Hi
So I'm a Radiology resident at a tertiary center where most of our patients are unfortunately cancer patients. I was wondering whether other places face our same dilemma of getting abdominal CTs to look for something acute during the night but are also asked to do a CT CAP for staging while we're at it. We have a 24 hour on call system, not a night float.
From the humanitarian side, I totally understand the utility of doing whole body scans to minimize radiation instead of getting an abdomen and pelvis then getting a CAP, and its just more efficient to get it done with.
But during calls when you're already swamped with cases it could be so difficult to do a full staging and look for lymph nodes and nodules.
I also feel its unfair for the patient, even though the attending will go back and read it. In our facility you can't only look at the acute findings over night and let the daytime radiologist do the staging later on even though it makes more sense for me this way.
Just wanted to see what other people think and if there are any ideas to help with this. I'm fairly new at my institution so not sure how much I can speak up about this but it's good to get an idea.
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source https://www.reddit.com/r/Radiology/comments/lq0lzl/question_about_cancer_staging_during_the_night/
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