Mall J C, Bekerman C, Hoffer P B, Gottschalk A
Radiology. 1976 Feb;118(2):323-8. doi: 10.1148/118.2.323.
Radiographic bone surveys and radionuclide images, the principal methods of detection of skeletal metastases, have traditionally been treated as separate entities. Since their interpretation is reltaed, we attempted to determine the practicability of a unified radiological approach which employs both methods. All consultation requests for "skeletal surveys" or bone scans were reviewed, and an appropriate examination was "tailored" for each patient. During the inital four-month period, 141 patients were examined. Comparison of the final "tailored" examination with the original consultation request indicated that, without radiological guidance, excessive (18%), and inappropriate or inadequate (27%) examinations were ordered in many cases. The unified approach has proven to be feasible and desirable, resulting in a significant reduction of inappropriate examinations.
放射学骨扫描和放射性核素成像，作为检测骨转移瘤的主要方法，传统上被视为相互独立的检查手段。鉴于二者的解读存在相关性，我们试图确定一种将这两种方法结合使用的统一放射学方法的实用性。我们对所有“骨扫描”或骨显像的会诊申请进行了审查，并为每位患者“量身定制”了合适的检查。在最初的四个月期间，对141名患者进行了检查。将最终的“量身定制”检查结果与最初的会诊申请进行比较发现，在许多情况下，如果没有放射学指导，会开出过多（18%）、不适当或不充分（27%）的检查。事实证明，这种统一的方法是可行且可取的，可显著减少不适当的检查。
