VOMIT (victims of modern imaging technology)--an acronym for our times

Hayward, Richard

doi:10.1136/bmj.326.7401.1273

Cited by 117 publications

(68 citation statements)

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“…It has been argued that scanning patients for headache, whether it is by computer tomography (CT) or magnetic resonance imaging (MRI) may do more harm than good [3]. Incidental findings are common, particularly with MRI, occurring in 2% of scans of people with no neurological symptoms [4].…”

Section: Introductionmentioning

confidence: 99%

Headache: The Patient’s View

Ridsdale¹,

Noble²,

Nadeem³

et al. 2014

J Neurol Neurosurg

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Introduction: Headache is the commonest reason for neurology referrals, and the commonest neurological reason for patients attending Emergency Departments (EDs). An ethical approach to health care requires that patients be provided with informed choice about management. However researchers have not addressed patients' concerns and choices in managing headache. This study aims to describe the views of patients, their fears, use of EDs, their perceived need for a scan and its outcome for them.

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Section: Introductionmentioning

confidence: 99%

Headache: The Patient’s View

Ridsdale¹,

Noble²,

Nadeem³

et al. 2014

J Neurol Neurosurg

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“…Physicians are now becoming increasingly dependent on CT scans for treatment decisions, possibly even ignoring physical examinations. This may lead to inappropriate intervention, or even delayed intervention [25]. The proliferation of CT scanning also introduces concerns that resources are inappropriately used in this cost-conscious medical era.…”

Section: Resultsmentioning

confidence: 99%

Is Routine Spiral CT-Chest Justified in Evaluation of the Major Blunt Trauma Patients?

Hammad

Regal

2008

Eur J Trauma Emerg Surg

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“…Using high resolution (HRCT) algorithms, CT chest can be reconstructed for optimal demonstration of lung parenchyma. The number of thin sections has increased substantially and the number of small incidental findings has correspondingly increased (Hayward, 2003). Some of these incidental findings represent pre-existing sarcoid, which is a well-recognised trap when staging young people (Remy-Jardin et al, 1991).…”

Section: Discussionmentioning

confidence: 99%

CT of the chest can hinder the management of seminoma of the testis; it detects irrelevant abnormalities

et al. 2007

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To evaluate the role of chest CT in the initial staging of testicular seminomatous germ cell tumours. All patients referred to Addenbrooke's Hospital with testicular seminoma from 1 January 2000 to 31 December 2005 were included and case notes retrospectively reviewed. One hundred and eighty-two patients with testicular seminoma were identified, with a median age of 37 years (range 19–74). Most patients had stage I disease (86%). Twenty-four patients had abnormal abdominal CT findings. One hundred and fifty-eight had normal abdominal CT findings but, on initial staging, chest CT reported abnormalities in 13 patients, which, on further follow-up CT were deemed to be irrelevant to the diagnosis of seminoma. There was a further patient with a normal CT abdomen in whom chest CT detected obvious metastatic disease, which was seen on chest x -ray. Overall 18 cases required additional investigations and follow-up for abnormalities subsequently found to be benign. There was a false-positive rate of 10% for initial staging with chest CT. This is the largest reported series of staging CT chest in testicular seminoma. In all patients with normal abdominal CT, normal chest x -ray and abnormal chest CT, subsequent follow-up investigations demonstrated that the lung lesions were incidental findings.

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VOMIT (victims of modern imaging technology)--an acronym for our times

Cited by 117 publications

References 0 publications

Headache: The Patient’s View

Headache: The Patient’s View

Is Routine Spiral CT-Chest Justified in Evaluation of the Major Blunt Trauma Patients?

CT of the chest can hinder the management of seminoma of the testis; it detects irrelevant abnormalities

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