E2001. Radiology Dogma: Good Practice or Ingrained Habits
Authors
Miltiadis Tembelis;
NYU Langone Long Island
Gregg Blumberg;
NYU Langone Long Island
Luis Colon-Flores;
NYU Langone Long Island
Julie Hong;
NewYork-Presbyterian Queens Hospital
Jason Hoffmann;
NYU Langone Long Island
Douglas Katz;
NYU Langone Long Island
Background
Much of what we do in our daily practice is based on routines learned during training. Commonly these routines are passed down from one generation of radiologist to the next with little thought about the supporting evidence. With an increasing emphasis on evidence-based medicine, it is prudent that radiologist, both experienced and in-training, become more inquisitive about the evidence that governs our daily routines. With some inquiry, it may be surprising to many physicians that integral parts of their daily practice are either incorrect, based on antiquated evidence or much more controversial than expected.
Educational Goals / Teaching Points
The goal of this presentation is to address common misconceptions and misunderstandings pertaining to radiology practice. We will discuss the evidence which these misconceptions are based on and in certain cases provide an up-to-date look at research that may effectively alter the daily practice of some radiologists. A better understanding of the evidence behind these misconceptions and misunderstandings can help radiologist consult ordering physicians and potentially quell the concerns of patients
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Much of the misconceptions in radiology affect imaging techniques and this presentation will address the reasoning behind some of those techniques, and reassess their accuracy. There will be an emphasis on contrast safety, including topics such as barium peritonitis, shellfish allergies and their association with contrast reactions, gadolinium-based contrast agent side effects, iodine contrast agent use in patients with renal disease, hemodialysis role in the prevention of kidney injury following contrast administration, radiation safety in developing fetuses and oral contrast agent induced bowel impaction/obstruction, among others.
Conclusion
Much of what we do in our daily practice as radiologist is based on routines learned during training, sometimes without much thought about the evidence behind our daily choices. It is time we start to rethink our potentially antiquated practice and create a more up-to-date, evidence-based routine.
