of functional constipation in children? J Pediatr Gastroenterol Nutr 63(Supplement 2):S90. https://doi.org/10.1097/01.mpg.0000503536.79797.66CrossRef

34.

M Chew CY (2015) Clinical information supplied to radiologists, case note entries, and correlation with subsequent CT findings-A pilot study as part of a quality improvement project. J Med Imaging Radiat Oncol 59(SUPPL. 1):79. https://doi.org/10.1111/1754-9485.12397CrossRef

35.

Fujimoto J, Karlin D, Ma J (2015) Head imaging in the primary care setting: an analysis of ordering patterns, cost, and outcomes for minor head trauma, headaches, and migraines. J Investig Med 63(1):188. https://doi.org/10.1097/JIM.0000000000000133CrossRef

36.

Rupasinghe SN, Zikry MS, Marsden MR (2014) Making emergency CT more efficient out of hours: putting the surgeons in charge. Int J Surg 12(SUPPL. 3):S91CrossRef

37.

Kalsy N, Webb J (2014) Evaluation of the appropriateness of whole-body computer tomography (WBCT) in trauma patients in a tertiary trauma centre. Clin Radiol 69(SUPPL. 1):S23. https://doi.org/10.1016/j.crad.2014.05.097CrossRef

38.

Yang T, Assaad M, Ananthasubramaniam K (2013) Impact of implementing strategies to improve appropriate use of cardiac computed tomography angiography in clinical practice. J Cardiovasc Comput Tomogr 7(SUPPL. 3):S67–S68

39.

Friedrich GJ, Maeser C, Hommel H, Pachinger O (2013) The application of coronary computer tomography appropriateness criteria in clinical practice: a critical single center evaluation. Eur Heart J 34(SUPPL. 1):845

40.

Tang Y, Parai R, Pandya M, Patel L, Keller S (2012) Are clinicians following the ACG or ACR guidelines when suspecting acute pancreatitis? Am J Gastroenterol 107(SUPPL. 1):S110. https://doi.org/10.1038/ajg.2012.269CrossRef

41.

Saccoia L, Jones DN, Quinn S et al (2012) Reducing the inappropriate use of medical imaging in the emergency department: a NHRMC TRIP Fellowship Project. J Med Imaging Radiat Oncol 56(SUPPL. 1):4. https://doi.org/10.1111/j.1754-9485.2012.02422.xCrossRef

42.

Pollentine AA, Edey A, Chandratreya L (2012) Introducing a cardiac CT service - ensuring appropriate referrals and overcoming teething problems. Clin Radiol 67(SUPPL. 1):S18. https://doi.org/10.1016/j.crad.2012.06.093CrossRef

43.

Carpeggiani C, Morales MA, Marraccini P, Mazzarisi A, Picano E (2012) Inappropriateness of cardiovascular radiological imaging testing in a tertiary care referral center. Eur Heart J 33(SUPPL. 1):247. https://doi.org/10.1093/eurheartj/ehs281CrossRef

44.

Ajayi OO, Hussain S (2012) Is vetting CTPAs an appropriate use of radiologists’ time? Clin Radiol 67(SUPPL. 1):S2. https://doi.org/10.1016/j.crad.2012.06.003CrossRef

45.

Sidhu M, Uthamalingam S, Lumish H et al (2011) Adherence to the american college of cardiology foundation/society of cardiac computed tomography - 2010 appropriate use criteria guidelines by cardiologists in an academic tertiary health care institution. J Cardiovasc Comput Tomogr 5(4 SUPPL. 1):S31–S32

46.

Sheikh K, Belfi L, Baad M, Sanelli P (2011) Imaging of acute blunt cervical spine trauma based on ACR appropriateness criteria. Emerg Radiol 18(6):464. https://doi.org/10.1007/s10140-011-0991-2CrossRef

47.

Enterline D, Rowley H (2011) Evaluation of patients referred for neuroimaging: Which test and why? AJR Am J Roentgenol 196(5 SUPPL.):A226

48.

