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Nevin Manimala Statistics

Radiologist Approval for CTPA in the ED: A Single-Centre Pilot Study Did Not Demonstrate a Statistically Significant Difference in Diagnostic Yield

Emerg Med Australas. 2026 Feb;38(1):e70237. doi: 10.1111/1742-6723.70237.

ABSTRACT

OBJECTIVE: Overuse of CT Pulmonary Angiography (CTPA) remains a challenge in emergency medicine. Some institutions resort to radiologist vetting to reduce unnecessary imaging. This is a pilot study that aims to investigate the effect of radiology vetting on the CTPA yield.

METHODS AND RESULTS: This is a retrospective study comparing CTPA yields with and without radiology vetting. The results showed that there was no statistically significant difference in CTPA diagnostic yield, 11.4% (CI 9.2-14.0) versus 10.2% (CI 6.8-14.6), p = 0.60.

CONCLUSION: This study showed that removing radiologist approval for CTPA did not appear to reduce diagnostic yield.

PMID:41705429 | DOI:10.1111/1742-6723.70237

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