ACR 2017 The Crossroads of Radiology

ACR2017VM08 - Sealing the Cracks: Monitoring Patients Who Need Follow-Up Based on Radiology Examinations

May 21, 2017 3:30pm ‐ May 21, 2017 5:00pm


The purpose of this session is to focus on critical test results management (CTRM) - the reporting and communication of critical test results that could change patient management within minutes to hours. However, equally important and sometimes more challenging is the reporting of non-critical actionable findings: those that can impact the patient's health months to years later if downstream testing is not completed. While critical test results are often identified on emergency department patients or inpatients whose providers are in the hospital at the time, non-critical actionable findings are often identified in outpatients whose providers may not even belong to the same hospital or health system. In addition, determining if downstream testing has occurred months later further confounds this problem. The Imaging 3.0 initiative recommends that the radiologist be present during all three steps of an examination: before, during, and after. Taking an active role in the management of non-critical actionable findings aligns with the principles of Imaging 3.0. In this session, we identify some of the challenges associated with monitoring patients with incomplete follow-up and discuss some solutions that have been implemented in the emergency department, ambulatory setting, as well as across health systems to address this opportunity to improve the care of our patients.

Learning Objectives:

  1. Discuss some of the challenges associated with monitoring the follow-up of non-critical actionable findings identified on imaging.
  2. Compare and contrast the problems of reporting and communicating critical vs. non-critical actionable findings.
  3. Identify components of possible solutions to monitoring patients awaiting follow-up of non-critical actionable findings.



  • Tessa Cook, MD, PhD - Royalty Income - Osler Institute (for lectures given in 2012)
  • Michael Andrew Bruno, MD, MS, FACR - Royalty Income - Elsevier
  • Ben Wandtke, MD,MS - This speaker has nothing to disclose
  • Nathan Cross, MD,MS, CIIP - This speaker has nothing to disclose

You must be logged in and own this session in order to post comments.