Sarai P, Sebepos-Rogers G, Mann SD (2010) CT pneumocolon in a district general hospital-is this test being used appropriately? Gut 59(Supplement 1):A121–A122. https://doi.org/10.1136/gut.2009.209007jCrossRef

49.

Atkinson L, Pratt S, Slevin T et al (2009) Towards appropriate use of diagnostic imaging in general practice. J Med Imaging Radiat Oncol 53(SPEC. ISS. 1):A76. https://doi.org/10.1111/j.1440-1673.2009.01209.xCrossRef

50.

Lee B, Mafi J, Patel MK et al (2021) Quality improvement time-saving intervention to increase use of a clinical decision support tool to reduce low-value diagnostic imaging in a safety net health system. BMJ Open Qual. https://doi.org/10.1136/bmjoq-2020-001076CrossRefPubMedPubMedCentral

51.

Krogh SB, Jensen TS, Rolving N et al (2021) Categorisation of lumbar spine MRI referrals in Denmark as compliant or non-compliant to international imaging guidelines: an inter-rater reliability study. Chiropr Man Ther. https://doi.org/10.1186/s12998-021-00370-9CrossRef

52.

Bottari G, Stellacci G, Ferorelli D et al (2021) Imaging appropriateness in pediatric radiology during COVID-19 pandemic: a retrospective comparison with No COVID-19 Period. Children. https://doi.org/10.3390/children8060463CrossRefPubMedPubMedCentral

53.

Costello JE, Shah LM, Peckham ME, Hutchins TA, Anzai Y (2020) Imaging appropriateness for neck pain. J Am Coll Radiol 17(5):584–589. https://doi.org/10.1016/j.jacr.2019.11.005CrossRefPubMed

54.

Poeran J, Mao LJ, Zubizarreta N et al (2019) Effect of clinical decision support on appropriateness of advanced imaging use among physicians-in-training. AJR Am J Roentgenol 212(4):859–866. https://doi.org/10.2214/AJR.18.19931CrossRefPubMed

55.

Ranta A, Weatherall M, Gommans J, Tilyard M, Odea D, Dovey S (2017) Appropriateness of general practitioner imaging requests for transient ischaemic attack patients: secondary analysis of a cluster randomised controlled trial. J Prim Health Care 9(2):131–135. https://doi.org/10.1071/HC17005CrossRefPubMed

56.

Sodhi KS, Krishna S, Saxena AK, Sinha A, Khandelwal N, Lee EY (2015) Clinical application of “Justification” and “Optimization” principle of ALARA in pediatric CT imaging: ‘How many children can be protected from unnecessary radiation?’ Eur J Radiol 84(9):1752–1757. https://doi.org/10.1016/j.ejrad.2015.05.030CrossRefPubMed

57.

van Schouwenburg F, Ackermann C, Pitcher R (2014) An audit of elective outpatient magnetic resonance imaging in a tertiary South African public-sector hospital. S Afr J Radiol. https://doi.org/10.4102/sajr.v18i1.689CrossRef

58.

Griffith JK, Borycki EM, Kushniruk AW (2014) Diagnostic imaging ordering practices: physician perspectives and implications for decision support. Healthc Q 17(2):62–70. https://doi.org/10.12927/hcq.2014.23876CrossRefPubMed

59.

Freeman R, Khanna S, Ricketts D (2013) Inappropriate requests for magnetic resonance scans of the shoulder. Int Orthop 37(11):2181–2184. https://doi.org/10.1007/s00264-013-1968-4CrossRefPubMedPubMedCentral

60.

Loughborough W (2012) Development of a plain radiograph requesting algorithm for patients presenting with acute abdominal pain. Quant Imaging Med Surg 2(4):239–244. https://doi.org/10.3978/j.issn.2223-4292.2012.09.06CrossRefPubMedPubMedCentral

61.

Nawaz M, Amin A, Qureshi AN, Jehanzeb M (2009) Audit of appropriateness and outcome of computed tomography brain scanning for headaches in paediatric age group. J Ayub Med Coll Abbottabad JAMC 21(1):91–93PubMed

62.

