Do No Harm: The Importance of Incidental Findings

David J. Seidenwurm, MD, FACR; Robert E. Watson Jr. , MD, PhD; Robert E. Morales, MD; Suresh K. Mukherji, MD, MBA, FACR

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Date of Activity Release: August 27, 2018
Date of Activity Expiration: August 26, 2021

Target Audience:

The Foundation of the ASNR Symposium 2018 will focus on adding value and improving healthcare in neuroradiology. It will center on how neuroimaging adds value in many subspecialty areas, including brain, spine, head & neck, pediatric and neurointerventional procedures. The target audience will include practicing neuroradiologists, other radiologists charged with interpreting neuroimaging studies, radiology fellows andresidents, neuroscientists interested in the latest advances, and non-radiology colleagues whose practices include neuroimaging. Dedicated topic areas include screening and diagnostic neuroimaging, evidence based neurointerventional treatment, emergency neuroimaging use and usefulness, advanced imaging strategies, and healthcare reform.

About This Module:

This module is composed of following parts:
  • Costs of Incidental Findings: Mannerism in Radiology - David J. Seidenwurm MD, FACR
  • BRAIN: Incidental or Not: You Know It When You See It - Robert E. Watson Jr. MD, PhD
  • SPINE: Incidental or Not: Get Famous Calling Stuff Normal - Robert E. Morales MD
  • HEAD & NECK: Silence Can be Golden - Suresh Mukherji, MD

Objectives:

Upon completion of this module, participants should be able to:

 

Costs of Incidental Findings: Mannerism in Radiology

  1. Identify the costs to patients and society of excessive imaging, including overdiagnosis and false positives
  2. Identify the reasons and incentives for overimaging
  3. Apply guidelines to the reporting of various incidental findings

BRAIN: Incidental or Not: You Know It When You See It

  1. Identify and compare several common incidental normal variant / “no touch” findings
  2. Compare with pathological conditions that can have a similar appearance
  3. Discuss distinction between inconsequential and consequential findings

SPINE: Incidental or Not: Get Famous Calling Stuff Normal

  1. Examine the strengths and limitations of spine imaging as a diagnostic test
  2. Review the topic of “incidental” degenerative changes
  3. Suggest concepts that may result in added value to our reports

HEAD & NECK: Silence Can be Golden

  1. Identify potential incidental findings in relation to: cranial nerve “enhancement,” Waldeyer’s ring, a lymph node, sinusitis, jugular foramen

Commercial Support

No commercial support was received for this activity.

Accreditation Statement

The American Society of Neuroradiology (ASNR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

ASNR designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Physician Participation:

Each physician will listen to each audio self-directed module while following along with the visual slides. Upon completion, each physician will answer evaluation questions and pass a post test with at least a score of 80% to receive their CME certificate.

Disclosures: All individuals in control of content have disclosed the following relevant financial relationships. All of these relationships were treated as a conflict of interest, and have been resolved (C7 SCS 6.1-6.2, 6.5)

Planner(s):

  • Pina C. Sanelli, MD, MPH, FACR, 2018 Program Chair/President-Elect, has no relevant financial relationships.
  • Mark E. Mullins, MD, PhD, Chair, ASNR Education Committee, has no relevant financial relationships.
  • Angelo Artemakis, ASNR staff, has no relevant financial relationships.
  • Sheryl Morgan, AMEDCO, has no relevant financial relationships.

Presenter(s):

  • David J. Seidenwurm MD, FACR, has no relevant financial relationships.
  • Robert E. Watson Jr. MD, PhD,has no relevant financial relationships.
  • Robert E. Morales MD, has no relevant financial relationships.
  • Suresh Mukherji, MD, has no relevant financial relationships.

Contact Information:

If you have questions regarding this educational activity, please contact us at it@asnr.org.

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