Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies
OBJECTIVES: Published literature on justification of computed tomography (CT) examinations in Europe is sparse but demonstrates consistent sub-optimal application. As part of the EU initiated CT justification project, this work set out to capture CT justification practices across Europe. METHODS: An...
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ftpubmed:oai:pubmedcentral.nih.gov:9684387 2023-05-15T16:48:41+02:00 Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies Foley, Shane J. Bly, Ritva Brady, Adrian P. Ebdon-Jackson, Steve Karoussou-Schreiner, Alexandra Hierath, Monika Sosna, Jacob Brkljačić, Boris 2022-11-22 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684387/ http://www.ncbi.nlm.nih.gov/pubmed/36417017 https://doi.org/10.1186/s13244-022-01325-1 en eng Springer Vienna http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684387/ http://www.ncbi.nlm.nih.gov/pubmed/36417017 http://dx.doi.org/10.1186/s13244-022-01325-1 © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . CC-BY Insights Imaging Original Article Text 2022 ftpubmed https://doi.org/10.1186/s13244-022-01325-1 2022-11-27T01:58:15Z OBJECTIVES: Published literature on justification of computed tomography (CT) examinations in Europe is sparse but demonstrates consistent sub-optimal application. As part of the EU initiated CT justification project, this work set out to capture CT justification practices across Europe. METHODS: An electronic questionnaire consisting of mostly closed multiple-choice questions was distributed to national competent authorities and to presidents of European radiology societies in EU member states as well as Iceland, Norway, Switzerland, and the UK (n = 31). RESULTS: Fifty-one results were received from 30 European countries. Just 47% (n = 24) stated that advance justification of individual CT examinations is performed by a medical practitioner. Radiologists alone mostly (n = 27, 53%) perform daily justification of CT referrals although this is a shared responsibility in many countries. Imaging referral guidelines are widely available although just 13% (n = 6) consider them in daily use. Four countries (Cyprus, Ireland, Sweden, UK) reported having them embedded within clinical decision support systems. Justification of new practices with CT is mostly regulated (77%) although three countries (Belgium, Iceland and Portugal) reported not having any national system in place for generic justification. Health screening with CT was reported by seven countries as part of approved screening programmes and by eight countries outside. When performed, CT justification audits were reported to improve CT justification rates. CONCLUSIONS: CT justification practices vary across Europe with less than 50% using advance justification and a minority having clinical decision support systems in place. CT for health screening purposes is not currently widely used in Europe. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13244-022-01325-1. Text Iceland PubMed Central (PMC) Norway Insights into Imaging 13 1 |
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Original Article Foley, Shane J. Bly, Ritva Brady, Adrian P. Ebdon-Jackson, Steve Karoussou-Schreiner, Alexandra Hierath, Monika Sosna, Jacob Brkljačić, Boris Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies |
topic_facet |
Original Article |
description |
OBJECTIVES: Published literature on justification of computed tomography (CT) examinations in Europe is sparse but demonstrates consistent sub-optimal application. As part of the EU initiated CT justification project, this work set out to capture CT justification practices across Europe. METHODS: An electronic questionnaire consisting of mostly closed multiple-choice questions was distributed to national competent authorities and to presidents of European radiology societies in EU member states as well as Iceland, Norway, Switzerland, and the UK (n = 31). RESULTS: Fifty-one results were received from 30 European countries. Just 47% (n = 24) stated that advance justification of individual CT examinations is performed by a medical practitioner. Radiologists alone mostly (n = 27, 53%) perform daily justification of CT referrals although this is a shared responsibility in many countries. Imaging referral guidelines are widely available although just 13% (n = 6) consider them in daily use. Four countries (Cyprus, Ireland, Sweden, UK) reported having them embedded within clinical decision support systems. Justification of new practices with CT is mostly regulated (77%) although three countries (Belgium, Iceland and Portugal) reported not having any national system in place for generic justification. Health screening with CT was reported by seven countries as part of approved screening programmes and by eight countries outside. When performed, CT justification audits were reported to improve CT justification rates. CONCLUSIONS: CT justification practices vary across Europe with less than 50% using advance justification and a minority having clinical decision support systems in place. CT for health screening purposes is not currently widely used in Europe. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13244-022-01325-1. |
format |
Text |
author |
Foley, Shane J. Bly, Ritva Brady, Adrian P. Ebdon-Jackson, Steve Karoussou-Schreiner, Alexandra Hierath, Monika Sosna, Jacob Brkljačić, Boris |
author_facet |
Foley, Shane J. Bly, Ritva Brady, Adrian P. Ebdon-Jackson, Steve Karoussou-Schreiner, Alexandra Hierath, Monika Sosna, Jacob Brkljačić, Boris |
author_sort |
Foley, Shane J. |
title |
Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies |
title_short |
Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies |
title_full |
Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies |
title_fullStr |
Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies |
title_full_unstemmed |
Justification of CT practices across Europe: results of a survey of national competent authorities and radiology societies |
title_sort |
justification of ct practices across europe: results of a survey of national competent authorities and radiology societies |
publisher |
Springer Vienna |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684387/ http://www.ncbi.nlm.nih.gov/pubmed/36417017 https://doi.org/10.1186/s13244-022-01325-1 |
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Norway |
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Norway |
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Iceland |
genre_facet |
Iceland |
op_source |
Insights Imaging |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684387/ http://www.ncbi.nlm.nih.gov/pubmed/36417017 http://dx.doi.org/10.1186/s13244-022-01325-1 |
op_rights |
© The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
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https://doi.org/10.1186/s13244-022-01325-1 |
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Insights into Imaging |
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