Morris-Stiff G, Stiff RE, Morris-Stiff H (2006) Abdominal radiograph requesting in the setting of acute abdominal pain: temporal trends and appropriateness of requesting. Ann R Coll Surg Engl 88(3):270–274. https://doi.org/10.1308/003588406X98586CrossRefPubMedPubMedCentral

63.

Lehnert BE, Bree RL (2010) 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 7(3):192–197. https://doi.org/10.1016/j.jacr.2009.11.010CrossRefPubMed

64.

Eddy K, Ednie A, Connell C, Eddy R, Eaton K, Mathieson J (2013) Appropriate use of CT and MRI in British Columbia. Br Columbia Med J 55(1):22–25

65.

Sattar A, Khan SA, Al-Qamari N, Adel H, Adil SO, Shafique K (2018) Appropriateness and clinical outcome of chest computed tomography without intravenous contrast: a study conducted in Pakistan. Respir Invest 56(4):342–348. https://doi.org/10.1016/j.resinv.2018.02.005CrossRef

66.

Fernandez M, Craig S (2019) Appropriateness of adult plain abdominal radiograph requesting in a regional emergency department. J Med Imaging Radiat Oncol 63(2):175–182. https://doi.org/10.1111/1754-9485.12847CrossRefPubMed

67.

Fouche PE, Jenkins LS, Vermeulen A (2020) Appropriateness of computed tomography and magnetic resonance imaging scans in a rural regional hospital in South Africa: a 6-year follow-up study. S Afr Med J 111(1):46–51. https://doi.org/10.7196/SAMJ.2020.V111I1.14860CrossRefPubMed

68.

Becker J, Jenkins LS, Swardt MD, Sayed R, Viljoen M (2014) Appropriateness of computed tomography and magnetic resonance imaging scans in the Eden and Central Karoo districts of the Western Cape Province, South Africa. S Afr Med J 104(11):762–765. https://doi.org/10.7196/SAMJ.8158CrossRefPubMed

69.

Glover M, Gottumukkala RV, Sanchez Y et al (2018) Appropriateness of extremity magnetic resonance imaging examinations in an academic emergency department observation unit. West J Emerg Med 19(3):467–473. https://doi.org/10.5811/westjem.2018.3.35463CrossRefPubMedPubMedCentral

70.

Kovacs FM, Arana E, Royuela A et al (2013) Appropriateness of lumbar spine magnetic resonance imaging in Spain. Eur J Radiol 82(6):1008–1014. https://doi.org/10.1016/j.ejrad.2013.01.017CrossRefPubMed

71.

Gómez-García JM, Gómez-Romero FJ, Arencibia-Jiménez M, Navarro-Gracia JF, Sánchez-Mollá M (2018) Appropriateness of magnetic resonance imaging requested by primary care physicians for patients with knee pain. Int J Qual Health Care 30(7):565–570. https://doi.org/10.1093/intqhc/mzy067CrossRefPubMed

72.

Ravindran V, Sennik D, Hughes RA (2007) Appropriateness of out-of-hours CT head scans. Emerg Radiol 13(4):181–185. https://doi.org/10.1007/s10140-006-0531-7CrossRefPubMed

73.

Guimarães LS, Fidler JL, Fletcher JG et al (2010) Assessment of appropriateness of indications for CT enterography in younger patients. Inflamm Bowel Dis 16(2):226–232. https://doi.org/10.1002/ibd.21025CrossRefPubMed

74.

Rao S, Rao S, Rincon S et al (2016) Assessment of pediatric neurotrauma imaging appropriateness at a level I pediatric trauma center. J Am Coll Radiol 13(7):788–793. https://doi.org/10.1016/j.jacr.2016.02.022CrossRefPubMed

75.

Piersson AD, Nunoo G, Gorleku PN (2018) An audit of clinical practice, referral patterns, and appropriateness of clinical indications for brain MRI examinations: a single-centre study in Ghana. Radiography 24(2):e25–e30. https://doi.org/10.1016/j.radi.2017.10.004CrossRefPubMed

76.

Hu-Wang E, Kureshi F, Leifer ES et al (2020) Comparison of professional medical society guidelines for appropriate use of coronary computed tomography angiography. J Cardiovasc Comput Tomogr 14(6):478–482. https://doi.org/10.1016/j.jcct.2020.01.014CrossRefPubMed

77.

