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Erschienen in: Japanese Journal of Radiology 4/2018

16.02.2018 | Original Article

Global and Japanese regional variations in radiologist potential workload for computed tomography and magnetic resonance imaging examinations

verfasst von: Kanako K. Kumamaru, Akihiro Machitori, Ritsuko Koba, Shinpei Ijichi, Yasuo Nakajima, Shigeki Aoki

Erschienen in: Japanese Journal of Radiology | Ausgabe 4/2018

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Abstract

Purpose

To investigate the global variation in radiologist potential workload for CT and MRI examinations, and the regional variation in potential workload and extent of radiologists’ involvement in CT and MRI examinations in Japan.

Methods

“Radiologist potential workload” was defined as the annual number of CT plus MRI examinations divided by the total number of diagnostic radiologists. The extent of radiologists’ involvement was measured as the proportion of CT and MRI examinations to which “Added-fees for Radiological Managements on Imaging-studies (ARMIs)” were applied among eligible examinations. Maximum variation was computed as the ratio of the highest-to-lowest values among the countries or Japanese prefectures.

Results

The radiologist potential workload in Japan was 2.78–4.17 times higher than those in other countries. A maximum prefecture-to-prefecture variation was 3.88. The average percentage of CT plus MRI examinations with ARMI applied was 43.3%, with a maximum prefecture-to-prefecture variation of 3.97. Prefectures with more radiologists tended to have a higher extent of radiologists’ involvement.

