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Value-based Imaging for Renal Colic

Learning Objectives:
At the end of this activity, you will be able to:
1. Understand successful communication practices with radiologists/referring physicians related to ordering imaging;
2. Demonstrate understanding of image ordering best practices;
3. Apply evidence-based recommendations into image ordering decision-making.
0.5 Credit CME

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Audio Information

Authors:

Marta E. Heilbrun, MD, MS, Associate Professor and Residency Program Director, Department of Radiology and Imaging Sciences, University of Utah

Troy Madsen, MD, Associate Professor, Division of Emergency Medicine, University of Utah, School of Medicine

Prasad Shankar, MD, Clinical Assistant, Professor, Department of Radiology, Abdominal Division, University of Michigan

Designation Statement: The American College of Radiology designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. You must achieve a minimum score of 80% to receive credit. Estimated time to complete the enduring material is 30 minutes.

Only physicians are eligible to be awarded AMA PRA Category 1 Credit™. The AMA defines physicians as those individuals who have obtained an MD, DO, or equivalent medical degree from another country.

Statement of Competency: This activity is designed to address the following ABMS/ACGME competencies: interpersonal & communication skills and medical knowledge.

Accreditation Statement: The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Disclosure Statement: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for review and disclosure of potential conflicts of interest, and a method of resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve this integrity and objectivity, all individuals participating as planners, presenters, moderators, and evaluators in an ACR educational activity or an activity jointly sponsored by the ACR must appropriately disclose any financial relationship with a commercial organization that may have an interest in the content of the educational activity.

The following faculty indicated that they have no relevant financial relationships related to the presentation of this material:

Marta E. Heilbrun, MD, MS

Troy Madsen, MD

Prasad Shankar, MD

ACR staff have indicated that they have no relevant financial relationships related to this educational activity.

Renewal Date: June 1, 2019

References
1.
Moreno  CC, Beland  MD, Goldfarb  S,  et al.  ACR Appropriateness Criteria® Acute Onset Flank Pain – Suspicion for stone disease.  Available at https://acsearch.acr.org/docs/69362/Narrative/.  American College of Radiology.Google Scholar
2.
Nicolau  C, Claudon  M, Derchi  LE,  et al.  Imaging patients with renal colic—consider ultrasound first.  Insights Into Imaging. 2015;6(4):441–447.Google Scholar
3.
Ha  M, MacDonald  RD.  Impact of CT scan in patients with first episode of suspected nephrolithiasis.  J Emerg Med. 2004;27(3):225–231.Google Scholar
4.
Ripollés  T, Agramunt  M, Errando  J, Martínez  MJ, Coronel  B, Morales  M.  Suspected ureteral colic: plain film and sonography versus unenhanced helical CT. A prospective study in 66 patients.  Eur Radiol. 2004;14(1):129–136.Google Scholar
5.
Pfister  SA, Deckart  A, Laschke  S,  et al.  Unenhanced helical computed tomography vs intravenous urography in patients with acute flank pain: accuracy and economic impact in a randomized prospective trial.  Eur Radiol. 2003;13(11):2513–2520.Google Scholar
6.
Katz  SI, Saluja  S, Brink  JA, Forman  HP.  Radiation dose associated with unenhanced CT for suspected renal colic: impact of repetitive studies.  AJR Am J Roentgenol. 2006;186(4):1120–1124.Google Scholar
7.
Masch  WR, Cronin  KC, Sahani  DV,  et al.  Imaging in Urolithiasis.  Radiol Clin N Am. 2017; 55:209–224.Google Scholar

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