Mazimba S, Grant N, Parikh A et al (2012) Comparison of the 2006 and 2010 cardiac CT appropriateness criteria in a real-world setting. J Am Coll Radiol 9(9):630–634. https://doi.org/10.1016/j.jacr.2012.04.016CrossRefPubMed

78.

De Filippo M, Corsi A, Evaristi L et al (2011) Critical issues in radiology requests and reports. Radiol Med 116(1):152–162. https://doi.org/10.1007/s11547-010-0587-zCrossRefPubMed

79.

Linscott LL, Kessler MM, Kitchin DR et al (2013) CT for pediatric, acute, minor head trauma: clinician conformity to published guidelines. AJNR Am J Neuroradiol 34(6):1252–1256. https://doi.org/10.3174/ajnr.A3366CrossRefPubMedPubMedCentral

80.

Vanderby S, Badea A, Peña Sánchez JN, Kalra N, Babyn P (2018) A day in the life of MRI: the variety and appropriateness of exams being performed in Canada. Can Assoc Radiol J 69(2):151–161. https://doi.org/10.1016/j.carj.2017.05.002CrossRefPubMed

81.

Gorleku PN, Dzefi-Tettey K, Edzie EKM et al (2021) The degree and appropriateness of computed tomography utilization for diagnosis of headaches in Ghana. Heliyon. https://doi.org/10.1016/j.heliyon.2021.e06722CrossRefPubMedPubMedCentral

82.

Crowell MS, Dedekam EA, Johnson MR, Dembowski SC, Westrick RB, Goss DL (2016) Diagnostic imaging in a direct-access sports physical therapy clinic: a 2-year retrospective practice analysis. Int J Sports Phys Ther 11(5):708–717PubMedPubMedCentral

83.

Tahvonen P, Oikarinen H, Tervonen O (2020) The effect of interventions on appropriate use of lumbar spine radiograph and CT examinations in young adults and children: a three-year follow-up. Acta Radiol 61(8):1042–1049. https://doi.org/10.1177/0284185119893091CrossRefPubMed

84.

Richards PJ, Tins B, Cherian R et al (2002) The emergency department: an appropriate referral rate for radiography. Clin Radiol 57(8):753–758. https://doi.org/10.1053/crad.2002.0970CrossRefPubMed

85.

Sheikh K, Belfi LM, Sharma R, Baad M, Sanelli PC (2012) Evaluation of acute cervical spine imaging based on ACR appropriateness criteria®. Emerg Radiol 19(1):11–17. https://doi.org/10.1007/s10140-011-0994-zCrossRefPubMed

86.

Miller JA, Raichlin E, Williamson EE et al (2010) Evaluation of coronary CTA appropriateness criteria® in an academic medical center. J Am Coll Radiol 7(2):125–131. https://doi.org/10.1016/j.jacr.2009.08.013CrossRefPubMed

87.

Ryan JW, Hollywood A, Stirling A, Glynn M, MacMahon PJ, Bolster F (2019) Evidenced-based radiology? A single-institution review of imaging referral appropriateness including monetary and dose estimates for inappropriate scans. Ir J Med Sci 188(4):1385–1389. https://doi.org/10.1007/s11845-019-02005-8CrossRefPubMed

88.

Pistolese CA, Ciarrapico AM, Della Gatta F, Simonetti G (2013) Inappropriateness of breast imaging: cost analysis. Radiol Med 118(6):984–994. https://doi.org/10.1007/s11547-013-0948-5CrossRefPubMed

89.

Squillaci E, Bolacchi F, Scaggiante J et al (2017) Inappropriateness of diagnostic imaging examinations in the inpatient setting: a case study research. Radiol Med (Torino) 122(3):221–227. https://doi.org/10.1007/s11547-016-0708-4CrossRefPubMed

90.

Mustard CA, McClarty BM, MacEwan DW (1994) The influence of referral protocols on the utilization of magnetic resonance imaging: evidence from Manitoba. Can Assoc Radiol J 45(2):117–123PubMed

91.