Conclusions

Japan had a far greater radiologist potential workload compared with other countries, with a large regional variation among prefectures. Prefectures with more radiologists tended to have a higher extent of radiologists’ involvement in CT and MRI examinations.
Literatur
1.
Zurück zum Zitat Kumamaru KK, Arai T, Morita H, Sekine T, Takamura K, Takase S, et al. Overestimation of pretest probability of coronary artery disease by Duke clinical score in patients undergoing coronary CT angiography in a Japanese population. J Cardiovasc Comput Tomogr. 2014;8:198–204.CrossRefPubMed Kumamaru KK, Arai T, Morita H, Sekine T, Takamura K, Takase S, et al. Overestimation of pretest probability of coronary artery disease by Duke clinical score in patients undergoing coronary CT angiography in a Japanese population. J Cardiovasc Comput Tomogr. 2014;8:198–204.CrossRefPubMed
2.
Zurück zum Zitat Kumamaru KK, Kondo T, Kumamaru H, Amanuma M, George E, Rybicki FJ. Repeat coronary computed tomographic angiography in patients with a prior scan excluding significant stenosis. Circ Cardiovasc Imaging. 2014;7:788–95.CrossRefPubMed Kumamaru KK, Kondo T, Kumamaru H, Amanuma M, George E, Rybicki FJ. Repeat coronary computed tomographic angiography in patients with a prior scan excluding significant stenosis. Circ Cardiovasc Imaging. 2014;7:788–95.CrossRefPubMed
4.
Zurück zum Zitat Rao VM, Levin DC. The overuse of diagnostic imaging and the choosing wisely initiative. Ann Intern Med. 2012;157:574–6.CrossRefPubMed Rao VM, Levin DC. The overuse of diagnostic imaging and the choosing wisely initiative. Ann Intern Med. 2012;157:574–6.CrossRefPubMed
5.
6.
Zurück zum Zitat Kumamaru KK, Murayama S, Yamashita Y, Nojo T, Watanabe Y, Goto M, et al. Appropriate imaging utilization in Japan: a survey of accredited radiology training hospitals. Jpn J Radiol. 2017;35(11):648–54.CrossRefPubMed Kumamaru KK, Murayama S, Yamashita Y, Nojo T, Watanabe Y, Goto M, et al. Appropriate imaging utilization in Japan: a survey of accredited radiology training hospitals. Jpn J Radiol. 2017;35(11):648–54.CrossRefPubMed
8.
Zurück zum Zitat Nishie A, Kakihara D, Nojo T, Nakamura K, Kuribayashi S, Kadoya M, et al. Current radiologist workload and the shortages in Japan: how many full-time radiologists are required? Jpn J Radiol. 2015;33(5):266–72.CrossRefPubMed Nishie A, Kakihara D, Nojo T, Nakamura K, Kuribayashi S, Kadoya M, et al. Current radiologist workload and the shortages in Japan: how many full-time radiologists are required? Jpn J Radiol. 2015;33(5):266–72.CrossRefPubMed
9.
Zurück zum Zitat Nakajima Y, Yamada K, Imamura K, Kobayashi K. Radiologist supply and workload: International comparison—Working group of Japanese College of Radiology. Radiat Med. 2008;26(8):455–65.CrossRefPubMed Nakajima Y, Yamada K, Imamura K, Kobayashi K. Radiologist supply and workload: International comparison—Working group of Japanese College of Radiology. Radiat Med. 2008;26(8):455–65.CrossRefPubMed
10.
Zurück zum Zitat Kumamaru KK, Hunsaker AR, Kumamaru H, George E, Bedayat A, Rybicki FJ. Correlation between early direct communication of positive CT pulmonary angiography findings and improved clinical outcomes. Chest. 2013;144:1546–54.CrossRefPubMed Kumamaru KK, Hunsaker AR, Kumamaru H, George E, Bedayat A, Rybicki FJ. Correlation between early direct communication of positive CT pulmonary angiography findings and improved clinical outcomes. Chest. 2013;144:1546–54.CrossRefPubMed
11.
Zurück zum Zitat Kumamaru KK, Kogure Y, Suzuki M, Hori M, Nakanishi A, Kamagata K, et al. A strategy to optimize radiation exposure for non-contrast head CT: comparison with the Japanese diagnostic reference levels. Jpn J Radiol. 2016;34(6):451–7.CrossRefPubMed Kumamaru KK, Kogure Y, Suzuki M, Hori M, Nakanishi A, Kamagata K, et al. A strategy to optimize radiation exposure for non-contrast head CT: comparison with the Japanese diagnostic reference levels. Jpn J Radiol. 2016;34(6):451–7.CrossRefPubMed
23.
Zurück zum Zitat Rosenkrantz AB, Hughes DR, Duszak R Jr. The US radiologist workforce: an analysis of temporal and geographic variation by using large national datasets. Radiology. 2015;279(1):175–84.CrossRefPubMed Rosenkrantz AB, Hughes DR, Duszak R Jr. The US radiologist workforce: an analysis of temporal and geographic variation by using large national datasets. Radiology. 2015;279(1):175–84.CrossRefPubMed
24.
Zurück zum Zitat Matsumoto M, Koike S, Kashima S, Awai K, Ojima T. Geographic distribution of radiologists and utilization of teleradiology in Japan: a longitudinal analysis based on national census data. PLoS ONE. 2015;10:e0139. Matsumoto M, Koike S, Kashima S, Awai K, Ojima T. Geographic distribution of radiologists and utilization of teleradiology in Japan: a longitudinal analysis based on national census data. PLoS ONE. 2015;10:e0139.
27.
Zurück zum Zitat Schwartz WB, Newhouse JP, Bennett BW, Williams AP. The changing geographic distribution of board-certified physicians. N Engl J Med. 1980;303:1032–8.CrossRefPubMed Schwartz WB, Newhouse JP, Bennett BW, Williams AP. The changing geographic distribution of board-certified physicians. N Engl J Med. 1980;303:1032–8.CrossRefPubMed
28.
Zurück zum Zitat Patel ND, Broderick DF, Burns J, Deshmukh TK, Fries IB, Harvey HB, et al. ACR appropriateness criteria low back pain. J Am Coll Radiol. 2016;13:1069–78.CrossRefPubMed Patel ND, Broderick DF, Burns J, Deshmukh TK, Fries IB, Harvey HB, et al. ACR appropriateness criteria low back pain. J Am Coll Radiol. 2016;13:1069–78.CrossRefPubMed
29.
Zurück zum Zitat Chou R, Qaseem A, Owens DK, Shekelle P, Guidelines C. Clinical guideline diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians. Ann Intern Med. 2011;154:181–90.CrossRefPubMed Chou R, Qaseem A, Owens DK, Shekelle P, Guidelines C. Clinical guideline diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians. Ann Intern Med. 2011;154:181–90.CrossRefPubMed
32.
Zurück zum Zitat Yamashita Y, Takahashi M, Hiramatsu K, Ishikawa T, Suzuki S, Takashima T, et al. Current status of angiography and interventional radiology in Japan: survey results. J Vasc Interv Radiol. 1994;5:299–304.CrossRefPubMed Yamashita Y, Takahashi M, Hiramatsu K, Ishikawa T, Suzuki S, Takashima T, et al. Current status of angiography and interventional radiology in Japan: survey results. J Vasc Interv Radiol. 1994;5:299–304.CrossRefPubMed
Metadaten
Titel
Global and Japanese regional variations in radiologist potential workload for computed tomography and magnetic resonance imaging examinations
verfasst von
Kanako K. Kumamaru
Akihiro Machitori
Ritsuko Koba
Shinpei Ijichi
Yasuo Nakajima
Shigeki Aoki
Publikationsdatum
16.02.2018
Verlag
Springer Japan
Erschienen in
Japanese Journal of Radiology / Ausgabe 4/2018
Print ISSN: 1867-1071
Elektronische ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-018-0724-5

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