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Thu Oct 15 02:05:48 BST 2009

From: KMATTOX at aol.com
>... There is NO question that far too many CTs are being ordered. There is NO question that many physicians who order CTs only review the reports and not the actual image. There is NO question that many over readings and terminology to cover ones backside are often cited on many images. There is NO question that initial readings are frequently re-written after further review and the original dictation mysteriously disappears.

--> Interesting points.

Although, as I have recently stated, we do use a polytrauma CT guideline based upon mechanism of injury and other parameters, we try to be careful not to follow it blindly. The avoidance of over-imaging/investigation is a major hobby (and for some a source of pride) here in the UK, as I am sure many know. Must admit that I am one of those who try to dabble in this hobby, so it would be useful to have high quality evidence to back up these statements.

The report mentioned in this thread does not demonstrate these particular issues in itself.

Has anyone out there got links to useful research which demonstrates these?

Thanks in advance.

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