Abstract
Context: Clinical details help radiologists report accurately. However, the clinical aspect
has taken a backseat among radiologists, who are overdependent on referral notes.
This leads to inaccurate assessment, financial burden, and loss of man hours. Aims: To re-emphasize the benefits of detailed clinical evaluation and real-time monitoring
of imaging in interpreting images. Settings and Design: Prospective study. Materials and Methods: A study was done in the Department of Radiodiagnosis for 10 days, including all referred
patients above 18 years of age. Detailed history taking and examination was done by
radiologists prior to imaging. Any additional significant clinical detail was endorsed
on the referral slips. Appropriate imaging modality under given circumstances was
carried out. Imaging was studied by the radiologists, near simultaneously with the
acquisition. Any additional imaging needed was performed on the same day. Comprehensive
reports with specific outputs were provided. Wherever apt, imaging-guided management
options were offered to the patients. Results: During the study, 1024 patients with mean age of 46.3 years underwent various types
of imaging, including radiography, computed tomography, magnetic resonance imaging,
ultrasound scans, and fluoroscopic procedures. Additional clinical details were endorsed
in referral slips in 32.4% patients, 53% of which helped in interpreting images appropriately.
Primary imaging modality was changed in 3% patients. Additional imaging was done in
10.9% patients. 3.6% of patients underwent imaging-guided procedures. Conclusion: Detailed history taking and examination help radiologists in deciding appropriate
imaging and better interpretation of images. This will also reduce the number of visits
to the hospital and expenditure on part of patients.
Keywords
Clinical evaluation - image interpretation - radiology - outpatient department
