{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T12:06:16Z","timestamp":1776081976090,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Teleradiology services are increasingly being used to cover growing after\u2010hours computed tomography (CT) demand. It is unclear if this is associated with increased CT utilisation due to reduced radiologist oversight of imaging requests.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n 7, 120 consecutive evening and weekend CT examinations performed over a 17\u2010month period at a single 350\u2010bed New Zealand hospital were used to calculate both the mean number of CT examinations per hour and the mean study attributable time (SAT) per hour for both teleradiology and on\u2010site radiology coverage. The teleradiology service provided reporting services but did not vet or protocol requests (this was determined by the requesting clinician).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Teleradiology coverage was associated with an increased number of after\u2010hours CT examinations per hour compared with on\u2010site radiology coverage (2.00 vs. 1.85 examinations,\n p<\/jats:italic>\n \u2009=\u20090.02). A higher study attributable time for the teleradiology group was also found (23.6 vs. 21.6\u2009min,\n p\u2009=\u20090.02).<\/jats:italic>\n No statistically significant difference was identified for radiation\u2010sensitive subgroups, although the number of examinations was small.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Teleradiology services were associated with greater emergency CT utilisation, hypothesised to be due to the lack of radiologist involvement in scan vetting and protocolling. These findings emphasise the role of the radiologist as a clinical advisor and collaborator in addition to the task of image interpretation. Further data from other centres and in radiation\u2010sensitive populations would be useful to confirm if these findings generalise.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1754-9485.70104","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T11:26:42Z","timestamp":1776079602000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of After\u2010Hours Computed Tomography Utilisation Between Teleradiology and On\u2010Site Reporting Models in a Regional Hospital"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6710-7337","authenticated-orcid":false,"given":"David","family":"Bassett","sequence":"first","affiliation":[{"name":"Department of Radiology Tauranga Hospital Tauranga New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"issue":"10","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1016\/j.jacr.2019.03.009","article-title":"Emergency Radiology: Current Challenges and Preparing for Continued Growth","volume":"16","author":"Chong S. 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A.","year":"2015","journal-title":"Journal of the American College of Radiology"},{"issue":"5","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1111\/1754-9485.12778","article-title":"Measuring Radiologist Workload: Progressing From RVUs to Study Ascribable Times","volume":"62","author":"Pitman A.","year":"2018","journal-title":"Journal of Medical Imaging and Radiation Oncology"},{"key":"e_1_2_10_10_1","volume-title":"RANZCR Position Statement on the Use of Teleradiology [DRAFT]","author":"Royal Australian and New Zealand College of Radiologists","year":"2026"},{"key":"e_1_2_10_11_1","volume-title":"Clinical Radiology Census Report 2021","author":"The Royal College of Radiologists","year":"2022"},{"issue":"9","key":"e_1_2_10_12_1","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1016\/j.jacr.2018.05.020","article-title":"Ethics, Artificial Intelligence, and Radiology","volume":"15","author":"Kohli M.","year":"2018","journal-title":"Journal of the American College of Radiology"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.70104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1754-9485.70104","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.70104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T11:26:44Z","timestamp":1776079604000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.70104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":11,"alternative-id":["10.1111\/1754-9485.70104"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.70104","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"2026-01-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1754-9485.70104"}}