Featured Research

from universities, journals, and other organizations

Why do physicians order costly CTs? Ultrasound yields better diagnosis, safer, less costly, expert argues

Date:
March 8, 2010
Source:
American Institute of Ultrasound in Medicine
Summary:
In an eye-opening editorial, a leading expert urges the medical community to use ultrasound instead of computed tomography as the first-line imaging test for better diagnosis capability in the evaluation of acute female pelvic and lower abdominal conditions.

In a bold, eye-opening editorial in the March 2010 issue of the Journal of Ultrasound in Medicine, Harvard Professor, Beryl Benacerraf, MD, urges the medical community to use ultrasound instead of Computed Tomography (CT) as the first-line imaging test for better diagnosis capability in the evaluation of acute female pelvic and lower abdominal conditions.

In the editorial, Why Has Computed Tomography Won and Ultrasound Lost the Market Share of Imaging for Acute Pelvic Conditions in the Female Patient?, Dr Benacerraf raises the question:

"How have we evolved to ordering the most expensive imaging technique first for these patients, only to be followed frequently by a far less costly ultrasound examination to clarify the CT findings? Ultrasound is the established modality of choice to evaluate the female pelvis, so why do patients with pelvic masses or pain get a CT scan? In my opinion, doing a CT scan first for female patients with lower abdominal pain is dangerous and wasteful, a drain of much-needed health care dollars."

Citing a recent study from the New England Journal of Medicine regarding the vast use of imaging procedures that involved radiation exposure, Dr Benacerraf emphasizes the fact that "radiation exposure is cumulative, and each exposure adds incrementally to the long-term danger of cancer." Alternatively, ultrasound is safe, radiation-free, and most frequently has superior diagnostic capability when evaluating patients with lower abdominal conditions. The advancement of ultrasound technology has resulted in machines that are less operator-dependent with the ability to produce images that can be evaluated in multiple views with 3D volume imaging.

Dr Benacerraf concludes: "It may be time for ultrasound to regain its rightful place in the evaluation of acute female pelvic and lower abdominal conditions and save the population from the dangerous radiation exposure and excessive cost of starting a workup with CT as a first-line imaging test."

Physicians weigh in on this subject online through the AIUM's Journal Club discussion this month at http://www.aiumcommunities.org/group/aiumjournalclub. The full text editorial may also be accessed through the journal club discussion.

Beryl Benacerraf, MD, is a clinical professor of radiology and obstetrics and gynecology at Harvard Medical School, and she is the editor-in-chief of the Journal of Ultrasound in Medicine, the official publication of the American Institute of Ultrasound in Medicine.


Story Source:

The above story is based on materials provided by American Institute of Ultrasound in Medicine. Note: Materials may be edited for content and length.


Cite This Page:

American Institute of Ultrasound in Medicine. "Why do physicians order costly CTs? Ultrasound yields better diagnosis, safer, less costly, expert argues." ScienceDaily. ScienceDaily, 8 March 2010. <www.sciencedaily.com/releases/2010/03/100302123122.htm>.
American Institute of Ultrasound in Medicine. (2010, March 8). Why do physicians order costly CTs? Ultrasound yields better diagnosis, safer, less costly, expert argues. ScienceDaily. Retrieved July 24, 2014 from www.sciencedaily.com/releases/2010/03/100302123122.htm
American Institute of Ultrasound in Medicine. "Why do physicians order costly CTs? Ultrasound yields better diagnosis, safer, less costly, expert argues." ScienceDaily. www.sciencedaily.com/releases/2010/03/100302123122.htm (accessed July 24, 2014).

Share This




More Health & Medicine News

Thursday, July 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Idaho Boy Helps Brother With Disabilities Complete Triathlon

Idaho Boy Helps Brother With Disabilities Complete Triathlon

Newsy (July 23, 2014) An 8-year-old boy helped his younger brother, who has a rare genetic condition that's confined him to a wheelchair, finish a triathlon. Video provided by Newsy
Powered by NewsLook.com
Thousands Who Can't Afford Medical Care Flock to Free US Clinic

Thousands Who Can't Afford Medical Care Flock to Free US Clinic

AFP (July 23, 2014) America may be the world’s richest country, but in terms of healthcare, the World Health Organisation ranks it 37th. Thousands turned out for a free clinic run by "Remote Area Medical" with a visit from the Governor of Virginia. Duration: 2:40 Video provided by AFP
Powered by NewsLook.com
Stone Fruit Listeria Scare Causes Sweeping Recall

Stone Fruit Listeria Scare Causes Sweeping Recall

Newsy (July 22, 2014) The Wawona Packing Company has issued a voluntary recall on the stone fruit it distributes due to a possible Listeria outbreak. Video provided by Newsy
Powered by NewsLook.com
Huge Schizophrenia Study Finds Dozens Of New Genetic Causes

Huge Schizophrenia Study Finds Dozens Of New Genetic Causes

Newsy (July 22, 2014) The 83 new genetic markers could open dozens of new avenues for schizophrenia treatment research. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins