September 10, 2025Insights into ImagingOpen Access

Evaluating head CT referral quality and appropriateness in an Italian emergency department: a monocentric retrospective study

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Discussion

Retrospective study evaluates referral quality using RI-RADS and appropriateness via ACR guidelines, highlighting gaps.

79% of head CT referrals from the ED lacked quality, indicating a critical need for improvement.
Among evaluable requests, 25% were inappropriate as per ACR guidelines, revealing significant inefficiencies.
Using RI-RADS for quality and ACR guidelines for appropriateness can streamline better referral practices.
Key findings showed that 98% of patients with inappropriate requests did not have acute cerebral diseases.

Parillo et al. (2025) studied this question.

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