The Uncritical Use of High-Tech Medical Imaging
Dr. Bruce Hillman and Jeff Goldsmith argue that the root cause of unnecessary use of imaging may be the style and content of clinical education. Minimizing unnecessary imaging will require a change in mindset among physicians. The use of advanced imaging methods such as computed tomography (CT), mag...
Gespeichert in:
Veröffentlicht in: | The New England journal of medicine 2010-07, Vol.363 (1), p.4-6 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 6 |
---|---|
container_issue | 1 |
container_start_page | 4 |
container_title | The New England journal of medicine |
container_volume | 363 |
creator | Hillman, Bruce J Goldsmith, Jeff C |
description | Dr. Bruce Hillman and Jeff Goldsmith argue that the root cause of unnecessary use of imaging may be the style and content of clinical education. Minimizing unnecessary imaging will require a change in mindset among physicians.
The use of advanced imaging methods such as computed tomography (CT), magnetic resonance imaging (MRI), and positron-emission tomography (PET) has made diagnosis more accurate and less invasive for nearly all organ systems. Unfortunately, as the use of imaging has rapidly increased, imaging costs have grown as well. Indeed, until recently, these costs were the fastest-growing physician-directed expenditures in the Medicare program, far outstripping general medical inflation.
1
,
2
Such dramatic growth has placed imaging in the policy spotlight. There is broad agreement that an unknown but substantial fraction of imaging examinations are unnecessary and do not positively contribute to patient care. . . . |
doi_str_mv | 10.1056/NEJMp1003173 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733569502</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2071622151</sourcerecordid><originalsourceid>FETCH-LOGICAL-c376t-11aeb086f84218f06df5cd2e09b8c7aeb4d1c7c8bbd95bbbf9dfbdaa6e695b073</originalsourceid><addsrcrecordid>eNpt0EtPAjEQB_DGaATRm2ezMRovrrTb7WOPhqBoQC9wbvqEJewutuzBb28RfMTYy6SZX2YmfwDOEbxDkND-y_B5skYQYsTwAegignGa55Aegi6EGU9zVuAOOAlhCeNDeXEMOhkkDBcZ7IL-dGGTWa19uSm1XCWzYJPGJaNyvkinVi-SiTWfjadKzst6fgqOnFwFe7avPTB7GE4Ho3T8-vg0uB-nGjO6SRGSVkFOHc8zxB2kxhFtMgsLxTWLvdwgzTRXyhREKeUK45SRkloa_5DhHrjZzV375q21YSOqMmi7WsnaNm0QDGMSKcyivPwjl03r63icIIwRzinfotsd0r4JwVsn1r6spH8XCIptjOJ3jJFf7Ge2qrLmG3_lFsH1HsgQ03Fe1roMPy4roiNbd7VzVRVEbZfV__s-AMXhgxo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>577588682</pqid></control><display><type>article</type><title>The Uncritical Use of High-Tech Medical Imaging</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>ProQuest Central UK/Ireland</source><source>New England Journal of Medicine</source><creator>Hillman, Bruce J ; Goldsmith, Jeff C</creator><creatorcontrib>Hillman, Bruce J ; Goldsmith, Jeff C</creatorcontrib><description>Dr. Bruce Hillman and Jeff Goldsmith argue that the root cause of unnecessary use of imaging may be the style and content of clinical education. Minimizing unnecessary imaging will require a change in mindset among physicians.
The use of advanced imaging methods such as computed tomography (CT), magnetic resonance imaging (MRI), and positron-emission tomography (PET) has made diagnosis more accurate and less invasive for nearly all organ systems. Unfortunately, as the use of imaging has rapidly increased, imaging costs have grown as well. Indeed, until recently, these costs were the fastest-growing physician-directed expenditures in the Medicare program, far outstripping general medical inflation.
1
,
2
Such dramatic growth has placed imaging in the policy spotlight. There is broad agreement that an unknown but substantial fraction of imaging examinations are unnecessary and do not positively contribute to patient care. . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMp1003173</identifier><identifier>PMID: 20573920</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Waltham, MA: Massachusetts Medical Society</publisher><subject>Biological and medical sciences ; Costs ; Diagnostic Imaging - utilization ; General aspects ; Humans ; Liability, Legal ; Medical imaging ; Medical sciences ; NMR ; Nuclear magnetic resonance ; Patients ; Physician Self-Referral ; Physicians ; Practice Patterns, Physicians ; Technology, High-Cost ; Tomography ; United States ; Unnecessary Procedures - utilization</subject><ispartof>The New England journal of medicine, 2010-07, Vol.363 (1), p.4-6</ispartof><rights>Copyright © 2010 Massachusetts Medical Society. All rights reserved.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-11aeb086f84218f06df5cd2e09b8c7aeb4d1c7c8bbd95bbbf9dfbdaa6e695b073</citedby><cites>FETCH-LOGICAL-c376t-11aeb086f84218f06df5cd2e09b8c7aeb4d1c7c8bbd95bbbf9dfbdaa6e695b073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMp1003173$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/577588682?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2757,2758,26101,27922,27923,52380,54062,64383,64385,64387,72239</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22973950$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20573920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hillman, Bruce J</creatorcontrib><creatorcontrib>Goldsmith, Jeff C</creatorcontrib><title>The Uncritical Use of High-Tech Medical Imaging</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>Dr. Bruce Hillman and Jeff Goldsmith argue that the root cause of unnecessary use of imaging may be the style and content of clinical education. Minimizing unnecessary imaging will require a change in mindset among physicians.