Rao S, Rao S, Harvey HB, Avery L, Saini S, Prabhakar AM (2015) Low back pain in the emergency department - Are the ACR appropriateness criteria being followed? J Am Coll Radiol 12(4):364–369. https://doi.org/10.1016/j.jacr.2014.10.020CrossRefPubMed

92.

Tambe J, Mbuagbaw L, Nguefack-Tsague G, Foyet J, Ongolo-Zogo P (2020) Multidetector computed tomography utilization in an urban sub-Saharan Africa setting: user characteristics, indications and appropriateness. Pan Afr Med J 37:1–12. https://doi.org/10.11604/pamj.2020.37.42.21176CrossRef

93.

Hadley JL, Agola J, Wong P (2006) Potential impact of the American College of Radiology appropriateness criteria on CT for trauma. AJR Am J Roentgenol 186(4):937–942. https://doi.org/10.2214/AJR.05.0041CrossRefPubMed

94.

Linder R, Horenkamp-Sonntag D, Engel S, Schneider U, Verheyen F (2016) Quality assurance using routine data: overdiagnosis by radiological imaging for back pain. Dtsch Med Wochenschr 141(10):e96–e103. https://doi.org/10.1055/s-0042-101467CrossRefPubMed

95.

Krug B, Boettge M, Reineke T et al (2003) Quality control of outpatient imaging examinations in North Rhine-Westphalia, part II. Rofo 175(3):346–360. https://doi.org/10.1055/s-2003-37823CrossRefPubMed

96.

Klein RP, Velan G, Moscova M, Young N, Shetty A (2021) Quality use of diagnostic imaging in trauma, and the impact on emergency medical practice-a retrospective clinical audit. Emerg Radiol. https://doi.org/10.1007/s10140-021-01921-6CrossRefPubMed

97.

Gottlieb RH, Hollenberg GM, Fultz PJ, Rubens DJ (1997) Radiologic consultation: effect on inpatient diagnostic imaging evaluation in a teaching hospital. Acad Radiol 4(3):217–221. https://doi.org/10.1016/S1076-6332(05)80294-6CrossRefPubMed

98.

Griffith B, Kelly M, Vallee P et al (2013) Screening cervical spine CT in the emergency department, phase 2: a prospective assessment of use. AJNR Am J Neuroradiol 34(4):899–903. https://doi.org/10.3174/ajnr.A3306CrossRefPubMedPubMedCentral

99.

Griffith B, Vallee P, Krupp S et al (2014) Screening cervical spine CT in the emergency department, phase 3: Increasing effectiveness of imaging. J Am Coll Radiol 11(2):139–144. https://doi.org/10.1016/j.jacr.2013.05.026CrossRefPubMed

100.

Oikarinen H, Karttunen A, Pääkkö E, Tervonen O (2013) Survey of inappropriate use of magnetic resonance imaging. Insights Imaging 4(5):729–733. https://doi.org/10.1007/s13244-013-0276-2CrossRefPubMedPubMedCentral

101.

Bianco A, Zucco R, Lotito F, Pavia M (2018) To what extent do hospitalised patients receive appropriate CT and MRI scans? Results of a cross-sectional study in Southern Italy. BMJ Open. https://doi.org/10.1136/bmjopen-2017-018125CrossRefPubMedPubMedCentral

102.

Bami K, Premaratne M, Lamba J et al (2017) Appropriate use criteria for cardiac computed tomography: impact on diagnostic utility. J Comput Assisted Tomogr 41(5):746–749. https://doi.org/10.1097/RCT.0000000000000594CrossRef

103.

Remedios D, Drinkwater K, Warwick R (2014) The clinical radiology audit committee TRCoRL. National audit of appropriate imaging. Clin Radiol 69(10):1039–1044CrossRefPubMed

104.

Gardiner FW, Zhai S (2016) Are all after-hours diagnostic imaging appropriate? An Australian Emergency Department pilot study. Ann Med Surg 12:75–78CrossRef

105.

