Provision of a "same-day" ultrasound service in an inner-city NHS trust: report on experience and lessons learned after the first 2 years.

Abstract:

AIM:To assess the effect of changing from an "appointment" to a "same-day" ultrasound (US) service on referral pattern, departmental workload, and patient satisfaction. MATERIALS AND METHODS:To reduce US waiting time of 3 weeks for routine examinations, a "same-day" service was started for outpatients and general practitioner (GP) patients in September 2006. To examine the effect of this change a retrospective assessment was performed of workload during 1 week in June 2006 (appointments only) and the same week in 2008, 22 months after the implementation of the new service. Distance travelled by patients and waiting time was recorded. Patient satisfaction with the service was assessed by questionnaire in September 2008. RESULTS:Hospital referrals remained stable, but GP referrals increased from 99 to 367 (270%) and distance travelled by patients increased from a median of 3.1 km (range 0.1-12.1 km) in 2006 to 4.8 km (range 0.2-19.8 km) in 2008 (p<0.001). Non-local GP referrals increased from 20/99 in 2006 (20%) to 198/367 in 2008 (54%). The increased workload was managed by flexible working by radiologists and two additional sonographers. Departmental waiting time increased for all patients with same-day patients waiting a median of 35 min (interquartile range 19-60 min). Ninety-one percent (79/87) of same-day patients rated the service excellent or good, but many requested better information on the waiting time. CONCLUSION:There is a demand from GPs for same-day US, and it is feasible in a large hospital with flexible radiology working and increased sonographic staffing. Unless adjacent hospitals offer a similar service, continuing rise in demand could overwhelm the service.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Hawtin KE,Hameed S,Ramachandran R,Harvey CJ,Lim AK,Gishen P,Roddie ME

doi

10.1016/j.crad.2009.09.009

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

40-6

issue

1

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(09)00354-7

journal_volume

65

pub_type

杂志文章
  • Intraparenchymal epidermoid cysts in the brain: diagnostic value of MR diffusion-weighted imaging.

    abstract:AIM:To evaluate the value of magnetic resonance (MR) diffusion-weighted imaging (DWI) and apparent diffusion coefficients (ADC) maps in the diagnosis of intraparenchymal epidermoid cysts (ECs). MATERIALS AND METHODS:Six cases of histopathologically proven intraparenchymal ECs were studied. All patients were examined w...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2008.01.008

    authors: Hu XY,Hu CH,Fang XM,Cui L,Zhang QH

    更新日期:2008-07-01 00:00:00

  • Case report: torsion of the gall-bladder on ultrasound--differentiation from acalculous cholecystitis.

    abstract::Acalculous cholecystitis is usually seen in critically-ill patients while torsion of the gall-bladder tends to arise de novo, pre-disposed to by an absent mesentery. There are ultrasonic features in common but the most useful distinguishing finding is the sign of the 'floating gall-bladder'. A case is reported and the...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81142-0

    authors: Cameron EW,Beale TJ,Pearson RH

    更新日期:1993-04-01 00:00:00

  • Femoral neuropathy: the role of computed tomography in diagnosis and management in 27 patients.

    abstract::The computed tomography findings in 27 patients with an ultimate diagnosis of femoral neuropathy were reviewed. Haemorrhagic disorders were responsible for the neuropathy in 10 patients, neoplasia in eight, infection in five and in the remaining four patients no abnormality was noted on CT and the aetiology remained u...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(89)80014-5

    authors: Apter S,Hertz M,Rubinstein ZJ,Morag B

    更新日期:1989-01-01 00:00:00

  • Low grade stage I and II non-Hodgkin's lymphoma: results of treatment and relapse pattern following therapy.

    abstract::Sixty-four patients (37 stage I and 27 stage II) with low grade non-Hodgkin's lymphoma were treated by surgical excision alone (two patients) or with radiotherapy (53 patients), chemotherapy (five patients) or both (four patients). Actuarial survival was 80.7% at 5 years and 77.9% at 10 years. Actuarial recurrence-fre...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(88)80537-3

    authors: Taylor RE,Allan SG,McIntyre MA,Kerr GR,Taylor AJ,Ritchie GL,Leonard RC

    更新日期:1988-05-01 00:00:00

  • Diffusion-weighted MRI of adult male pelvic cancers.

    abstract::Magnetic resonance imaging (MRI), with its superior soft-tissue delineation, plays a pivotal role in the staging and surveillance of cancers affecting adult males, in particular, rectal, urinary bladder, and prostate cancers. There has been much recent interest in the complementary roles of diffusion-weighted imaging ...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2012.01.016

    authors: Lim KS,Tan CH

    更新日期:2012-09-01 00:00:00

  • In the digital era, architectural distortion remains a challenging radiological task.

    abstract:AIM:To compare readers' performance in detecting architectural distortion (AD) compared with other breast cancer types using digital mammography. MATERIALS AND METHODS:Forty-one experienced breast screen readers (20 US and 21 Australian) were asked to read a single test set of 30 digitally acquired mammographic cases....

