目的:这篇叙述性综述旨在提出成像中的价值概念,并探讨为什么我们进行低价值程序,如何减少这种浪费的使用,以及我们可以从减少低价值成像中获得什么。
结果:对患者进行低值成像会导致数千公吨的二氧化碳排放,每年花费数十亿美元。低值成像减少20%,我们将减少与720万个程序相关的资源浪费,同时,降低偶发瘤的风险,过度诊断,和过度治疗,并减少需要高价值影像服务的患者的等待时间。需要针对社会和医疗保健各个层面的障碍采取多成分举措,以减少低价值成像。放射技师是医学成像的关键角色,可以通过以下方式为这项工作做出重大贡献:和放射科医生一起,推荐人,和经理,确保所进行的所有成像程序在可持续性的四个方面都是可持续的:价值,成本,风险,和环境。
结论:考虑到四个关键维度(价值,成本,辐射,和环境)应该在社会和医疗保健的各个层面上,从政府管理到个人医护人员。放射技师对于获得可持续性至关重要,以确保仅进行可持续的成像程序。
结论:在评估成像程序的适当性时,我们需要考虑环境,安全,有效性,和效率。为了获得这个,我们需要在当地集体和协调的努力,全国,并在国际上提供可持续的成像服务。
OBJECTIVE: This narrative
review aims to present the concept of value in
imaging and explore why we conduct low-value procedures, how to reduce this wasteful use, and what we could gain from reducing low-value
imaging.
RESULTS: Imaging of low value to the patient contributes to thousands of metric tons of CO2 emissions, costing several billion US dollars annually. With a 20% reduction in low-value
imaging, we would reduce the waste of resources related to 7.2 million procedures and, at the same time, reduce the risk of incidentalomas, overdiagnosis, and overtreatment and reduce wait times for patients in need of imaging services of high value. Multi-component initiatives targeting barriers in all levels of society and healthcare are needed to reduce low-value imaging. Radiographers are key actors in medical
imaging and can make substantial contributions to this effort by, together with the radiologists, referrers, and managers, ensuring that all imaging procedures conducted are sustainable along four dimensions of sustainability: value, cost, risk, and environment.
CONCLUSIONS: Efforts to secure sustainable imaging considering the four crucial dimensions (value, cost, radiation, and environment) should be made at all levels of society and healthcare, from governmental management to the individual healthcare worker. Radiographers are vital in obtaining sustainability to ensure only sustainable imaging procedures are conducted.
CONCLUSIONS: When assessing the appropriateness of imaging procedures, we need to consider the environment, safety, effectiveness, and efficiency. To obtain this, we need a collective and coordinated effort locally, nationally, and internationally to deliver sustainable imaging services.