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2021 ; 28
(9
): 1219-1224
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Prospective Analysis of Radiology Resource Utilization and Outcomes for
Participation in Oncology Multidisciplinary Conferences
#MMPMID32622744
Shenoy-Bhangle AS
; Putta N
; Adondakis M
; Rawson J
; Tsai LL
Acad Radiol
2021[Sep]; 28
(9
): 1219-1224
PMID32622744
show ga
RATIONALE AND OBJECTIVES: Radiology participation is necessary in oncology
multidisciplinary conferences (MDCs), but the resources required to do so are
often unaccounted for. In this prospective study we provide an analysis of
resource utilization as a function of outcomes for all MDCs covered by an entire
radiology section and provide a time-based cost estimate. MATERIALS AND METHODS:
Following institutional review board approval, prospective data on all MDCs
covered by abdominal radiologists at a single tertiary care academic center were
obtained over nine weeks. A predefined questionnaire was used by a single
observer who attended every imaging review and recorded the total time spent by
the radiologists and several outcome measures. The total time recorded was used
to provide a time-based cost estimate using a national salary survey. RESULTS:
Six radiologists participated in a total of 57 MDCs, with 577 cases reviewed and
discussed. 181 (31%) cases were performed at outside facilities requiring full
reinterpretation. Clinically significant revisions to original reports were
recorded in 107 (18.5%) cases. Radiologist input directly resulted in alteration
of cancer staging in 65 (11%) patients and specific recommendations for follow-up
diagnostic workup in 280 (48%) of cases. The mean total time devoted by the staff
radiologist per week to MDCs was 18.7 hours/week, nearly a half of full-time
effort, or 8% of total effort per radiologist. The total annual projected cost of
radiology coverage for each weekly MDC was $26,920. CONCLUSION: Section-wide
radiologist participation in MDCs directly resulted in change in clinical
management in nearly half of reviewed cases. This was achieved at a notable time
cost, highlighting the need for efficient integration of radiology MDC
participation into radiologist workflow and compensation models.