Vesta Teleradiology | Teleradiology Solutions

Radiology AI in 2026: From “Cool Tools” to Governance, Workflow & Quality

In 2026, the radiology AI conversation is shifting from “Which algorithm is best?” to “How do we run AI in production without creating new risks or new bottlenecks?” Hospitals and imaging leaders are under pressure to improve turnaround times, reduce backlogs, and keep quality consistent—yet everyone knows that technology layered onto an already complex workflow can backfire if it isn’t governed properly.

The most successful AI programs aren’t defined by a single tool. They’re defined by governance, interoperability, and measurable performance—and by a workflow design that supports radiologists rather than fragmenting their attention.

Why AI success looks different in 2026

Early AI adoption often focused on point solutions: a triage tool here, a detection aid there. Today, organizations want outcomes: faster reads, fewer misses, more consistent reporting, and fewer operational disruptions. That’s why governance is taking center stage. The American College of Radiology (ACR) has emphasized the need for formal AI governance and oversight structures to keep patient safety and reliability at the forefront.

At the same time, the industry is pushing hard on interoperability—making sure AI tools integrate into PACS/RIS and clinical communication rather than living in “yet another dashboard.” RSNA has showcased how workflow integration and standards can reduce friction points and help AI support real clinical scenarios.

The 2026 AI governance checklist (simple, practical, usable)

Whether you’re adopting your first tool or scaling across modalities, governance doesn’t need to be complicated—but it does need to be real. A strong governance model typically includes:

1) Clear clinical ownership

AI cannot be “owned by IT.” Radiology leaders should define:

Where AI is allowed to influence priority or interpretation
When radiologists can override AI outputs (and how overrides are documented)
What happens when AI and clinical suspicion conflict

2) Validation before scale

Before broad rollout, validate performance in your setting:

Scanner/protocol differences
Patient population differences
Volume and study mix differences

Even a great algorithm can underperform when protocols change or volumes surge.

3) Ongoing monitoring for drift

AI isn’t “install and forget.” Real-world performance changes over time—new scanners, new protocols, and shifting patient demographics can all cause drift. That’s why long-term monitoring is a growing focus in radiology AI standards efforts. For example, ACR has discussed practice parameters and programs aimed at integrating AI safely into clinical practice.

4) Operational metrics that matter

Track the metrics your hospital actually feels:

ED and inpatient turnaround time (TAT)
Backlog hours by modality
Discrepancy rates and peer-review signals
Percentage of cases escalated via triage
Radiologist interruption load (alerts, worklist reshuffles)

If AI improves one metric by harming another, it’s not a net win.

Where Vesta fits: AI + subspecialty reads + QA

For many hospitals, the most practical 2026 strategy isn’t “AI replaces humans.” It’s AI improves routing and prioritization, while subspecialty radiologists deliver the interpretation quality that clinical teams depend on.

A common best-practice workflow looks like this:

AI supports triage and worklist prioritization (especially for time-sensitive pathways)
Subspecialty radiologists provide consistent, high-confidence reads
QA processes (peer review, discrepancy tracking, feedback loops) ensure reliability over time

That combination is how you get the real goal: speed and confidence together—not speed at the expense of quality.

What to do next

If you’re building or refining an AI program in 2026, start with your workflow map—then add tools where they reduce friction. And make sure governance is designed before adoption accelerates.

If your team needs scalable subspecialty coverage to support operational goals (nights/weekends, overflow, or targeted service lines), Vesta Teleradiology can help you build a coverage model that keeps reads moving without sacrificing consistency. Learn more at https://vestarad.com.

CY 2026 Physician Fee Schedule: What Imaging Leaders Should Watch (and Why “Average” Doesn’t Apply)

Every year, the Medicare Physician Fee Schedule (PFS) creates ripple effects across imaging—often in ways that don’t show up in headlines. In late 2025, CMS released the CY 2026 PFS final rule, effective January 1, 2026.

Here’s the most important operational truth for radiology leaders in 2026:

The revenue impact isn’t uniform—so “average change” isn’t actionable

Even if the overall conversion factor movement looks modest, imaging departments don’t bill an “average” service. You bill your mix of modalities, your setting, your patient population, and your staffing model.