The use of advanced imaging methods such as computed tomography (CT), magnetic resonance imaging (MRI), and positron-emission tomography (PET) has made diagnosis more accurate and less invasive for nearly all organ systems. Unfortunately, as the use of imaging has rapidly increased, imaging costs have grown as well. Indeed, until recently, these costs were the fastest-growing physician-directed expenditures in the Medicare program, far outstripping general medical inflation.
1
,
2
Such dramatic growth has placed imaging in the policy spotlight. There is broad agreement that an unknown but substantial fraction of imaging examinations are unnecessary and do not positively contribute to patient care. . . .</description><subject>Biological and medical sciences</subject><subject>Costs</subject><subject>Diagnostic Imaging - utilization</subject><subject>General aspects</subject><subject>Humans</subject><subject>Liability, Legal</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patients</subject><subject>Physician Self-Referral</subject><subject>Physicians</subject><subject>Practice Patterns, Physicians</subject><subject>Technology, High-Cost</subject><subject>Tomography</subject><subject>United States</subject><subject>Unnecessary Procedures - utilization</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0EtPAjEQB_DGaATRm2ezMRovrrTb7WOPhqBoQC9wbvqEJewutuzBb28RfMTYy6SZX2YmfwDOEbxDkND-y_B5skYQYsTwAegignGa55Aegi6EGU9zVuAOOAlhCeNDeXEMOhkkDBcZ7IL-dGGTWa19uSm1XCWzYJPGJaNyvkinVi-SiTWfjadKzst6fgqOnFwFe7avPTB7GE4Ho3T8-vg0uB-nGjO6SRGSVkFOHc8zxB2kxhFtMgsLxTWLvdwgzTRXyhREKeUK45SRkloa_5DhHrjZzV375q21YSOqMmi7WsnaNm0QDGMSKcyivPwjl03r63icIIwRzinfotsd0r4JwVsn1r6spH8XCIptjOJ3jJFf7Ge2qrLmG3_lFsH1HsgQ03Fe1roMPy4roiNbd7VzVRVEbZfV__s-AMXhgxo</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Hillman, Bruce J</creator><creator>Goldsmith, Jeff C</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>The Uncritical Use of High-Tech Medical Imaging</title><author>Hillman, Bruce J ; Goldsmith, Jeff C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-11aeb086f84218f06df5cd2e09b8c7aeb4d1c7c8bbd95bbbf9dfbdaa6e695b073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Costs</topic><topic>Diagnostic Imaging - utilization</topic><topic>General aspects</topic><topic>Humans</topic><topic>Liability, Legal</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Patients</topic><topic>Physician Self-Referral</topic><topic>Physicians</topic><topic>Practice Patterns, Physicians</topic><topic>Technology, High-Cost</topic><topic>Tomography</topic><topic>United States</topic><topic>Unnecessary Procedures - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hillman, Bruce J</creatorcontrib><creatorcontrib>Goldsmith, Jeff C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database (ProQuest)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hillman, Bruce J</au><au>Goldsmith, Jeff C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Uncritical Use of High-Tech Medical Imaging</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>363</volume><issue>1</issue><spage>4</spage><epage>6</epage><pages>4-6</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>Dr. Bruce Hillman and Jeff Goldsmith argue that the root cause of unnecessary use of imaging may be the style and content of clinical education. Minimizing unnecessary imaging will require a change in mindset among physicians.
The use of advanced imaging methods such as computed tomography (CT), magnetic resonance imaging (MRI), and positron-emission tomography (PET) has made diagnosis more accurate and less invasive for nearly all organ systems. Unfortunately, as the use of imaging has rapidly increased, imaging costs have grown as well. Indeed, until recently, these costs were the fastest-growing physician-directed expenditures in the Medicare program, far outstripping general medical inflation.
1
,
2
Such dramatic growth has placed imaging in the policy spotlight. There is broad agreement that an unknown but substantial fraction of imaging examinations are unnecessary and do not positively contribute to patient care. . . .</abstract><cop>Waltham, MA</cop><pub>Massachusetts Medical Society</pub><pmid>20573920</pmid><doi>10.1056/NEJMp1003173</doi><tpages>3</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0028-4793 |
ispartof | The New England journal of medicine, 2010-07, Vol.363 (1), p.4-6 |
issn | 0028-4793 1533-4406 |
language | eng |
recordid | cdi_proquest_miscellaneous_733569502 |
source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
subjects | Biological and medical sciences Costs Diagnostic Imaging - utilization General aspects Humans Liability, Legal Medical imaging Medical sciences NMR Nuclear magnetic resonance Patients Physician Self-Referral Physicians Practice Patterns, Physicians Technology, High-Cost Tomography United States Unnecessary Procedures - utilization |
title | The Uncritical Use of High-Tech Medical Imaging |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T16%3A29%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Uncritical%20Use%20of%20High-Tech%20Medical%20Imaging&rft.jtitle=The%20New%20England%20journal%20of%20medicine&rft.au=Hillman,%20Bruce%20J&rft.date=2010-07-01&rft.volume=363&rft.issue=1&rft.spage=4&rft.epage=6&rft.pages=4-6&rft.issn=0028-4793&rft.eissn=1533-4406&rft.coden=NEJMAG&rft_id=info:doi/10.1056/NEJMp1003173&rft_dat=%3Cproquest_cross%3E2071622151%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=577588682&rft_id=info:pmid/20573920&rfr_iscdi=true |