Radiological studies play a major role throughout medicine, insurance decisions (especially workers compensation),
liability causality assignments and legal proceedings. The diagnosis and treatment of injuries, both real and
purported, can be objectively evaluated with radiological imaging. Musculoskeletal conditions are prevalent in
many insurance situations and Workers Compensation (WC) decisions. Assignments of liability and the proper medical
treatment depends on accurate visualization and interpretation of the bones and soft tissue structures that may have been injured.
First, we should abandon the term "radiology", and replace it with diagnostic "imaging". Radiology is a holdover from
the times when the only tool available to physicians were X-rays. Today of course the menu of diagnostic imaging options
ranges far and wide, from nuclear medicine scans to ultrasound (sonography) to MRIs, CT and PET scans. But the purpose remains
the same: to obtain an accurate structural, and even better, functional, image of a body part or system in order to solve a
diagnostic dilemma, develop an effective plan of therapy, and monitor the progress of a condition through to resolution.
Of course we still refer to the specialists who do this kind of work as radiologists, and not "imagists", although hospitals’ departments
of radiology have increasingly rebranded themselves as “imaging services”.
Below we evaluate the advantages of a dedicated physician peer review system for completed imaging studies as an opportunity to
enhance the care of our patients and decrease costs. We outline our innovative program to accomplish this: routine Second Opinion
evaluation of Imaging Studies (SOIS).