That’s why the right response to the 2026 PFS is not a quick budget adjustment—it’s a targeted modeling exercise.

What to model first (a simple sequence that works)

Instead of trying to interpret every line of the rule at once, start by modeling what can materially impact decisions:

1) Modality mix

Break your radiology work into buckets that align with how your service lines actually function:

CT
MR
X-ray
Ultrasound
Nuclear Medicine / PET
Interventional (if applicable)

Then estimate the revenue shift by bucket based on your billed codes and volumes.

2) Code mix inside each modality

Within CT or MR, the mix matters:

ED-heavy vs outpatient-heavy patterns
Trauma and stroke volumes vs routine follow-ups
High-complexity oncology imaging vs general imaging

Small per-code shifts can become meaningful if a code represents a high-volume pathway.

3) Setting and coverage realities

Your operational plan should reflect how studies arrive and when they must be read:

ED surges
Nights/weekends
Seasonal peaks
Staff vacation coverage

If you model reimbursement without modeling coverage demands, you risk cutting resources that protect throughput and clinician satisfaction.

Why the conversion factor is only the starting point

The PFS conversion factor tends to get the most attention, but radiology leaders often feel the downstream effects through:

Service line prioritization (what gets resourced vs delayed)
Pressure to improve productivity and reduce “avoidable” repeats
Coverage decisions (especially after-hours)
Subspecialty availability (which can impact quality and clinician confidence)

Professional societies also track conversion-factor details and implementation considerations for specialties impacted by the rule.

A practical 2026 strategy: protect throughput, not just budget

A department that protects patient flow and ED throughput often becomes more valuable—even in tight reimbursement environments. Three operational levers tend to produce outsized returns:

1) Standardize protocols where possible

Reducing variation can lower repeat imaging and improve consistency.

2) Reduce time-to-read friction

Worklist management, routing, and coverage planning can take pressure off your core team.

3) Ensure subspecialty access when it matters

Oncology, neuro, MSK, and complex body imaging are often the studies that drive high clinical impact—and the highest risk when resources are stretched.

Where Vesta helps

If your 2026 modeling shows that coverage needs to be more flexible—without compromising quality—Vesta Teleradiology can help you stabilize operations with scalable subspecialty interpretation for overflow, after-hours, or targeted service lines.

If you want to pressure-test your coverage model against your real modality and code mix, visit https://vestarad.com.

FDA’s 2025 AI Draft Guidance: A Buyer’s Checklist for Imaging Leaders

In January 2025, the U.S. Food and Drug Administration released a draft guidance for AI-enabled medical devices that lays out expectations across the total product life cycle—design, validation, bias mitigation, transparency, documentation, and post-market performance monitoring. For imaging leaders, it’s a clear signal to tighten procurement criteria and operational guardrails before piloting AI in CT, MRI, mammo, ultrasound, or PET.

As teams lock in Q4 budgets and head into RSNA season, the FDA’s AI lifecycle draft (Jan 2025) and the now-final PCCP (Dec 2024) have reset what buyers should expect from AI in imaging—devices, software, and workflows. Vendors are updating claims and governance; this issue distills a practical buyer’s checklist—multisite validation with subgroup results, drift monitoring and version control, clear in-viewer transparency—and how pairing those tools with Vesta’s subspecialty coverage and QA turns promise into measurable gains across CT/MRI/US/mammography.

A practical buyer’s checklist

Use this when evaluating AI for your service lines:

Intended use fit: Verify indications, inputs/outputs, and claims match your pathway and patient mix.
Validation depth: Prefer multisite, diverse datasets; stratified results; pre-specified endpoints; documented data lineage and splits.
Bias mitigation: Demand subgroup performance (sex, age, race/ethnicity when available), scanner/vendor variability analyses, and site-transfer testing.
TPLC plan: Require drift monitoring, retraining triggers, versioning, and how updates are communicated.
Human factors & transparency: Ensure limitations, failure modes, and interpretable outputs are presented in-viewer without slowing reads.
Security & support: Patch cadence, vulnerability disclosure, SOC2/ISO posture, uptime SLAs, and rollback paths for version issues.
Governance: Define metrics owners, review cadence, and thresholds to pause or roll back a model.

