SynthesisJournal of the American College of Radiology : JACR2015
Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis.
Synthesis in Journal of the American College of Radiology : JACR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to reduce low-value imaging - a systematic review of interventions and outcomes.BMC health services research · 2021Pooled it
- Utilization of an Electronic Health Record Embedded Enterprise Health Data Exchange: A Single Institute Experience.Journal of imaging informatics in medicine · 2025Article
- Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed-method study.Journal of medical radiation sciences · 2025Article
- Secondary Undertriage in a Rural Trauma System: A Retrospective Study of Twice-Transferred Patients.The Journal of surgical research · 2025Article
- Misdiagnosis of Thoracic Aortic Emergencies Occurs Frequently Among Transfers to Aortic Referral Centers: An Analysis of Over 3700 Patients.Journal of the American Heart Association · 2022Article
- Multi-institutional Experience with Patient Image Access Through Electronic Health Record Patient Portals.Journal of digital imaging · 2022Article
- Factors driving CT utilisation in tertiary hospitals: a decomposition analysis using linked administrative data in Western Australia.BMJ open · 2021Article
- Racial differences in patient consent policy preferences for electronic health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- The Enterprise Imaging Value Proposition.Journal of digital imaging · 2020Review
- Usage of and Attitudes Toward Health Information Exchange Before and After System Implementation in a VA Medical Center.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019Article
- Users' Perspectives on a Picture Archiving and Communication System (PACS): An In-Depth Study in a Teaching Hospital in Kuwait.JMIR medical informatics · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
introductionImage sharing technologies may reduce unneeded imaging by improving provider access to imaging information. A systematic review and meta-analysis were conducted to summarize the impact of image sharing technologies on patient imaging utilization.
methodsQuantitative evaluations of the effects of PACS, regional image exchange networks, interoperable electronic heath records, tools for importing physical media, and health information exchange systems on utilization were identified through a systematic review of the published and gray English-language literature (2004-2014). Outcomes, standard effect sizes (ESs), settings, technology, populations, and risk of bias were abstracted from each study. The impact of image sharing technologies was summarized with random-effects meta-analysis and meta-regression models.
resultsA total of 17 articles were included in the review, with a total of 42 different studies. Image sharing technology was associated with a significant decrease in repeat imaging (pooled effect size [ES] = -0.17; 95% confidence interval [CI] = [-0.25, -0.09]; P < .001). However, image sharing technology was associated with a significant increase in any imaging utilization (pooled ES = 0.20; 95% CI = [0.07, 0.32]; P = .002). For all outcomes combined, image sharing technology was not associated with utilization. Most studies were at risk for bias.
conclusionsImage sharing technology was associated with reductions in repeat and unnecessary imaging, in both the overall literature and the most-rigorous studies. Stronger evidence is needed to further explore the role of specific technologies and their potential impact on various modalities, patient populations, and settings.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.