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.10.009

    authors: Suleiman WI,McEntee MF,Lewis SJ,Rawashdeh MA,Georgian-Smith D,Heard R,Tapia K,Brennan PC

    更新日期:2016-01-01 00:00:00

  • Imaging and management of atherosclerotic renal artery stenosis.

    abstract::Renal artery stenosis (RAS) causes chronic, progressive ischaemic nephropathy and is the most common cause of secondary hypertension. Radiology plays a large part in the diagnosis, with a variety of imaging techniques available. Each has relative advantages and disadvantages depending on each unique clinical setting. ...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2012.11.007

    authors: Sarkodieh JE,Walden SH,Low D

    更新日期:2013-06-01 00:00:00

  • Diffusion-weighted imaging in the evaluation of hormonal cyclic changes in abdominal wall endometriomas.

    abstract:AIM:To investigate the utility of diffusion-weighted (DW) magnetic resonance imaging (MRI) in the diagnosis of abdominal wall endometrioma (AWE) and to compare the ADC (apparent diffusion coefficient) values of AWE with those of the uterine endometrium during two different phases of the menstrual cycle. MATERIALS AND ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2013.08.015

    authors: Genç B,Solak A,Sahin N,Genç M,Oğul H,Sivrikoz ON,Kantarcı M

    更新日期:2014-02-01 00:00:00

  • Correlation of 111indium WBC scintigraphy with ultrasound in the detection and assessment of inflammatory bowel disease.

    abstract::111Indium (111In) WBC scintigraphy is an accurate method of assessing the extent of inflammatory bowel disease. A prospective study was performed to determine the correlation of ultrasound scanning with 111In WBC scintigraphy in the assessment of inflammatory bowel disease. Eighty-three indium and ultrasound scans wer...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0009-9260(05)80896-7

    authors: Khaw KT,Saverymuttu SH,Joseph AE

    更新日期:1990-12-01 00:00:00

  • Fetal lung abnormalities--what do they mean?

    abstract::Antenatal diagnosis of lung abnormalities by ultrasound has been a much more frequent occurrence in recent years. There is a range of appearances from uniform increased echogenicity through to lesions containing large echo-free areas. Bilateral uniformly increased echogenicity has a poor outlook but in all other situa...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9260(98)80188-8

    authors: Pilling D

    更新日期:1998-11-01 00:00:00

  • Single dose and fractionated palliative irradiation for osseous metastases.

    abstract::A retrospective review of a series of cases of osseous metastases from carcinoma of the female breast treated either with single dose or ten fraction irradiation is reported. Equally reliable palliation was achieved by either method, unaffected by concomitant hormone therapy. The morbidity is assessed and the implicat...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(76)80099-2

    authors: Penn CR

    更新日期:1976-07-01 00:00:00

  • Failure of aneurysm sac shrinkage after endovascular repair; the effect of mural calcification.

    abstract:AIM:To evaluate the effect of abdominal aortic aneurysm wall calcification on subsequent sac shrinkage after endovascular repair. MATERIALS AND METHODS:Seventy-three patients underwent endovascular aneurysm repair. The degree of sac wall calcification on pre-procedural computed tomography (CT) examination was graded f...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2005.05.020

    authors: Love M,Wray A,Worthington M,Ellis P

    更新日期:2005-12-01 00:00:00

  • Pretreatment MRI features associated with diagnostic accuracy of post-treatment MRI after neoadjuvant chemotherapy.

    abstract:AIM:To investigate whether pretreatment magnetic resonance imaging (MRI) features are associated with diagnostic accuracy of post-treatment MRI for predicting pathologic complete response (pCR) after neoadjuvant chemotherapy (NAC) in patients with breast cancer. MATERIALS AND METHODS:From January 2005 and December 201...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.02.008

    authors: Eun NL,Gweon HM,Son EJ,Youk JH,Kim JA

    更新日期:2018-07-01 00:00:00

  • Grading meningiomas using mono-exponential, bi-exponential and stretched exponential model-based diffusion-weighted MR imaging.

