Levin D C, Matteucci T
Department of Radiology, Jefferson Medical College, Philadelphia, PA.
Radiology. 1990 Aug;176(2):321-4. doi: 10.1148/radiology.176.2.2367646.
A survey of nonacademic community hospitals was conducted to ascertain the degree of control radiologists have of 38 selected imaging or imaging-related interventional procedures. Responses from 187 hospitals showed that community hospital radiologists totally controlled or strongly dominated almost half of these procedures, including all computed tomographic and magnetic resonance imaging studies, bone radiography, breast needle localization, emergency department radiography, arthrography, obstetric ultrasound (US), renal and peripheral angioplasty, percutaneous abscess and biliary drainage, percutaneous nephrostomy, cerebral angiography, and interventional neuroangiography. Radiologists dominated in prostate and vascular US, myelography, urethrography, cardiac nuclear medicine, percutaneous lung biopsy, ureteral stent placement, and pulmonary angiography, but there was also significant participation in these studies by nonradiologists. Radiologists and nonradiologists had roughly equivalent roles in hysterosalpingography, peripheral atherectomy and laser angioplasty, and percutaneous inferior vena cava filter placement. Nonradiologists dominated in echocardiography, endoscopic retrograde cholangiopancreatography, biliary and kidney stone lithotripsy, percutaneous gastrostomy, coronary angiography and angioplasty, and pediatric angiocardiography.
对非学术性社区医院进行了一项调查，以确定放射科医生对38种选定的成像或与成像相关的介入程序的控制程度。187家医院的回复表明，社区医院的放射科医生完全控制或强烈主导了几乎一半的这些程序，包括所有计算机断层扫描和磁共振成像研究、骨放射摄影、乳腺针定位、急诊科放射摄影、关节造影、产科超声（US）、肾和外周血管成形术、经皮脓肿和胆道引流、经皮肾造瘘术、脑血管造影和介入神经血管造影。放射科医生在前列腺和血管超声、脊髓造影、尿道造影、心脏核医学、经皮肺活检、输尿管支架置入和肺血管造影方面占主导地位，但非放射科医生在这些研究中也有显著参与。放射科医生和非放射科医生在子宫输卵管造影、外周动脉粥样硬化切除术和激光血管成形术以及经皮下腔静脉滤器置入方面的作用大致相当。非放射科医生在超声心动图、内镜逆行胰胆管造影、胆结石和肾结石碎石术、经皮胃造瘘术、冠状动脉造影和血管成形术以及儿科心血管造影方面占主导地位。
