Differences Between Preliminary and Final Radiology Interpretations  

A radiology report interprets images into words. The requesting physician who requests the radiology reports recommends treatment to their patient based on the findings a radiologist provides in these reports. A patient’s understanding of preliminary or final radiology interpretations is critical in treatment decisions.

An on-call radiology resident or technician may be issuing the preliminary radiology report at a hospital emergency room or an urgent care facility. A physician may need to act on the findings of this initial report before a final interpretation by the radiological physician overseeing the resident or technician.

Studies have shown a minimal discrepancy rate when physicians review the preliminary report with the final findings. A few factors, like the imaging technique and the technician’s experience level, account for most modifications in the final reports.

Why Have Preliminary Radiology Interpretation?

Hospital funding in rural areas and 24-hour urgent care facilities cannot always afford an on-staff radiology physician, and they rely on teleradiology interpretations. However, if a patient in pain arrives at the facility, the physician needs immediate information on how to proceed with the patient’s treatment.

 

preliminary reading
A radiologist examines an x-ray

An example may be if the patient complains about severe abdominal pain. The physician must rely on the technician’s preliminary report defining acute appendicitis and perform emergency surgery. Another example may be a possible stroke victim brought into the facility. The physician cannot wait for a final report to make a life-saving decision with the patients.

Radiologist Physician Expertise for a Final Report

Few people understand the extensive education and dedication a Radiologist Physician undergoes during their career. They graduate from medical school, complete their internships and residency requirements, and interpret thousands of exams under supervision. These are just a few of the provisions of licensing.

The extensive requirements of completing a radiologist physician program limit the number of physicians available for final radiology interpretations.

With the advancement of technology in the field, teleradiology has broadened the possibility of more accessible and punctual final reads from radiologists. In most cases, it can make the need for preliminary reporting almost obsolete.

Besides an emergency, another exception may be for very complicated cases where second reads of the imagery may be pertinent to a diagnosis or treatment plan. In these cases, it is most beneficial to have a preliminary report, a second read, then a final report issued before making any decisions.

The primary goal of physicians is to make a difference in the lives of their patients, and they can do this by having timely, accurate, and well-defined information. Continuing improvement of the technical aspects of the radiology field will allow the radiologist to expeditiously provide final radiology interpretations and assist in improving patient management.

 

final interpretation
Teleradiology offers hospitals and healthcare facilities an efficient way of completing interpretations

US Board Certified Teleradiologists from Vesta

At Vesta Teleradiology, our US Board Certified Radiologists can assist your facility with both preliminary and final interpretations, including subspecialty solutions like: nuclear medicine, body imaging, gastrointestinal/genitourinary diagnoses, cardiac angiography and thoracic radiology.

 

Solution and Ideas for Rural Hospital Challenges

Rural hospitals are the cornerstones of many rural communities. Not only are these facilities access points of care, but they are also significant financial support to rural areas by being primary employers.

These facilities are essential to the rural communities and make them vulnerable to financial difficulties. There are limited resources to comply with the increasing regulations on these facilities. Also, revenues are minimal due to low patient volume, shortage of physicians and other health care professionals, and a higher number of elderly, poor, and underinsured residents, along with a higher chronic illness rate.

small regional hospitals

The North Carolina Rural Health Research Program reported 95 rural hospitals closed between 2010 and 2018, resulting in a total loss of local care in some communities. Rural hospitals serve 20% of the population in the United States, making the survival of rural hospitals a priority in the health care system.

To explore solutions to the problems, in 2019, the American College of Radiology distributed a 22 question survey to explore the rural hospital systems’ staffing, recruitment, and retention issues. The responses showed interventional radiologist trained physicians either “do not want to do diagnostic work” (56.2%) or “do not want to practice in a small or rural setting” (48.8%)

The health care communities are continually exploring new models of care to improve these overall challenges rural hospitals face. Government entities and corporate and private organizations continue to explore

changing policies and enacting legislation for this health services dilemma to strengthen the viability of our rural health care systems.

Technology

Expanding the use of the internet has provided a wide choice of tools for rural hospitals to provide better health outcomes for the patients and better workload and communication for the workers.

Technology specialists have categorized solutions that may apply specifically to the rural health care systems.

More Accessible Health Information

Technology can create better communication between patients and health care providers to enhance treatment options, along with access to electronic records.

Digital Imaging

Digital imaging equipment and scanners that digitize documents and images allow radiology, pathology, and cardiology specialists to interpret these images in co-operative care centers at any distance.

Real-Time Patient Monitoring

Specialists can remotely monitor their patients in rural facilities for cardiac and ICU care.

Cooperation between health care partners is essential in the success of technology solutions for rural health care facilities. There are a variety of resources to explore if technology may seem like a viable solution.

Empowering Patients

Health care and health insurance options can be confusing, and many patients have difficulty understanding the process to get the care they need.

Each rural community has unique methods of networking and communicating. Working with existing community communication systems and creating more outreach methods to distribute

easy-to-understand materials can help patients understand their options better and make better-informed choices.

Funding

Funding for changes to the rural health care systems has come chiefly from grants. Still, cooperative agreements with associations, larger medical centers, and government entities have produced remarkable opportunities for outlying area medical facilities.

Team Effort

Partners from many organizations, health associations, vendors, government agencies, hospitals, healthcare organizations, funding groups, existing networks, and telemedicine programs are available to assist rural communities in need.

By identifying common objectives with other organizations, rural hospitals can specify health delivery problems and staffing issues to offer products and services to meet the rural facilities’ unique requirements.

By working together and overcoming obstacles rural hospitals are experiencing, the healthcare field, and the strength of the rural communities, can endure and experience a brighter future.

Vesta Teleradiology works with healthcare facilities in rural areas. No matter how large or small, we aim to help you provide the best healthcare possible for your patients. Our US Board Certified Radiologists have experience in traditional imaging as well as many subspecialties. 

By utilizing Vesta, these small individual and dependent hospitals can have the feel of being of a larger network spearheaded by Vesta. 

radiology company

 

Since Vesta has many radiologists on staff, the hospital will expend on their offerings, have the access to multiple opinions, can consult with other hospitals in the network, no interruption in the service due to shortage of radiologists, vacation or unforeseen situations

Please reach out to us to learn more at 877-55-VESTA.