Evidence map›Paper›PMID 40459413›Full record

ArticleRadiology2025

Cumulative Effect of Targeted Interventions on Radiologist Recommendations for Additional Imaging.

Nooshin Abbasi, Neena Kapoor, Ronilda Lacson, Jeffrey P Guenette, Sonali Desai, David Lucier, Sanjay Saini, Rachel Sisodia, Ali S Raja, David W Bates and 1 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Nooshin AbbasiCenter for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.ORCID 0000-0001-7980-8667
Neena KapoorCenter for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.ORCID 0000-0001-9406-1442
Ronilda LacsonCenter for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.ORCID 0000-0003-3300-1176
Jeffrey P GuenetteCenter for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.ORCID 0000-0002-4684-5469
Sonali DesaiDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
David LucierDepartment of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Sanjay SainiDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Rachel SisodiaDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Ali S RajaCenter for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.ORCID 0000-0002-8909-3586
David W BatesDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.ORCID 0000-0001-6268-1540
Ramin KhorasaniCenter for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.ORCID 0000-0002-2681-3574

Funding

AHRQ HHS R18 HS029348
6 · The paper itself

Abstract

Background Ambiguous or unnecessary radiologist recommendations for additional imaging (RAIs) can lead to excessive imaging use and diagnostic errors. Purpose To determine the cumulative impacts of multifaceted technology-enabled interventions aimed at optimizing RAI on RAI rate, actionability, and resolution over an 8-year period. Materials and Methods In this retrospective cohort study, conducted from January 2015 to December 2022, radiology reports from two tertiary hospitals (study site and control site) were analyzed. A series of quality improvement interventions, including radiologist education, electronic communication tools for tracking RAIs, and performance reports, were implemented at the study site but not at the control site. The RAI rate trend over time was compared between the sites using linear regression. Mixed-effects logistic regression was performed to assess the intervention impact on the RAI rate. RAI actionability and resolution were compared between the sites using the Fisher exact test.

Indexed as

Diagnostic ImagingQuality ImprovementRadiologistsUnnecessary ProceduresAgedFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID40459413
PMCPMC12765373

What OpenQuestion holds

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Registered trials

None linked

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.