Patient Pathways: Imaging Decisions, Radiographer Roles & PGIRA

What is the first step in the patient pathway?

Patient presentation and clinical assessment.

What are the key components of clinical assessment?

Differential diagnosis and individual patient needs.

What is the purpose of differential diagnosis?

To identify potential conditions that could explain the patient's symptoms.

What does the 'DECIDE' phase involve?

Making decisions based on differential diagnoses, guidance, and risk considerations.

What factors must be considered in the imaging decision?

Indication for imaging, modality choice, patient preparation, and contraindications.

What is the role of imaging in the patient pathway?

To provide diagnostic information that influences treatment decisions.

What happens if the imaging result is normal?

The pathway may lead to further assessment or follow-up.

What happens if the imaging result is abnormal?

It may lead to treatment, referral, or MDT involvement.

What does MDT stand for?

Multidisciplinary Team.

What is the significance of national guidance in patient pathways?

It provides evidence-based recommendations for patient management.

What should be done if a patient cannot tolerate MRI?

Consider alternative imaging modalities or adjust the pathway.

What is the PGIRA framework?

Patient Presentation, Guidance, Imaging, Result, Action.

What role does a radiographer play in patient pathways?

Imaging justification, optimization, patient communication, and care.

What is the importance of patient communication in radiography?

To ensure patient understanding and comfort during imaging procedures.

What is meant by 'imaging optimization'?

Ensuring the best quality images with the lowest possible risk to the patient.

What should be evaluated if the expected pathway does not work?

The effectiveness of the pathway and potential modifications.

What is the role of advanced practice in radiography?

Involves higher levels of decision-making and clinical responsibility.

What factors influence the imaging decision in a patient pathway?

Patient factors, local factors, and clinical guidelines.

What is the purpose of follow-up imaging?

To monitor the patient's condition and response to treatment.

What considerations are there for a patient with claustrophobia?

Alternative imaging options or sedation may be necessary.

What should be done if renal function contraindicates contrast use?

Consider non-contrast imaging or alternative diagnostic methods.

What is the significance of teamwork in the MDT?

To provide comprehensive care and improve patient outcomes.

What is the importance of evaluating patient pathways?

To ensure they are effective and adaptable to changing patient circumstances.