Emery DJ, Shojania KG, Forster AJ, Mojaverian N, Feasby TE (2013) Overuse of magnetic resonance imaging. JAMA Intern Med 173(9):823–825CrossRefPubMed

106.

Baker M, Jaeger C, Hafley C, Waymack J (2020) Appropriate CT cervical spine utilisation in the emergency department. BMJ Open Qual 9(4):e000844

107.

Hammer M, Mian M, Elhadad L, Li M, Roifman I (2021) Appropriate utilization of cardiac computed tomography for the assessment of stable coronary artery disease. BMC Cardiovasc Disord 21(1):154

108.

Joanna Briggs Institute (2013) JBI levels of evidence: levels of evidence for effectiveness. https://jbi.global/sites/default/files/2019-05/JBI-Levels-of-evidence_2014_0.pdf. Accessed 04 Nov 2022

109.

Geijer H, Geijer M (2018) Added value of double reading in diagnostic radiology, a systematic review. Insights Imaging 9(3):287–301. https://doi.org/10.1007/s13244-018-0599-0CrossRefPubMedPubMedCentral

110.

Pow RE, Mello-Thoms C, Brennan P (2016) Evaluation of the effect of double reporting on test accuracy in screening and diagnostic imaging studies: a review of the evidence. J Med Imaging Radiat Oncol 60(3):306–314. https://doi.org/10.1111/1754-9485.12450CrossRefPubMed

111.

Shea BJ, Reeves BC, Wells G et al (2017) AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ 358:j4008. https://doi.org/10.1136/bmj.j4008CrossRefPubMedPubMedCentral

112.

O’Connor C, Joffe H (2020) Intercoder reliability in qualitative research: debates and practical guidelines. Int J Qual Methods 19:1609406919899220. https://doi.org/10.1177/1609406919899220CrossRef

113.

Waffenschmidt S, Knelangen M, Sieben W, Bühn S, Pieper D (2019) Single screening versus conventional double screening for study selection in systematic reviews: a methodological systematic review. BMC Med Res Methodol 19(1):132. https://doi.org/10.1186/s12874-019-0782-0CrossRefPubMedPubMedCentral

114.

Kahn KL, Park RE, Vennes J, Brook RH (1992) Assigning appropriateness ratings for diagnostic upper gastrointestinal endoscopy using two different approaches. Med Care 30(11):1016–1028CrossRefPubMed

115.

Bami K, Premaratne M, Lamba J et al (2017) Appropriate use criteria for cardiac computed tomography: impact on diagnostic utility. J Comput Assist Tomogr 41(5):746–749. https://doi.org/10.1097/rct.0000000000000594CrossRefPubMed

116.

Blachar A, Tal S, Mandel A et al (2006) Preauthorization of CT and MRI examinations: assessment of a managed care preauthorization program based on the ACR appropriateness criteria® and the royal college of radiology guidelines. J Am Coll Radiol 3(11):851–859. https://doi.org/10.1016/j.jacr.2006.04.005CrossRefPubMed

117.

Bizzo BC, Almeida RR, Michalski MH, Alkasab TK (2019) Artificial intelligence and clinical decision support for radiologists and referring providers. J Am Coll Radiol 16(9):1351–1356. https://doi.org/10.1016/j.jacr.2019.06.010CrossRefPubMed

118.

Doyle J, Abraham S, Feeney L, Reimer S, Finkelstein A (2019) Clinical decision support for high-cost imaging: a randomized clinical trial. PLoS One 14(3):e0213373. https://doi.org/10.1371/journal.pone.0213373CrossRefPubMedPubMedCentral

Title: Measuring appropriateness of diagnostic imaging: a scoping review
Authors: Felix Walther
Maria Eberlein-Gonska
Ralf-Thorsten Hoffmann
Jochen Schmitt
Sophia F. U. Blum
Publication date: 01-12-2023
Publisher: Springer Vienna
Keywords: Computed Tomography
Computed Tomography
Published in: Insights into Imaging / Issue 1/2023
Electronic ISSN: 1869-4101
DOI: https://doi.org/10.1186/s13244-023-01409-6

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Measuring appropriateness of diagnostic imaging: a scoping review

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