Introducing legislative fiats into clinical medicine should not be done lightly, but can be effective in reducing overutilization, according to an editorial published in the Journal of the American Medical Association.
Introducing legislative fiats into clinical medicine should not be done lightly, but can be effective in reducing overutilization, according to an editorial published in the Journal of the American Medical Association (2010;304:208-209).
Alternatives such as tort reform and payment system reform should be considered in parallel, but the issues of quality control and overprescribing in medical imaging need to be addressed and legislation is best suited to do that, said the authors. David Brenner, Ph.D., from the Center for Radiological Research at Columbia University, and Dr. Hedvig Hricak, from the radiology department at Memorial Sloan-Kettering Cancer Center in New York and current president of the RSNA, wrote the editorial.
“Voluntary standards have not been ineffective, but the positive mammography experience in transitioning from voluntary to mandatory standards demonstrates that legislation can be much more effective in improved quality control,” they wrote.
Therefore, legislation would reduce the current high level of medically unwarranted imaging studies, they said.
MRI-Based AI Radiomics Model Offers 'Robust' Prediction of Perineural Invasion in Prostate Cancer
July 26th 2024A model that combines MRI-based deep learning radiomics and clinical factors demonstrated an 84.8 percent ROC AUC and a 92.6 percent precision-recall AUC for predicting perineural invasion in prostate cancer cases.
Breast MRI Study Examines Common Factors with False Negatives and False Positives
July 24th 2024The absence of ipsilateral breast hypervascularity is three times more likely to be associated with false-negative findings on breast MRI and non-mass enhancement lesions have a 4.5-fold likelihood of being linked to false-positive results, according to new research.
Can Polyenergetic Reconstruction Help Resolve Streak Artifacts in Photon Counting CT?
July 22nd 2024New research looking at photon-counting computed tomography (PCCT) demonstrated significantly reduced variation and tracheal air density attenuation with polyenergetic reconstruction in contrast to monoenergetic reconstruction on chest CT.