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Articles Published Processes
10/28/2026 1:43:37 AM | Browse: 0 | Download: 0
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Received |
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2026-09-10 02:06 |
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Peer-Review Started |
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2026-09-10 02:07 |
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First Decision by Editorial Office Director |
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Return for Revision |
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2026-09-23 07:02 |
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Revised |
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2026-09-26 17:56 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-10-12 03:05 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-10-12 10:16 |
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Articles in Press |
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2026-10-12 10:16 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-10-20 00:58 |
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Publish the Manuscript Online |
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2026-10-28 01:43 |
| ISSN |
1949-8470 (online) |
| Open Access |
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Emergency Medicine |
| Manuscript Type |
Opinion Review |
| Article Title |
Defensive medicine and advanced imaging overuse in emergency departments: A focused review of imaging stewardship and overcrowding
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Emre Kudu, Naz Hizli, Faruk Danış and Mustafa Altun |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Emre Kudu, Associate Professor, MD, Researcher, Department of Emergency Medicine, Marmara University School of Medicine, Muhsin Yazıcıoğlu Caddesi No. 10, İstanbul 34899, Türkiye. ekudu@marmara.edu.tr |
| Key Words |
Defensive medicine; Emergency service, hospital; Diagnostic imaging; Tomography, X-ray computed; Magnetic resonance imaging; Medical overuse; Decision support systems, clinical; Crowding |
| Core Tip |
Advanced imaging overuse in emergency departments is driven by diagnostic uncertainty, time pressure, malpractice concerns, patient expectations, consultant requests, and system-level workflow constraints. This narrative review synthesizes current evidence linking defensive medicine and low-value imaging to radiology bottlenecks, prolonged emergency department throughput, unnecessary costs, incidental findings, and clinician workload. It also proposes a conceptual reciprocal-pressure framework, in which crowding and defensive imaging reinforce each other, that has not been tested experimentally. It also summarizes reported mitigation strategies, including clinical decision rules, computerized clinical decision support, Choosing Wisely initiatives, shared decision-making, audit and feedback, and multidisciplinary imaging stewardship. |
| Publish Date |
2026-10-28 01:43 |
| Citation |
Kudu E, Hizli N, Danış F, Altun M. Defensive medicine and advanced imaging overuse in emergency departments: A focused review of imaging stewardship and overcrowding. World J Radiol 2026; 18(10): 127912
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| URL |
https://www.wjgnet.com/1949-8470/full/v18/i10/127912.htm |
| DOI |
https://doi.org/10.4329/wjr.127912 |
Copyright © 1993-2026 Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA. All rights reserved, including rights relating to text and data mining, AI training, and similar technologies. For open-access content, the applicable copyright and licensing terms govern.
