Imaging Archives - Wiser Healthcare

Breast Cancer Stage and Size Detected with Film versus Digital Mammography in New South Wales, Australia: A Population-Based Study Using Routinely Collected Data – Rachel Farber et al.

Lucia Marcello2024-04-07T16:18:13+10:00Breast cancer, Cancer, Imaging, Overdiagnosis, Publications, Screening|

Digital mammography has replaced film mammography in breast screening programs globally, including Australia. This led to an increase in the rate of detection, but whether there was increased detection of clinically important cancers is uncertain. In this population-wide retrospective cohort study in New South Wales, [...]

Effectiveness of hybrid digital breast tomosynthesis/digital mammography compared to digital mammography in women presenting for routine screening at Maroondah BreastScreen: Study protocol for a co-designed, non-randomised prospective trial – Nehmat Houssami et al.

Lucia Marcello2024-04-07T15:49:03+10:00Breast cancer, Breast density, Cancer, Imaging, Overdiagnosis, Publications, Screening|

Digital breast tomosynthesis (DBT) for breast cancer screening has been shown in international trials to increase cancer detection compared with mammography; however, results have varied across screening settings, and currently there is limited and conflicting evidence on interval cancer rates (a surrogate for screening effectiveness). [...]

Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics – Simon P Vella et al.

Lucia Marcello2024-04-07T13:51:47+10:00Clinical guidelines, Emergency Department, Health literacy, Imaging, Low back pain, Low-value care, Musculoskeletal, Opioids, Pain, Physiotherapy, Publications, Treatment|

Internationally, non-traumatic low back pain (LBP) is an increasingly common presentation to ambulance services. Consequently, paramedics are often the first providers of care for people with LBP. Australian guidelines for paramedic management of LBP recommend the use of simple analgesia, hot/cold therapy and for people [...]

RECITAL: a non-inferiority randomised control trial evaluating a virtual fracture clinic compared with in-person care for people with simple fractures (study protocol) – Min Jiat Teng et al.

Lucia Marcello2024-04-07T13:15:38+10:00Imaging, Musculoskeletal, Pain, Physiotherapy, Publications, Surgery, Treatment, Virtual Care/Telehealth|

Most simple undisplaced fractures can be managed without surgery by immobilising the limb with a splint, prescribing medication for pain, and providing advice and early rehabilitation. Recent systematic reviews based on retrospective observational studies have reported that virtual fracture clinics can deliver follow-up care that [...]

Are clinically unimportant findings qualified as benign in lumbar spine imaging reports? A content analysis of plain X-ray, CT and MRI reports – Caitlin Farmer et al.

Lucia Marcello2024-04-07T13:09:31+10:00Disease labels, Imaging, Low back pain, Musculoskeletal, Overdiagnosis, Overtreatment, Overuse, Pain, Publications, Radiology reports, Spinal|

Lumbar spine diagnostic imaging reports may cause patient and clinician concern when clinically unimportant findings are not explicitly described as benign. Our primary aim was to determine the frequency that common, benign findings are reported in lumbar spine plain X-ray, computed tomography (CT) and magnetic [...]

Clinical care standards for the management of low back pain: a scoping review – Gabriel S. Alves et al.

Lucia Marcello2024-04-07T13:01:17+10:00Clinical guidelines, Clinical quality, Imaging, Low back pain, Musculoskeletal, Opioids, Pain, Publications, Spinal, Treatment|

The objective of this study is to compare and contrast the quality statements and quality indicators across clinical care standards for low back pain. Searches were performed in Medline, guideline databases, and Google searches to identify clinical care standards for the management of low back [...]

Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial – Gemma Altinger et al.

Lucia Marcello2024-04-05T13:06:47+11:00Back pain, Imaging, Low back pain, Low-value care, Musculoskeletal, Opioids, Overuse, Pain, Publications|

Opioids and imaging are considered low-value care for most people with low back pain. Yet around one in three people presenting to the emergency department (ED) will receive imaging, and two in three will receive an opioid. NUDG-ED aims to determine the effectiveness of two [...]

Patterns of computed tomography utilisation in injury management: latent classes approach using linked administrative data in Western Australia – Ninh T. Ha et al.

Lucia Marcello2024-02-13T14:09:24+11:00Imaging, Insurance, Overuse, Publications, Radiology reports, Risk, Screening|

Whilst computed tomography (CT) imaging has been a vital component of injury management, its increasing use has raised concern regarding ionising radiation exposure. This study aims to identify latent classes (underlying patterns) of CT use over a 3-year period following the incidence of injury and [...]

Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study – Thomas Ibounig et al.

Lucia Marcello2024-02-11T14:42:33+11:00Imaging, Musculoskeletal, Pain, Publications, Radiology reports, Shoulder|

Shoulder pain is a substantial medical and socioeconomic problem in most societies, affecting the ability to work or carry out leisure time activities as well as subsequently influencing physical and psychological well-being. According to a nationwide survey in Finland, 27% of the population reported shoulder [...]

First do no harm in responding to incidental imaging findings – Ian A Scott, John Slavotinek &Paul P Glasziou

Lucia Marcello2023-12-04T14:34:57+11:00Cancer, Imaging, Low-value care, Overdiagnosis, Overtreatment, Publications, Screening|

You order a computed tomography pulmonary angiogram (CTPA) for a patient with suspected pulmonary thromboembolism. The radiology report states that no pulmonary thromboembolism is seen but notes an unrelated lung nodule. What should you do with this incidental finding, or “incidentaloma”?

Imaging

Staff Intranet