Literature DB >> 18483231

The use of CT for screening: a national survey of radiologists' activities and attitudes.

Ingrid M Burger1, Nancy E Kass, Jonathan H Sunshine, Stanley S Siegelman.   

Abstract

PURPOSE: To investigate the activities, motivations, and attitudes of radiologists regarding specific computed tomographic (CT) screening examinations by using a survey.
MATERIALS AND METHODS: All study activities were approved by the institutional review board. A self-administered, mailed survey was used to collect data on the practices and attitudes of U.S. radiologists regarding three CT screening tests--coronary artery calcium scoring (CACS), lung cancer screening CT, and whole-body screening CT. The survey was sent to 1000 diagnostic radiologists who were randomly sampled from the American Medical Association Physician Masterfile.
RESULTS: A total of 398 (41.4%) of 961 eligible radiologists completed the survey. Among respondents, 33.6% reported reading CT screening studies, the most common being CACS (26.7%), followed by lung screening (19.2%) and whole-body screening (9.5%). Among respondents, 34.1% supported CACS and 29.9% supported lung CT screening for particular patients, while 1.9% supported whole-body CT screening. The most common reasons reported for reading CT screening studies were responses to requests from physicians (83.3%) or patients (75.0%), while fewer (40.8%) cited patient benefit from screening as a reason.
CONCLUSION: A substantial proportion of a nationally representative sample of radiologists in the United States reads CT screening studies of the heart, lungs, and whole body and holds favorable attitudes toward CACS and lung CT screening. These attitudes may allow for the premature diffusion of new screening tests into practice before higher-level evidence demonstrates their benefits for population mortality. (c) RSNA, 2008.

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Year:  2008        PMID: 18483231      PMCID: PMC3110656          DOI: 10.1148/radiol.2481071369

Source DB:  PubMed          Journal:  Radiology        ISSN: 0033-8419            Impact factor:   11.105


  28 in total

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Authors:  R A O'Rourke; B H Brundage; V F Froelicher; P Greenland; S M Grundy; R Hachamovitch; G M Pohost; L J Shaw; W S Weintraub; W L Winters; J S Forrester; P S Douglas; D P Faxon; J D Fisher; G Gregoratos; J S Hochman; A M Hutter; S Kaul; M J Wolk
Journal:  Circulation       Date:  2000-07-04       Impact factor: 29.690

2.  Direct-to-consumer marketing of high-technology screening tests.

Authors:  Thomas H Lee; Troyen A Brennan
Journal:  N Engl J Med       Date:  2002-02-14       Impact factor: 91.245

3.  Inherent dangers in radiologic screening.

Authors:  R J Stanley
Journal:  AJR Am J Roentgenol       Date:  2001-11       Impact factor: 3.959

4.  CT screening: why I do it.

Authors:  Michael Brant-Zawadzki
Journal:  AJR Am J Roentgenol       Date:  2002-08       Impact factor: 3.959

Review 5.  CT screening: a trade-off of risks, benefits, and costs.

Authors:  M G Myriam Hunink; G Scott Gazelle
Journal:  J Clin Invest       Date:  2003-06       Impact factor: 14.808

6.  CT screening: who benefits and who pays.

Authors:  Bruce J Hillman
Journal:  Radiology       Date:  2003-07       Impact factor: 11.105

7.  Self-referred whole-body CT imaging: current implications for health care consumers.

Authors:  Judy Illes; Ellen Fan; Barbara A Koenig; Thomas A Raffin; Dylan Kann; Scott W Atlas
Journal:  Radiology       Date:  2003-08       Impact factor: 11.105

8.  Screening for cancer: when is it valid?--Lessons from the mammography experience.

Authors:  Daniel B Kopans; Barbara Monsees; Stephen A Feig
Journal:  Radiology       Date:  2003-11       Impact factor: 11.105

9.  ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain: a report of the American College of Cardiology Foundation Clinical Expert Consensus Task Force (ACCF/AHA Writing Committee to Update the 2000 Expert Consensus Document on Electron Beam Computed Tomography) developed in collaboration with the Society of Atherosclerosis Imaging and Prevention and the Society of Cardiovascular Computed Tomography.

Authors:  Philip Greenland; Robert O Bonow; Bruce H Brundage; Matthew J Budoff; Mark J Eisenberg; Scott M Grundy; Michael S Lauer; Wendy S Post; Paolo Raggi; Rita F Redberg; George P Rodgers; Leslee J Shaw; Allen J Taylor; William S Weintraub
Journal:  J Am Coll Cardiol       Date:  2007-01-23       Impact factor: 24.094

10.  Coronary artery calcium score combined with Framingham score for risk prediction in asymptomatic individuals.

Authors:  Philip Greenland; Laurie LaBree; Stanley P Azen; Terence M Doherty; Robert C Detrano
Journal:  JAMA       Date:  2004-01-14       Impact factor: 56.272

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  3 in total

1.  A qualitative analysis of lung cancer screening practices by primary care physicians.

Authors:  Susan Henderson; Amy DeGroff; Thomas B Richards; Julia Kish-Doto; Cindy Soloe; Christina Heminger; Elizabeth Rohan
Journal:  J Community Health       Date:  2011-12

Review 2.  Coronary artery calcification screening: estimated radiation dose and cancer risk.

Authors:  Kwang Pyo Kim; Andrew J Einstein; Amy Berrington de González
Journal:  Arch Intern Med       Date:  2009-07-13

3.  Impact of Reconstruction Algorithms and Gender-Associated Anatomy on Coronary Calcium Scoring with CT: An Anthropomorphic Phantom Study.

Authors:  Qin Li; Songtao Liu; Kyle J Myers; Marios A Gavrielides; Rongping Zeng; Berkman Sahiner; Nicholas Petrick
Journal:  Acad Radiol       Date:  2016-09-22       Impact factor: 3.173

  3 in total

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