ARRS 2022 Abstracts


1673. A Radiologist Goes to Clinic: Challenges and Pitfalls in Establishing A Diagnostic Radiology Patient Consultation Program
Authors * Denotes Presenting Author
  1. Sharon Steinberger *; Weill Cornell Medicine
  2. Michael Chung; Icahn School of Medicine at Mount Sinai
  3. Ayushi Singh; Icahn School of Medicine at Mount Sinai
  4. Sakshi Dua; Icahn School of Medicine at Mount Sinai
  5. Adam Jacobi; Icahn School of Medicine at Mount Sinai
This study aims to increase radiologists' visibility and value by establishing a diagnostic radiology consultation program; confirm patients’ desire for radiologic consultations; and assess the impact on smoking cessation, no show rates, patient anxiety, and health literacy.

Materials and Methods:
Through a partnership with the Mount Sinai Pulmonary fellows clinic, we established a diagnostic radiology consultation program. We installed a PACS within a consultation room and cardiothoracic radiology fellows and senior residents conducted one-on-one encounters to review chest CT scans with patients. Pre- and post-imaging surveys assessed patient understanding of imaging results, anxiety levels, willingness to stop smoking, and the role of the radiologist. Measurable metrics including future appointment compliance and smoking cessation rates were tracked. Pre and post surveys were distributed to patients seen in pulmonary clinic who did not undergo an image review consultation as a control group. Eighty-four patients were enrolled in this ongoing study, 48 image review consultations and 36 controls.

Twenty-six percent of image review patients and 13% of controls were current smokers; 45% identified as Hispanic and 21% as African American. Forty-four percent of image review patients and 28% of controls did not know their CT scan results prior to their appointment. On post-imaging review, 98% of patients had a good understanding of their CT scan results. After radiologic consultation, 77% of patients had an increased desire to stop smoking, in comparison to 56% of controls. Sixty-seven percent of patients had decreased anxiety after reviewing their CT scan. Before the imaging review, 77% identified radiologists as physicians, increasing to 90% after imaging review. Ninety-five percent of patients wanted to meet with a radiologist again to review future imaging, and 100% found meeting with a radiologist to be helpful. On 6-month follow-up imaging, 8% of image review patients quit smoking compared with 0% of controls.

A large minority of patients are unaware of or do not understand their CT scan results. After meeting with a radiologist, patients have a better understanding of their imaging findings and medical conditions, improved understanding of the radiologists’ role in healthcare, and an increased desire to stop smoking.