    abstract:AIM:To prospectively evaluate and compare the potential of various diffusion metrics obtained from mono-exponential model (MEM), bi-exponential model (BEM), and stretched exponential model (SEM)-based diffusion-weighted imaging (DWI) in the grading of meningiomas. MATERIAL AND METHODS:Consecutive 93 patients with hist...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2019.04.007

    authors: Lin L,Xue Y,Duan Q,Chen X,Chen H,Jiang R,Zhong T,Xu G,Geng D,Zhang J

    更新日期:2019-08-01 00:00:00

  • Local complications of ascending phlebography.

    abstract::In order to estimate the rate of local complications of phlebography we studied a one-year series of 477 patients. Half of the patients were examined with a comparatively highly concentrated contrast medium and half with a more diluted one. Eight patients had local complications, verified by biopsy and/or thermography...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(78)80207-4

    authors: Berge T,Bergqvist D,Efsing HO,Hallböök T

    更新日期:1978-11-01 00:00:00

  • Long-term adverse effects associated with isolated below-knee deep-vein thrombosis: a 10-year follow-up study.

    abstract:AIM:To assess the effect of the presence and locality of symptomatic lower-limb deep vein thrombosis (DVT) on mortality and morbidity following contrast venography (CV), the reference standard for diagnosing below-knee DVT, with a view to determining the prevalence of recurrent episodes of DVT and post-thrombotic syndr...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.12.014

    authors: Cowell GW,King SC,Reid JH,van Beek EJ,Murchison JT

    更新日期:2016-04-01 00:00:00

  • Congenital coronary artery fistulae: six new cases with a collective review.

    abstract::Primary congenital coronary artery fistula is diagnosed in two of every thousand patients investigated by angiocardiography. Males and females are equally affected and most frequently present under the age of 10 years. Fistulae originate from right and left coronary arteries in almost equal proportion but over 90% dra...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(80)80223-6

    authors: Wilde P,Watt I

    更新日期:1980-05-01 00:00:00

  • A radiological and pathological correlation of the mucosal changes in ulcerative colitis.

    abstract::The double contrast barium enema, in most cases performed by the 'instant' technique without bowel preparation, has been compared with the pathological examination of the colon following resection in 37 patients with ulcerative colitis. Radiology has been found to underestimate the histological extent of disease. This...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(78)80079-8

    authors: Bartram CI,Walmsley K

    更新日期:1978-05-01 00:00:00

  • The role of magnetic resonance imaging techniques in the evaluation of orbital and ocular disease.

    abstract::Technical developments have resulted in a great improvement in the quality of magnetic resonance imaging (MRI) of the orbit. With surface coil data acquisition spatial resolution of less than a millimetre can now be achieved, and contrast discrimination is such that the cortex and nucleus of the lens can be distinguis...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(86)80321-x

    authors: Worthington BS,Wright JE,Curati WL,Steiner RE,Rizk S

    更新日期:1986-05-01 00:00:00

  • The appendix on CT.

    abstract::Appendicitis can be a difficult clinical diagnosis to make. A negative appendicectomy rate of 20% has traditionally been accepted as the consequences of appendiceal perforation can be grave. Cross-sectional imaging is increasingly being employed in the investigation of adults with suspected appendicitis. This review w...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2008.06.015

    authors: Whitley S,Sookur P,McLean A,Power N

    更新日期:2009-02-01 00:00:00

  • Computed tomography in the assessment of response to limb compression in unilateral lymphoedema.

    abstract::In this prospective study computed tomography (CT) was used to monitor the response of compression therapy in 27 patients with chronic unilateral lymphoedema over a 12 week period. Computed tomography examination of abnormal and normal limbs (proximal and distal portions) was performed in the first, third and 12th wee...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)83188-5

    authors: Collins CD,Mortimer PS,D'Ettorre H,A'Hern RP,Moskovic EC

    更新日期:1995-08-01 00:00:00

  • Hereditary ovarian tumour syndromes: current update on genetics and imaging.

