Why Online Second Opinion PET CT Scan?

Reviewing the diagnostic scans and seeking second opinion information in healthcare practice is increasingly becoming important. The diagnostic imaging process related to cancer has opened a new horizon and turning out to be excellent but added review and provision of second opinion related to PET CT scans has added a new dimension by providing additional information which impacts the treatment process.

Diagnostic process of PET scan and Second Opinion

Human body is always in dynamic flux due to exchanges within and surrounding. Due to its differential and causal existence , cellular biology is adding its own Impact. Diagnostic PET CT shows molecular changes prior to the anatomical or physiological changes over the period. Today efficient diagnostic imaging means perfect balance between three entities: machines, acquisition data and human skills. Amongst all, human skills are equally important and may be limited by interobserver variations. In PET CT scan or nuclear medicine imaging molecular changes preced the anatomical changes and correct interpretation by the observer is very important. PET technology noteworthy in cancer critical care that impacts longevity of life. The process of second opinion in early PET diagnostics is therefore good to hold earlier interpretation with pinch of salt. Before hitting with a bad news, especially if it is cancer , everyone should be worried about report 'correctness or rightness '.

What does PET report rightness or correctness means?

A typical PET CT scan report consist of detailed view of both anatomical and molecular imaging findings of organs with abnormalities with the help of positron emitted by injected radioactive isotope combined with CT. The reporting radiologist / nuclear medicine physician must have an idea on how positron collision with organ results into. The report can include various possibilities but must set certain directions. Even the reporting templates that radiologist/nuclear medicine physician use also decides the direction in which he has to explore the details. It depends on the years of experience that radiologist/ nuclear medicine physician has. For the same we have multiple panels look into it the scans. They have four levels of panels according to the years of experience level; L1 panel is in budget and has the junior radiologists having experience less than five years whereas L4 is top panel with the multi-board radiologists where the lead radiologist/nuclear medicine physician may have experience more than 20 years. According to enablement specialist at Hub there are regular doubts on the PET CT scan report directly by patients or local physician that prompts second opinion. In diagnostics more doubts and questions are helpful. The specialist says, "Correct report may not be a right report and right report may not be a correct. In both the cases the report has to be sent for further interpretation from a senior radiologist/nuclear physician. Teleradiology hub has managed to work around with the panels over last two years."

 Second opinion PET scan removes Judgemental error

Correct report may be a report which has got all the important findings included inside it but not all right. Whereas the right report is the one where findings stated are right but not all verified findings are included. Every PET CT scan report is expected to be conclusive with all possibilities and differential diagnosis which will provide one shop stop solution for the patients and physicians to plan further management . Therefore the report not only should be correct but it has to be right. When the reports is not sure to be right or correct, it definitely means it needs further human interventions that play a vital role in deciding the further management of the patient . Further, there are chances of judgement error when it comes logically interpreting the PET scans. Hence both normative understanding as well as case based experiential understanding of similar cases plays an important role. Better outcomes are always possible with a combination of logic and experience. Second opinion makes it happen in short period of time with the help of experienced panelists. Like in teleradiologyhub.com scans are differently interpreted , discussed and compared as a result of good team work. This is quite important in an all or none situation when an organ isn't at risk with a suspicious tumour or growth.

So true that nuclear radiologist/ nuclear medicine physician fraternity is working together to give a world a right and correct diagnosis with Second Opinion for cancer staging, restaging , recurrent detection and response evaluation through PET scan while internalising their Hypocritic oath.

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