Implementation playbook: pilot → scale without disruption

Start with a 60–90 day pilot in one high-impact line (e.g., ED stroke CT or mammography triage) and lock in baselines: median TAT, positive/negative agreement, recall rate, PPV/NPV, and discrepancy rate. Set guardrails—when to auto-triage vs. force human review—and document escalation paths for model failures. Require case-level confidence and structured outputs your radiologists can verify quickly. Stand up a model governance huddle (modality lead, QA, IT security, and your teleradiology partner) that meets biweekly to review drift signals, subgroup performance, and near-misses. Bake in a rollback plan (version pinning) and a quiet-hours change window so updates don’t collide with peak volumes. As results stabilize, scale by cohort (e.g., expand to non-contrast head CT, then CTA) and keep training “micro-bursts” for techs/readers—short videos or checklists in-workflow. Tie vendor SLAs to uptime, support response, and clinical KPIs so the AI program stays accountable to operational value.

Where teleradiology fits

AI only delivers when it’s welded to coverage, quality, and speed. A teleradiology partner should provide:

24/7 subspecialty + surge capacity: Vesta absorbs volume peaks so AI never becomes a bottleneck.
QA you can see: We benchmark pre/post-AI performance, add targeted second looks for edge cases, and feed variance data back to your team.
Standardized outputs: Structured reports that integrate model outputs with radiologist findings—no black-box surprises.
Smooth rollout: Pilot by service line (stroke CT, mammo triage, PE workups), then scale with tracked KPIs (TAT, PPV, recalls).
Interoperability & security: Seamless PACS/RIS/EMR integration with strict access controls, audit trails, and support for change-controlled updates.

Bottom line: Pairing AI with Vesta Teleradiology gives you round-the-clock subspecialty reads, measurable QA, and operational breathing room while you pilot and scale responsibly. If you’re mapping your AI roadmap under the FDA’s 2025 draft guidance, we’ll be your coverage and quality backbone—so your clinicians see faster answers and your patients see safer care. Visit vestarad.com to get started.

The Silent Strain: How Radiologist Shortages Are Impacting Patient Wait Times Nationwide

Across the United States, radiologist shortages are creating a ripple effect that many patients never see—until they’re left waiting. Waiting for a diagnosis. Waiting for peace of mind. Waiting for answers that may change the course of their care.

In Michigan, a patient recently reported waiting over 80 days for imaging results. Another waited three months for mammogram findings. These delays aren’t isolated. They’re part of a larger trend, driven by a persistent imbalance between the number of radiologists available and the ever-growing demand for diagnostic imaging.

A Nationwide Bottleneck

According to recent projections from the Harvey L. Neiman Health Policy Institute, the radiologist shortage is expected to continue through 2055 if action isn’t taken. Even with moderate increases in the number of new residents entering the field, demand for imaging — especially advanced modalities like CT and MRI — is expected to outpace supply.

Contributing factors include:

An aging population requiring more imaging.
Increasing use of imaging in preventive and chronic disease care.
Radiologist burnout and early retirements, especially post-COVID.
Limited growth in federally funded residency slots.

The Real-World Impact: Delayed Diagnoses, Frustrated Patients

For hospitals and imaging centers, the shortage translates into longer turnaround times, heavier workloads, and sometimes critical delays. For patients, the effects are personal and painful.

Delayed imaging results can:

Prolong anxiety around undiagnosed conditions.
Delay the start of necessary treatment.
Create bottlenecks in care coordination between departments.

And for rural or smaller hospitals, the challenge is even greater. With fewer in-house specialists, these facilities are often forced to outsource or delay imaging interpretations—unless they have a trusted teleradiology partner.

A Scalable Solution: Vesta Teleradiology

At Vesta Teleradiology, we understand the strain radiology departments are under. That’s why we offer 24/7/365 access to U.S.-based, board-certified radiologists—available for both preliminary and final reads, STAT or routine. Whether you’re managing a busy urban hospital or a small rural facility, our scalable services can be tailored to your needs.

We provide:

No minimum read requirements
Subspecialty interpretations across neuro, MSK, cardiac, PET, pediatric, and more
Customizable workflows and reporting formats
Efficient communication channels for urgent findings and consults

Our goal is simple: to help you deliver timely, high-quality care without compromise.

