CT scanning aids rapid diagnosis, treatment planning for abdominal pain

Improved diagnostic certainty in emergency department may lead to reduced overall cost

Massachusetts General Hospital

Release date: January 21, 2011

The use of CT scanning to evaluate abdominal pain in emergency departments can help physicians arrive at a diagnosis quickly and decisively.  A study conducted at Massachusetts General Hospital (MGH) and appearing in the February issue of the American Journal of Roentgenology also finds that information provided by CT scans changed treatment plans for almost half the patients studied and significantly reduced probable hospital admissions. 

“Our report addresses an important question with substantial policy relevance – what is the value of CT scanning in the emergency department setting?” says Scott Gazelle, MD, MPH, PhD, an MGH radiologist and director of the Institute for Technology Assessment, senior author of the study. “We specifically looked at how the use of CT for patients with abdominal pain affects physicians’ thinking about their patients’ diagnosis, their confidence in the diagnosis and the treatment plan; and we found that it significantly affected all three.” 

Heroes in Proving the Value of Imaging: G. Scott Gazelle, MD, MPH, PhD

Imaging Futures
March 18, 2009 • Volume 4 • Number 3
 

Heroes in Proving the Value of Imaging is an occasional series about radiology professionals whose work demonstrates the value of the specialty through research, governmental affairs, humanitarian efforts, and more. In Part 2, ImagingBiz showcases the work of G. Scott Gazelle, MD, MPH, PhD, director of the Institute of Technology Assessment (ITA) at Massachusetts General Hospital (MGH), Boston. 

 

As the cost of health care continues its upward spiral and Congress begins to consider the riddle of widening access while controlling costs, there is a growing scrutiny of the value of diagnostic techniques and treatments. In the imaging field, no one has done more than Gazelle to deliver meticulously researched evidence.