NQMC Update Service: January 11, 2016 || American College of Radiology

Measure Summaries

American College of Radiology

• Diagnostic imaging: percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow-up imaging recommended: liver lesion less than or equal to 0.5 cm; cystic kidney lesion less than 1.0 cm; adrenal lesion less than or equal to 1.0 cm.

• Diagnostic imaging: percentage of final reports for carotid imaging studies (neck MRA, neck CTA, neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement. This updates a previously published measure summary.

• Diagnostic imaging: percentage of final reports for CT or MRI studies of the chest or neck or ultrasound of the neck for patients aged 18 years and older with no known thyroid disease with a thyroid nodule less than 1.0 cm noted incidentally with follow-up imaging recommended.

• Diagnostic imaging: percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the specified dose optimization techniques were used.

• Diagnostic imaging: percentage of final reports for patients aged 18 years and older who had a previously documented iodinated contrast reaction who undergo any imaging examination using intravenous iodinated contrast that include documentation that the patients were pre-medicated with corticosteroids with or without H1 antihistamines.

• Diagnostic imaging: percentage of final reports for patients aged 18 years and older who received intravenous iodinated contrast for a CT examination who had an extravasation of contrast.

• Diagnostic imaging: percentage of final reports for procedures using fluoroscopy that include radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available).This updates a previously published measure summary.

• Diagnostic imaging: percentage of final reports for screening mammograms that are classified "probably benign." This updates a previously published measure summary.

• Diagnostic imaging: percentage of final reports for ultrasound studies of the pelvis for pre-menopausal women aged 18 and older with no known ovarian disease with a simple ovarian cyst less than 5.0 cm noted incidentally with follow-up imaging recommended.

• Diagnostic imaging: percentage of imaging studies for patients aged 18 years and older with knee pain who undergo knee MRI or MRA who are known to have had knee radiographs performed within the preceding three months based on information from the radiology information system (RIS), patient-provided radiological history, or other health-care source.

• Diagnostic imaging: percentage of imaging studies for patients aged 18 years and older with shoulder pain undergoing shoulder MRI, MRA, or a shoulder ultrasound who are known to have had shoulder radiographs performed within the preceding 3 months based on information from the radiology information system (RIS), patient-provided radiological history, or other health-care source.

• Diagnostic imaging: percentage of patients aged 14 years and younger with clinically suspected appendicitis who undergo CT, MRI, or ultrasound of the abdomen or pelvis for whom ultrasound was used as the initial imaging evaluation of the appendix.

• Diagnostic imaging: percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram. This updates a previously published measure summary.