AUA QI Summit 2017: Urologist-Led Success Stories in Stewardship of Imaging for Prostate Cancer
Linthicum, Maryland (UroToday.com) Dr. Jim Montie from the University of Michigan provided an excellent summary of the Michigan Urological Surgery Improvement Collaborative (MUSIC) initiative for imaging stewardship for prostate cancer. MUSIC is collaborative across the state of Michigan that aims to improve the quality and cost-efficiency of care for men with prostate cancer, with recent initiatives directed at patients with kidney stones and small renal masses.
AUA QI Summit 2017: Potentially Avoidable Harms from Radiation: Keynote Address
Linthicum, Maryland (UroToday.com) Dr. Rebecca Smith-Bindman from UCSF provided the keynote address at the AUA Quality Improvement Summit, discussing potentially avoidable harms from radiation. Dr. Smith-Bindman started by highlighting the spectacular improvements in ultrasound, CT and MRI, noting that these tests are important and beneficial to our patients. However, these imaging modalities come with tradeoffs, and it is important to consider potential harms of imaging in addition to potential benefits, since both need to be included in selecting the appropriate imaging choice.
AUA QI Summit 2017: Need for Physician-Led Stewardship of Imaging in Urology
Linthicum, Maryland (UroToday.com) Dr. Matthew Nielsen from the University of North Carolina and AUA Quality Improvement Summit Chair provided an excellent presentation to start this meeting at the AUA Headquarters in Linthicum, MD. As Dr. Nielsen notes, everyone loves advanced imaging, as highlighted by a 2001 poll of medical leaders who ranked MRI and CT scanning as the #1 most important medical intervention among 30 choices. However, advanced imaging is the fastest increasing sector of service utilization, considering there were 3 million CT scans performed across the country in 1985 compared to 85 million in 2010. According to the Institute of Medicine, 20-50% of advanced imaging may be avoidable (excess of $30 billion annually saved).
AUA QI Summit 2017: National Quality Initiatives in Renal Colic Imaging from the American College of Emergency Physicians (ACEP)
Linthicum, Maryland (UroToday.com) Dr. Arjun Venkatesh, an emergency medicine physician from Yale University, provided an excellent presentation discussing the national quality initiatives in renal colic imaging from the American College of Emergency Physicians (ACEP), noting that reducing avoidable abdominal CT imaging for renal colic in low-risk patients is one of the initiatives of ACEP’s Choosing Wisely campaign.
AUA QI Summit 2017: Optimizing Implementation of Prostate MRI
Linthicum, Maryland (UroToday.com) Dr. Andrei Purysko from the Cleveland Clinic provided an excellent historical and contemporary perspective of prostate MRI, which actually dates back to the early 1980’s when a 0.04 tesla magnet was used to image the prostate.