RE: CT pulmonary angiography versus VQ scintigraphy.
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Biomedical subjects
Publications and source records attributed to F Parrish.
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We have established a nuclear medicine teleradiology service for rural and regional areas of south-west Western Australia. This study aimed to evaluate whether existing treatment models had altered in ways which were directly related to improved medical outcomes and reduced cost. Preliminary observation into musculoskeletal injury of the ankle joint included diagnosis of 10 radio-occult talar dome lesions which in some cases had not been identified until six months after the trauma. Several cases suggest that nuclear medicine provided a more timely diagnosis and actively altered treatment. Further, the potential role of radiologists as primary-care extenders in guiding appropriate investigations and defining the nature of the illness before specialist consultation may lessen the economic burden on public health care while creating economies of scale by expanding the clinical usefulness of the nuclear physician over a large rural area.
Following the publication of the Royal College of Radiologists guidelines for the management of reactions to intravenous contrast media we assessed radiologists' understanding of intravenous contrast media reactions and their management of specific adverse reactions. A confidential questionnaire was sent to all radiologists in the Northern Region. Responses were received from 61/101 (60%). Knowledge of minor contrast media reactions was generally good but the understanding of treatment of severe reactions was poor. Knowledge of optimal management was inversely related to radiological seniority. This study suggests a poor understanding of severe contrast media reaction management amongst radiologists. Simplified treatment guidelines based on the Royal College document and aimed at severe reactions are suggested.
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