Introduction to ordering imaging

Ordering Diagnostic Imaging: Developing Clinical Indications & Applying Appropriate Use Criteria Audience: Medical students, Residents, and Non-Radiologists Learning Objectives Formulate a clinical indication for a diagnostic radiology imaging study Select the appropriate type of diagnostic imaging to order based on appropriate use criteria The Importance of the Right Test for the Right Patient Risks of inappropriate imaging: Unnecessary radiation exposure. Incidentalomas and further workup. Increased healthcare costs. Delayed diagnosis if the wrong test is chosen. Benefits of appropriate imaging: Accurate and timely diagnosis. Improved patient outcomes. Efficient use of healthcare resources. What Question Are We Trying to Answer? What is a clinical indication? Why a vague indication is problematic (e.g., "pain," "rule out pathology"). Key components of a strong clinical indication: Specific symptoms and signs: Duration, location, severity, character. Relevant patient history: Past medical conditions, surgeries, medications. Pertinent vital, physical exam findings, or lab values. Specific suspected diagnosis or differential diagnoses is not a clinical indication Optimizing Imaging for Better Outcomes Formulate a specific clinical indication based on patient presentation Familiarize yourself with the basic strengths and weaknesses of common modalities. Utilize Appropriate Use Criteria as a primary tool for test selection. Don't hesitate to consult with radiology. Thoughtful imaging ordering benefits patients, the healthcare system, and improves diagnostic accuracy.