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[评估放射影像:两倍剂量就总是更好吗?]

[Assessing radiological images: is twice always better?].

作者信息

Mostard Rémy L M, Zijlstra Wierd P

机构信息

Zuyderland Medisch Centrum, afd. Longgeneeskunde, Heerlen.

Contact: Rémy L.M. Mostard (

出版信息

Ned Tijdschr Geneeskd. 2022 Dec 22;167:D6281.

Abstract

In current practice, radiological diagnostics are often assessed by both the referring clinician as well as the radiologist. Specific medical specialists like pulmonologists and orthopaedic surgeons make treatment decisions mostly on their own expertise and interpretation of radiological images, before the radiological report is available. For health care as a whole, a single assessment gives efficiency gains, and the radiologist is not disturbed by getting rid of 'bulk' and can focus on the more complex matter in which he or she is indispensable. Regular multidisciplinary meetings may serve to jointly assess images about which there is ambiguity. Combining clinical information and radiological expertise then leads to optimisation of both quality and efficiency. It makes sense and is efficient to have clinicians with specific radiological expertise, such as pulmonologists and orthopaedists, assess certain radiological examinations independently, allowing the radiologist to concentrate on more complex imaging.

摘要

在当前的医疗实践中,放射诊断通常由转诊的临床医生和放射科医生共同评估。像肺科医生和骨科医生这样的特定医学专家,在获得放射学报告之前,大多根据自己的专业知识和对放射影像的解读来做出治疗决策。对于整个医疗保健系统而言,单一评估能提高效率,放射科医生摆脱了“大量”工作的干扰,能够专注于自身不可或缺的更复杂事务。定期的多学科会议可用于共同评估存在歧义的影像。将临床信息与放射学专业知识相结合,进而实现质量和效率的优化。让具有特定放射学专业知识的临床医生,如肺科医生和骨科医生,独立评估某些放射学检查是合理且高效的,这样能使放射科医生专注于更复杂的影像诊断。

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