The Bottom Line

Radiologist shortages may be a long-term challenge, but patient care can’t wait. Hospitals and healthcare facilities need dependable partners now more than ever.

If your team is feeling the pressure of delayed reads or overwhelmed radiology staff, Vesta Teleradiology is here to help.

Reach out today to learn how we can support your imaging department with fast, flexible, and expert radiology interpretations.

Rapid Hospital Onboarding by Vesta Radiology: A Case Study

Introduction In the fast-paced world of healthcare, disruptions in critical services can have far-reaching consequences on patient care and hospital operations. On December 31st, Vesta Radiology showcased its unparalleled responsiveness and expertise when Comanche County Medical Center faced an imminent lapse in radiology coverage. Within just five hours of the initial call, Vesta finalized an agreement, completed IT installation, and ensured uninterrupted radiology services by midnight. This blog explores the key aspects of this successful rapid onboarding and the invaluable role Vesta Radiology played in maintaining continuity of care.

The Challenge
On December 31st at 5:30 PM, Vesta Radiology received an urgent request from Comanche County Medical Center, whose existing radiology provider had unexpectedly ceased services. A planned onboarding with another radiology group had fallen through, leaving the hospital facing a critical gap in coverage. With only a few hours to act, the hospital urgently needed a solution to ensure patient care remained unaffected.

Vesta Radiology’s Response

Despite the tight deadline and high-pressure circumstances, Vesta Radiology swiftly mobilized its resources to deliver an effective solution. The rapid response involved the following key actions:

Rapid Agreement Drafting:
- Within minutes of the initial contact, Vesta’s legal and administrative teams collaborated to draft a tailored service agreement.
- Leveraging pre-existing templates and streamlined approval processes, the agreement was finalized in record time.
Immediate IT Installation:
- Vesta’s IT team worked closely with the hospital’s technical staff to install and configure the necessary infrastructure, including PACS integration and secure communication channels.
- Remote access was established, enabling seamless transmission of imaging data and reporting workflows.
- The entire IT setup, which typically takes days, was completed in under five hours.
Staff Deployment:
- Vesta’s network of radiologists was promptly notified and scheduled to provide coverage starting at midnight.
- Detailed onboarding materials and specific instructions ensured radiologists were fully prepared.
Testing and Validation:
- Rigorous testing of IT systems and workflows confirmed functionality and compatibility.
- Communication protocols were validated to prevent disruptions during the initial hours of service.

Results
Thanks to Vesta Radiology’s rapid response and technical expertise, Comanche County Medical Center experienced zero downtime in radiology services. Coverage commenced precisely at midnight, ensuring patients continued to receive timely diagnoses and care. The hospital’s administration expressed profound gratitude for Vesta’s professionalism and swift action.

Key Takeaways
This case study highlights several strengths that distinguish Vesta Radiology as a trusted partner in the healthcare sector:

Agility: Vesta’s ability to rapidly deploy resources ensured seamless continuity of care.
Technical Excellence: The IT team’s efficiency in complex system setups demonstrated unparalleled expertise.
Client-Centric Approach: Vesta’s dedication to meeting urgent needs reinforces its commitment to client success.
Scalability: Vesta’s scalable processes allow it to handle time-sensitive requests without compromising service quality.

Conclusion Vesta Radiology’s successful onboarding of Comanche County Medical Center within five hours serves as a testament to its leadership in the radiology industry. By combining operational agility, technical proficiency, and a client-focused approach, Vesta ensures hospitals can rely on uninterrupted radiology services even in times of crisis.

Contact Us To learn more about how Vesta Radiology can support your medical center, hospital, or private practice, call us today or download our comprehensive case study for more insights.

Vesta Teleradiology

1071 S. Sun Dr. Suite 2001
Lake Mary, FL, 32746
Phone: 877-55-VESTA
Phone: 877-558-3782
Fax: 407-386-3358
Email: info@vestarad.com

New CMS-Approved MRI Standards: Enhancing Safety in Remote Scanning and Portable Imaging

The Centers for Medicare & Medicaid Services (CMS) has approved new MRI standards introduced by the Intersocietal Accreditation Commission (IAC), focusing on remote scanning and portable imaging technologies. These updates, effective immediately, aim to enhance patient safety and adapt to advancements in MRI practices.

