Department of Emergency Medicine, Sinop Atatürk State Hospital, Sinop, Turkey.
Department of Emergency Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Med Sci Monit. 2019 Sep 2;25:6587-6597. doi: 10.12659/MSM.918381.
BACKGROUND Increased use of radiological imaging in all departments of medicine, especially in the Emergency Department, requires that physicians have a high level of knowledge regarding commonly used imaging methods and high awareness of the risks of examinations. MATERIAL AND METHODS The physicians were divided into 5 groups according to their specialties as emergency medicine physicians (EMPs), physicians from any specialty of internal sciences, physicians from any specialty of surgical sciences, general practitioners (GPs), and radiologists. A total of 700 physicians answered the questionnaire via email. RESULTS 15.7% of EMPs reported that they did not routinely perform any risk assessment before requesting computed tomography (CT); the rate was 17.9% for direct radiography and 29.3% for magnetic resonance imaging (MRI). The proportions of physicians who do not routinely perform risk assessments for direct radiography, CT, and MRI were as follows: 16.4%, 8.6%, and 19.3% in physicians from medical sciences, respectively; 25%, 22.9%, and 35% in physicians from surgical sciences, respectively; 24.3%, 14.3%, and 37.1% in GPs, respectively; and 27.1%, 22.1% and 37.1% in radiologists, respectively. In all radiological examinations, 1.4% of EMPs and ≤1.4% of other physicians routinely explain the risks associated with the imaging method to the patients, and discuss the risks and benefits of the imaging with the patients. CONCLUSIONS All physicians, including EMPs, need to undergo urgent training to increase their knowledge on risks of imaging methods and discussion of existing risks with patients.
放射影像学在医学各科室中的应用日益增多，尤其是在急诊科，这要求医生对常用影像学方法有较高的了解，并高度意识到检查的风险。
根据专业将医生分为 5 组，分别为急诊医生（EMP）、内科各专业医生、外科各专业医生、全科医生（GP）和放射科医生。共有 700 名医生通过电子邮件回答了问卷。
15.7%的 EMP 报告称，在要求进行计算机断层扫描（CT）检查之前，他们没有常规进行任何风险评估；直接放射摄影的比例为 17.9%，磁共振成像（MRI）的比例为 29.3%。不常规进行直接放射摄影、CT 和 MRI 风险评估的医生比例如下：医学科学的医生分别为 16.4%、8.6%和 19.3%；外科科学的医生分别为 25%、22.9%和 35%；全科医生分别为 24.3%、14.3%和 37.1%；放射科医生分别为 27.1%、22.1%和 37.1%。在所有放射学检查中，1.4%的 EMP 和 ≤1.4%的其他医生常规向患者解释影像学方法相关的风险，并与患者讨论影像学的风险和获益。
所有医生，包括 EMP，都需要接受紧急培训，以提高他们对影像学方法风险的认识，并与患者讨论现有风险。
