MRI Brain: Atrophy or ischemic changes in the elderly. Clinical indicator | definition of clinical indicator by Medical dictionary This is often included in the radiology report at the beginning or top of the report. J Am Coll Radiol 11(9):844845, Wickramarachchi BN, Meyer-Rochow GY, McAnulty K, Conaglen JV, Elston MS (2016) Adherence to adrenal incidentaloma guidelines is influenced by radiology report recommendations. What is clinical correlation and what do these words signify when a radiologist includes them in their report? Radiotracer uptake on a bone scan in a pattern not consistent with metastatic disease Is there a recent history of trauma (healing fracture) or an underlying metabolic bone disorder to account for the atypical abnormal uptake. clinical indicator: a measure, process, or outcome used to judge a particular clinical situation and indicate whether the care delivered was appropriate. and A.B.) Results of a national survey. AJR Am J Roentgenol 208(1):140143, Khorasani R, Bates DW, Teeger S, Rothschild JM, Adams DF, Seltzer SE (2003) Is terminology used effectively to convey diagnostic certainty in radiology reports? The included documents comprised the guidelines from RANZCR [7], the UK Royal College of Radiologists (RCR) [13], the ACR [6], the Canadian Association of Radiologists (CAR) [16], the Hong Kong College of Radiologists (HKCR) [14] and the European Society of Radiology (ESR) [15]. We will frequently call things nonspecific, which means it is not specific to any one entity, and narrowing down the underlying pathology can only be assessed clinically. In the preceding essay, I talked about inappropriate words and phrases that create ambiguity or worse. Indication: 1. We included all guidelines for communication of diagnostic imaging results created and published by a radiology professional body or a national member organisation and available in English. Do not code related signs and symptoms as additional diagnoses. 1). 70 -80% of cases of DCIS on MRI . In medicine, a condition which makes a particular treatment or procedure advisable. An intravenous pyelogram lets your doctor view your kidneys, your bladder and the tubes that carry urine from your kidneys to your bladder (ureters). Review the clinical indications to determine if those conditions listed in the impression are related to the exam, or unrelated incidental findings for the exam ordered. Online access to your health records may help you make more informed decisions about your healthcare. Proc SIGCHI Conf Hum Factor Comput Syst 2017:52455256, Gunn AJ, Gilcrease-Garcia B, Mangano MD, Sahani DV, Boland GW, Choy G (2017) JOURNAL CLUB: structured feedback from patients on actual radiology reports: a novel approach to improve reporting practices. One of the key benefits of clinical correlation is that it helps to ensure that clinical decisions are based on the analysis of evidence. Lancet 357(9266):14061409, Hall WB, Truitt SG, Scheunemann LP et al (2009) The prevalence of clinically relevant incidental findings on chest computed tomographic angiograms ordered to diagnose pulmonary embolism. Additionally, careful review of the clinical indications will help determine whether or not certain conditions mentioned in the findings section, or in the impression, are clinically significant or simply incidental findings. For example, an X-ray of the chest may show a nodule or spot in the lung. By analyzing clinical data, acquiring more data when relevant, and identifying any patterns or relationships that may exist, clinicians can make better-informed decisions and provide better care to their patients. Monash Department of Clinical Epidemiology, Cabrini Institute, 4 Drysdale St, Malvern, VIC, 3144, Australia, Caitlin I. We performed a scoping review of English-language diagnostic imaging reporting guidelines.
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