Key Updates in MRI Standards

Remote Scanning Protocols: The revised standards mandate that a registered technologist must always be present with the patient during remote MRI scans. This ensures immediate care availability if needed. Facilities are also required to implement policies addressing potential challenges such as equipment or communication failures, internet instability, and power outages.

Portable MRI Scanning: The IAC has introduced standards for portable MRI technology, distinguishing it from mobile MRI units. This inclusion acknowledges the growing use of portable MRI devices in various healthcare settings and emphasizes the need for specific guidelines to ensure their safe and effective operation.

Contrast Administration and Supervision: Recognizing the challenges in meeting physician supervision requirements for contrast injections, the IAC has revised its policies to ensure a safe environment for patients. The new standards emphasize the presence of appropriately trained nonphysician personnel during contrast administration.

Implications for Healthcare Providers

These updates reflect the IAC’s commitment to quality improvement and patient safety in MRI services. Facilities must comply with the new standards to maintain accreditation, which may involve updating protocols, training staff, and investing in new technologies. The emphasis on remote scanning and portable MRI acknowledges the evolving landscape of medical imaging and the need for standards that keep pace with technological advancements.

Industry Response

The introduction of these standards has been met with support from industry stakeholders. For instance, Hyperfine, a manufacturer of portable MRI devices, noted that the new guidelines pave the way for their Swoop® Portable MR Imaging® system to be available in neurology offices and clinics. This development enables physicians to obtain diagnostic-quality MR brain images within their clinics, providing patients with timely and convenient MRI access at the point of care.

Conclusion

The CMS-approved MRI standards introduced by the IAC represent a significant step forward in ensuring patient safety and adapting to technological advancements in medical imaging. Healthcare providers are encouraged to familiarize themselves with these updates and implement the necessary changes to comply with the new accreditation requirements. As the medical imaging landscape continues to evolve, such proactive measures are essential to maintain high standards of care and patient safety.

Sources:
radiologybusiness.com
auntminnie.com
openai.com

Celebrate Rad Tech Week: Honoring Radiologic Technologists and Tips for Hiring the Best Talent

Every November, Radiologic Technology Week celebrates the vital role radiologic technologists play in patient care and diagnostics. This annual event recognizes the hard work and dedication of radiologic technologists (RTs) who operate imaging technology to aid in accurate diagnoses and treatments. With the demand for qualified RTs on the rise, hiring the right talent has never been more crucial for healthcare providers.

Why Rad Techs Are So Essential

Radiologic technologists serve as the backbone of diagnostic imaging, using their expertise to produce clear and precise images that allow physicians to diagnose illnesses accurately. With the increased reliance on imaging technologies, such as MRIs, CT scans, and X-rays, the Bureau of Labor Statistics (BLS) anticipates that employment of radiologic technologists will grow by 6% from 2021 to 2031, about as fast as the average for all occupations. This steady demand underscores the importance of having a skilled team of technologists.

The Current Demand for RTs

With a growing aging population, hospitals and diagnostic labs have faced shortages of skilled RTs. According to the American Society of Radiologic Technologists (ASRT) 2023 Radiologic Sciences Workplace and Staffing Survey, vacancy rates for radiologic technologists have reached unprecedented levels across various disciplines. For instance, radiography reported an 18.1% vacancy rate, while computed tomography had a 17.7% vacancy rate. These figures highlight the significant challenges healthcare providers face in recruiting qualified RTs

Hiring Tips for Healthcare Providers

If you’re looking to attract and retain top-tier radiologic technologists, here are a few proven hiring strategies:

1. Highlight Competitive Benefits and Flexibility

Offering competitive wages, flexible hours, and additional perks such as continuing education support is essential. The American Society of Radiologic Technologists (ASRT) emphasizes that benefits like flexible scheduling and support for continuing education are increasingly important to radiologic technologists when considering job opportunities. Highlighting these benefits in job listings can help attract techs who value work-life balance and career growth.

Rad techs enjoying a better work-life balance

2. Invest in Professional Development and Certification Support

Given the rapid advancements in imaging technology, radiologic technologists value employers who support their continuous learning. Providing access to certifications, especially in specialties like mammography or computed tomography, not only enhances your team’s expertise but also makes your workplace more attractive. BLS data shows that technologists with advanced certifications earn, on average, 10-15% more than their peers, making this an attractive benefit.

