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Potential Impact of the American College of Radiology Appropriateness Criteria on CT for Trauma

Johnathan L. Hadley1, John Agola1 and Ping Wong1,2

1 Department of Radiology, Eastern Virginia Medical School, 4720 Brompton Dr., Virginia Beach, VA 23456.
2 Present address: Department of Radiation Oncology, St. Vincent's Comprehensive Cancer Center, 325 W 15th St., New York, NY 10011.


Figure 1
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  		Fig. 1 —Bar graph shows total number of patients distributed by mechanism of injury. MVC = motor vehicle collision, GSW = gunshot wound, PED = pedestrian struck by car, UNK = unknown mechanism.

 

Figure 2
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  		Fig. 2 —Bar graph shows distribution of imaging of head, cervical spine (c-spine), abdomen, and pelvis in patients with major injuries (dark bars) undergoing CT versus patients with minor or no injures (light bars) at imaging. Similar imaging utilization patterns were found in each of these subgroups.

 

Figure 3
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  		Fig. 3 —Bar graph shows cost of imaging patients with major injuries versus patients without major injuries. "Potential cost savings" reflects potential amount saved if American College of Radiology appropriateness criteria had been applied to CT selection. Cost reflects charges incurred by uninsured individuals who were responsible for full health care bill.

 

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