DiPiro Pamela J, Krajewski Katherine M, Giardino Angela A, Braschi-Amirfarzan Marta, Ramaiya Nikhil H
Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA.; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA.
Korean J Radiol. 2017 Jan-Feb;18(1):18-27. doi: 10.3348/kjr.2017.18.1.18. Epub 2017 Jan 5.
The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners.
本文的目的是描述精准医学时代的各种放射学会诊模式。自我们这个专业创立以来，放射科医生一直担任各学科医生的顾问。文献中描述了多种放射学会诊服务，包括临床决策支持、以患者为中心、亚专业解读和/或这些的某种组合。特别是在肿瘤护理中，病例的复杂性往往需要与临床提供者进行开放的对话。为了探讨放射学会诊服务在学术环境中的效用和影响，本文将进一步描述现有的会诊模式以及促使其发展的情况。讨论了在我们三级癌症中心取得成功的混合模式。此外，还回顾了放射科顾问医生在乳腺癌护理中的贡献，作为向肿瘤学从业者提供的放射学会诊服务的典型。