3. Partner with Radiologic Technology Schools

Form partnerships with local radiologic technology programs and schools to create a pipeline of qualified graduates. This collaboration can offer internships or job placements, providing students with practical experience while allowing you to assess potential hires early. According to the ASRT, educational partnerships and training programs have become a valuable resource for healthcare facilities in meeting their radiologic staffing needs and supporting workforce development

4. Emphasize Technology and Innovation in Your Facility

Top RTs are drawn to facilities with the latest equipment and technology. If your practice has recently invested in state-of-the-art imaging equipment, make this a key part of your job advertisements. Technologists are often eager to work with innovative technology, which enhances their skills and helps them deliver the best patient care.

5. Showcase a Positive and Collaborative Work Environment

Burnout is a real concern among healthcare professionals, and RTs are no exception. A study published in the Journal of Radiology Nursing in 2022 highlighted that a significant portion of participants indicated moderate burnout, with 62.2% of radiologists and 74.1% of technologists affected.

Leveraging Rad Tech Week to Boost Hiring

Rad Tech Week presents a fantastic opportunity for healthcare facilities to show appreciation for their RTs and also to promote open positions. Hosting events, offering special recognition, and sharing testimonials from current employees during this week can showcase your facility’s commitment to radiologic technologists and potentially attract new talent. Consider creating social media posts or a special blog series to highlight your RT team’s contributions and your facility’s support of career growth and education.

Conclusion

Hiring qualified radiologic technologists is essential to providing quality patient care and meeting the growing demand for diagnostic imaging. As we celebrate Rad Tech Week and honor the invaluable role of RTs, it’s a perfect time for healthcare providers to show their commitment to their teams and invest in recruiting the best talent.

Momentum Healthcare Staffing can help connect you with skilled RTs who are crucial to quality care. By offering competitive benefits, supporting professional growth, and promoting a positive work environment, healthcare providers can attract and retain the exceptional technologists their patients deserve.

Sources:

bls.gov
asrt.gov
auntminnie.com
openai.com

What to Expect at RSNA 2024: A Sneak Peek at the AI Showcase

The RSNA 2024 Annual Meeting is right around the corner, and it’s shaping up to be a groundbreaking event for radiologists, medical professionals, and technology enthusiasts alike. Set to take place in Chicago, this year’s meeting will feature a diverse range of presentations, educational sessions, and networking opportunities. Among the many highlights, the AI Showcase promises to be a focal point for attendees interested in the cutting edge of artificial intelligence, machine learning, and deep learning technologies in healthcare.

The AI Showcase: A Hub of Innovation

Located in South Hall A of the Technical Exhibits, the AI Showcase is RSNA 2024’s premier destination for exploring the latest advancements in AI. This year, it will serve as the central hub for innovation, bringing together top industry leaders, researchers, and developers to present their newest products, solutions, and research in AI. Whether you’re looking to discover next-level AI software or gain insights from industry pioneers, the AI Showcase offers a dynamic environment to interact with the hottest topics in artificial intelligence today.

The RSNA 2024 Annual Meeting includes various highlights beyond the AI Showcase, such as educational sessions, plenary and special session speakers, technical exhibits, and hands-on workshops at RSNA Labs. The meeting also features social and networking events like the RSNA 5K Fun Run and RSNA After Dark, providing opportunities for attendees to connect and engage. Additionally, the event offers resources on navigating Chicago, transportation, onsite services, and hotel options.

For more details, visit the RSNA 2024 Meeting Central.

Sources:
rsna.org
Openai.com

How to Create a Comfortable Imaging Experience for Pediatric Patients

Big machines, loud noises, unfamiliar people, funny smells. If you’ve had a medical image taken as an adult, you may not enjoy the experience, but you understand the process. As a child, it’s a totally different story. These factors may frighten or put them in a state of unease during a procedure that will help with their diagnosis or treatment. When it’s time for a little one to receive any medical imaging, there are a few things that can be done to help make them more comfortable and get the best result possible.

