News | March 10, 2009

Appropriateness Practice Guidelines Reduce Imaging Use, Cost

March 10, 2009 – The Medical Imaging Technology Alliance said today that a recent study conducted by researchers at the University of Florida Health Center and Massachusetts General Hospital demonstrates that using appropriateness criteria to help curb growth rates in advanced imaging utilization, according to a study set for publication in an upcoming issue of Radiology.

“This study provides groundbreaking evidence affirming that appropriateness criteria is the key to ensuring patients get the right scan at the right time,” said Ilyse Schuman, managing director, MITA. “MITA applauds the work of Dr. Sistrom and his team, whose research demonstrates that when appropriateness criteria is integrated into physicians’ practices, imaging utilization and its associated cost are significantly reduced, while still ensuring patients have access to the services they need.”

“This study confirms that the appropriateness criteria provisions in last year’s Medicare bill, and not pre-authorization requirements delivered by radiology benefit managers, are the right way for policymakers to ensure the proper use of advanced imaging equipment and generate savings without compromising access to life-saving diagnostic services.”

The study, led by Dr. Christopher L. Sistrom, evaluated the effect that certain appropriateness criteria measures – specifically a computerized radiology entry (ROE) and decision support (DS) system – have on the growth rates of outpatient CT, magnetic resonance (MR) imaging and ultrasonography (US) procedures over time. The ROE system was introduced in 2001 to assist physicians in making their decisions ordering high-cost imaging tests. DS was implemented three years later, providing physicians with a 1-9 appropriateness score[1] for their diagnostic recommendation after clinical indications for the patient had been provided.

Based on a statistical analysis of data accumulated between October 2000 and December 2007, Sistrom et al found that the implementation of the ROE and DS system led to a drastic decrease in high-cost imaging growth. Even as outpatient visits increased at a compound annual rate of nearly 5 percent, the annual outpatient CT growth rate decreased from 12 to 1 percent, while MR imaging and US annual growth rates each decreased by 5 percent, from 12 to 7 percent and 9 to 4 percent, respectively. Researchers concluded that, “introducing computerized ROE with DS…may substantially reduce the growth rate of high-cost outpatient imaging volumes.”

For more information: www.medicalimaging.org

Related Content

Russian Team Developing New Technology to Significantly Reduce MRI Research Costs
News | Magnetic Resonance Imaging (MRI) | January 16, 2018
January 16, 2018 — Researchers from the NUST MISIS Engineering Center for Industrial Technologies in Russia have deve
Smartphone Addiction Creates Imbalance in Brain
News | Mobile Devices | January 11, 2018
Researchers have found an imbalance in the brain chemistry of young people addicted to smartphones and the internet,...
Fat Distribution in Women and Men Provides Clues to Heart Attack Risk
News | Women's Health | January 11, 2018
January 11, 2018 – It’s not the amount of fat in your body but where it is stored that may increase your risk for hea
Minimally Invasive Treatment Provides Relief from Back Pain

Lumbar spine MRI showing disc herniation and nerve root at baseline and one month after treatment

News | Interventional Radiology | January 11, 2018
The majority of patients were pain free after receiving a new image-guided pulsed radiofrequency treatment for low back...
Emergency Radiologists See Inner Toll of Opioid Use Disorders

Rates of Imaging Positivity for IV-SUDs Complications. Image courtesy of Efren J. Flores, M.D.

News | Clinical Study | January 11, 2018
January 11, 2018 – Emergency radiologists are seeing a high prevalence of patients with complications related to opio
Sponsored Content | Videos | Ultrasound Imaging | January 11, 2018
Mindray recently featured a new upgrade for its premium Resona 7 ultrasound system at the Radiological Society of North...
Study Finds No Evidence that Gadolinium Causes Neurologic Harm

MR images through, A, C, E, basal ganglia and, B, D, F, posterior fossa at level of dentate nucleus. Images are shown for, A, B, control group patient 4, and the, C, D, first and, E, F, last examinations performed in contrast group patient 13. Regions of interest used in quantification of signal intensity are shown as dashed lines for globus pallidus (green), thalamus (blue), dentate nucleus (yellow), and pons (red).

News | Contrast Media | January 11, 2018
January 11, 2018 — There is no evidence that accumulation in the brain of the element gadolinium speeds cognitive dec
CT Shows Enlarged Aortas in Former Pro Football Players

3-D rendering from a cardiac CT dataset demonstrating mild dilation of the ascending aorta.

News | Computed Tomography (CT) | January 11, 2018
Former National Football League (NFL) players are more likely to have enlarged aortas, a condition that may put them at...

Size comparison between 3-D printed prosthesis implant and a penny.

News | 3-D Printing | January 11, 2018
January 11, 2018 — Researchers using...
Weight Loss Through Exercise Alone Does Not Protect Knees
News | Orthopedic Imaging | January 11, 2018
January 11, 2018 – Obese people who lose a substantial amount of weight can significantly slow down the degeneration
Overlay Init