    abstract::Hereditary ovarian tumour syndromes are a diverse group of hereditary syndromes characterised by the development of specific histotypes of ovarian neoplasms. While BRCA syndromes are exclusively associated with high-grade serous carcinomas, patients with Lynch syndrome show a preponderance of endometrioid subtype of o...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2020.11.116

    authors: Shanbhogue KP,Prasad AS,Ucisik-Keser FE,Katabathina VS,Morani AC

    更新日期:2020-12-19 00:00:00

  • Peri-articular erosions in the hands and wrists in haemodialysis patients.

    abstract::Peri-articular erosions have been described in primary and secondary hyperparathyroidism. Seventy-two patients with chronic renal failure were reviewed for the presence of erosions. These were found in 15 patients while another 20 patients showed other evidence of secondary hyperparathyroidism. The distribution of ero...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(82)80334-6

    authors: Hamilton S,Knickerbocker WJ

    更新日期:1982-01-01 00:00:00

  • Acute colitis: differential diagnosis using multidetector CT.

    abstract:AIM:To investigate the utility of multidetector CT (MDCT) in helping to establish the underlying cause of acute colitis. METHODS AND MATERIALS:All patients who had acute colitis with a well-identified cause and underwent abdomen 64-MDCT were included in the study. MDCT images were retrospectively analysed in a blinded...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2014.11.008

    authors: Plastaras L,Vuitton L,Badet N,Koch S,Di Martino V,Delabrousse E

    更新日期:2015-03-01 00:00:00

  • CT of calcified liver metastases in colorectal carcinoma.

    abstract:PURPOSE:To assess the incidence, characteristics and prognostic significance of calcification within colorectal hepatic metastases. MATERIALS AND METHODS:A retrospective analysis of CT in 265 patients with locally advanced or metastatic cancer was performed. Four groups were defined: (a) calcification within liver met...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(98)80315-2

    authors: Hale HL,Husband JE,Gossios K,Norman AR,Cunningham D

    更新日期:1998-10-01 00:00:00

  • The empty rectum on plain X-ray. Does it have any significance in the neonate?

    abstract::The absence of rectal gas is said to be a sign of Hirschsprung's disease, especially when there is also gaseous distension of the bowel proximally. This paper reviews 136 neonates who had plain abdominal radiographs. There were 83 patients with multiple examinations, of which 52 (63%) showed variability in the presenc...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80253-3

    authors: Bradley MJ,Pilling D

    更新日期:1991-04-01 00:00:00

  • Xanthogranulomatous pyelonephritis in childhood.

    abstract::A case of multifocal xanthogranulomatous pyelonephritis (XPN) in childhood diagnosed by ultrasound, computed tomography and needle biopsy is described. Following antibiotic therapy, ultrasound and a DMSA renal scintiscan showed no discernible scarring and restoration of function. This has not been previously described...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81705-2

    authors: Hughes PM,Gupta SC,Thomas NB

    更新日期:1990-05-01 00:00:00

  • The mammographic features of infiltrating epitheliosis.

    abstract::The clinical, radiological and histological findings are described in nine cases of infiltrating epitheliosis. In seven cases the mammogram revealed 2.5-5.0 cm discoid radial scars which conformed with the histological features and there was no associated significant clinical abnormality. It can be difficult to differ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(83)80235-9

    authors: Price JL,Thomas BA,Gibbs NM

    更新日期:1983-07-01 00:00:00

  • Evaluation of FDG PET combined with cardiac MRI for the diagnosis and therapeutic monitoring of cardiac sarcoidosis.

    abstract:AIM:To compare combined 2-[18F]-fluoro-2-deoxy-d-glucose (FDG)-positron-emission tomography (PET) and cardiac magnetic resonance imaging (CMR) for the diagnosis and therapy monitoring of cardiac sarcoidosis (CS). MATERIALS AND METHODS:Eighty patients with sarcoidosis and a suspicion of CS who underwent PET and CMR wer...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.09.015

    authors: Sgard B,Brillet PY,Bouvry D,Djelbani S,Nunes H,Meune C,Valeyre D,Soussan M

    更新日期:2019-01-01 00:00:00

  • Histologically benign but clinically malignant neoplasms in the thorax: CT-pathological overview.

    abstract::The purpose of this article is to review the computed tomography (CT) and histopathological features of uncommon primary neoplasms of the thorax that can manifest clinically malignant features (multiplicity of pulmonary nodules, an invasive nature, and metastases or recurrence after surgery) with little evidence of hi...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2012.03.011

    authors: Kim EY,Kim TS,Han J,Kim H,Choi YS

    更新日期:2012-11-01 00:00:00