REF: Lockwood, R Dolbear, G. Image interpretation by radiographers in brain, spine and knee MRI examinations: Findings from an accredited postgraduate module. Radiography 2018;24:370-375

摘要

We read with interest a recent submission to your journal concerning the application of preliminary clinical evaluation (PCE) in magnetic resonance imaging (MRI) by Lockwood and Dolbear. The rationale for the work, citing outstanding volumes of reporting and demand for MRI, is clear enough and the basic interpretation skill is encouraging, but we do not really believe that PCE is an answer to the stated problem. The complexity of information provided during MRI is unlikely to be captured in a relatively short, structured PCE comment. We seek some clarification from the authors and we have a few additional comments to make about the work. For the benefit of the other readers of radiography, we can give this some context. PCE in the trauma setting can direct the referrer to the site of an injury or dictate appropriate treatment, within a relatively controlled scope of practice with clear benefit to the patient - it can improve efficiency and timeliness of care. We are less convinced of this application in MRI as we are doubtful that any treatment decision or intervention would be based on a PCE comment.