First and foremost, the best way to comfort a child before an imaging procedure is to keep them informed. If the child is old enough, of course, a parent, guardian, or medical professional can tell them what to expect during the procedure. Knowing what to wear, how it might feel, and how long it will take ahead of time will help the child feel in control of at least some parts of their day and reduce some stress.

For pediatric x-rays and MRIs, children often need to be in awkward positions to capture the correct image. This can be uncomfortable depending on the age of the child and the injury they have. Studies have shown that a negative experience occurs more often when a child is restrained. One technique that helps put a child more at ease is called comfort positioning. This technique involves positioning the child in a way that feels comforting for them, such as sitting on their parents’ lap or a comfortable chair or bed instead of the examining table. Positions like “tummy to tummy” or “back to chest” can also be used as a calming position with other distractions like a toy or a tablet. These positions help reduce the stress hormone and “minimize the physical symptoms associated with anxiety.” Studies have shown that giving children these options helps with cooperation and gives children more control during their procedures.

In some cases, a child may need to be sedated for the procedure. This can be scary for anyone, especially a child, where they need to stay still for long periods of time in a very tight space. Because of the nature of an MRI, the sound of the machine and the closed tightness, patients are not able to fully communicate their needs, and could therefore become easily anxious and begin to move. In cases like these, studies have shown that music, or the mother’s voice during the procedure may reduce the need for sedation and the amount of drugs needed to sedate.

To help children have a better experience during imaging, companies, such as Phillips, have designed equipment and educational programs to help as well. To prepare children for their scan, they have created the Scan Buddy App which features calming cartoon characters that lead them through the process with games and instruction. When children visit the location where they will get their scan, children are allowed to role play their scan with a “Kitten Scanner,” a child sized MRI machine where they can send stuffed animals through to see what will happen during the scan. In 2021, Phillips launched their pediatric coaching program, where lighting, visuals, and sounds are used to ease the stress of the child.

Calming techniques like these can help turn a very scary experience into one that a child is prepared for, relaxed for, and perhaps even pleasant. A calm child means good imaging results and better outcomes for treatment.

Errors in Radiology Interpretations in CT and MR imaging

In a recent study of 10,090 body CT scans, reviewed by attending physicians in the abdominal division, no significant difference in error rates was found between day and night studies. The study identified 44 errors in 2,164 day studies and 226 errors in 7,446 night studies. The research highlights that body CT studies often have higher error rates when interpreted by non-specialists due to the complexity of evaluating multiple organs. Specialists in body imaging, who reviewed the scans, often detected additional observations that generalists missed. To reduce errors, recommendations include using checklists, taking notes during reviews, making all observations before dictating, and thoroughly reviewing reports before finalizing them.

Additional Study

Research published in the Journal of the American College of Radiology highlights that up to 44% of diagnostic errors stem from improperly ordered laboratory tests and radiology exams. This issue is particularly significant for CT and MR imaging. A study led by Dr. Ariadne DeSimone at Brigham and Women’s Hospital found that implementing tailored order options and educational interventions significantly reduced these errors by 83%, from 16% to 3%. The study emphasizes the importance of improving the imaging order process to minimize diagnostic errors and enhance radiologists’ workflow by reducing time spent on correcting incorrect orders.

ChatGPT—Can it Reduce Errors?

A retrospective study explored the potential of ChatGPT-4 in assisting radiologists with error detection in radiology reports. The study involved 200 reports, with 150 common errors intentionally introduced. ChatGPT-4 identified 82.7% of errors, closely matching the performance of senior radiologists (89.3%) and surpassing assistants and residents (80.0%). Notably, ChatGPT-4 was significantly faster, taking just 3.5 seconds per report compared to 25.1 seconds for radiologists, and was more cost-effective. While promising, the study suggests that further prospective validation and specialized training are needed before widespread adoption of AI-assisted re-reading in radiology.

How Vesta can Help

Vesta is a leading teleradiology company offering comprehensive radiology support—partial, full, onsite or remotely. Our team of U.S. Board Certified radiologists encompasses various subspecialties, ensuring that interpretations are accurate and reliable, regardless of the complexity of the case. By leveraging our expertise and advanced technology, we provide seamless and precise radiology services, helping healthcare facilities enhance diagnostic accuracy and patient outcomes.

Sources:

Auntminnie.com
dotmed.com
Medscape.com
openai.com