Levin D C, Matteucci T
Department of Radiology, Jefferson Medical College and Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Radiology. 1989 Mar;170(3 Pt 1):879-81. doi: 10.1148/radiology.170.3.2916047.
Survey data were collected in 1987 from 198 academic radiology departments in North America to determine the degree to which radiologists are responsible for 32 imaging or imaging-related interventional procedures. The 32 were chosen because they were thought to be potential sources of conflict with nonradiology clinicians. The data reveal that academic radiologists either totally control or strongly dominate bone and breast radiography, percutaneous lung biopsy, percutaneous genitourinary and biliary tract interventional procedures, abscess drainages guided with computed tomography (CT) or ultrasound (US), both peripheral and renal angioplasty, pulmonary angiography, all of neuroradiology, all of CT, and all of magnetic resonance imaging. Radiologists have a dominant role in obstetric US, percutaneous inferior vena cava filter placement, and urethrography, although there is significant participation by nonradiologists in these studies. Radiologists and nonradiologists have roughly equivalent roles in vascular US and hysterosalpingography. Nonradiologists have the dominant roles in percutaneous gastrostomy, endoscopic retrograde cholangiopancreatography, kidney stone lithotripsy, coronary angiography and angioplasty, pediatric angiocardiography, and echocardiography.
1987年，从北美198个学术放射科收集了调查数据，以确定放射科医生对32种成像或与成像相关的介入程序的负责程度。选择这32种程序是因为它们被认为是与非放射科临床医生产生冲突的潜在根源。数据显示，学术放射科医生完全控制或强烈主导骨与乳腺放射成像、经皮肺活检、经皮泌尿生殖系统和胆道介入程序、计算机断层扫描（CT）或超声（US）引导下的脓肿引流、外周血管和肾血管成形术、肺血管造影、所有神经放射学、所有CT以及所有磁共振成像。放射科医生在产科超声、经皮下腔静脉滤器置入和尿道造影中起主导作用，尽管非放射科医生在这些检查中也有大量参与。放射科医生和非放射科医生在血管超声和子宫输卵管造影中的作用大致相当。非放射科医生在经皮胃造口术、内镜逆行胰胆管造影、肾结石碎石术、冠状动脉造影和血管成形术、儿科心血管造影和超声心动图中起主导作用。
