
From referral to report: 7 questions patients frequently ask
Dr Jean de Villiers, a radiologist and director of SCP Radiology, answers some of the most frequently asked questions, specifically around the process from referral to reporting in radiology imaging. The usual process when it comes to going to a radiology practice for imaging is that a medical professional (a doctor or clinician) will refer you for imaging. Radiographers take the images and then radiologists, doctors who have specialised in radiology, analyse and interpret the images and provide a detailed report. The report is highly technical, which is why it is sent to your medical practitioner for explanation. Why do I need a referral for imaging? There are several reasons for this referral system, one of which is your safety: To ensure you are not being exposed to more imaging than is necessary. The other is so that your referring doctor – who is trained to know when and what imaging is essential or required – will receive the results, explain them to you and plan appropriate medical care. The only exception is for a mammogram or bone density scan (DEXA scan). Will the radiographer give me my results after the imaging? A radiographer is a trained healthcare professional who operates the equipment that produces these images. They are responsible for taking the images but not interpreting them. Who interprets the images and writes the report? A radiologist is a medical doctor who has specialised in interpreting medical images such as X-rays, CT scans, MRIs and ultrasounds to diagnose and treat diseases. Reports cannot be generated immediately, it takes the radiologist time to study the images and often includes comparing previous images. This means they will not be able provide a report instantly and, any such report will need to be interpreted with full knowledge of your medical history and clinical findings. So, I won’t receive the results from the radiologist? No. The radiologist analyses your images and then prepares a detailed report, which is sent to your doctor. The protocols and systems around the reporting means that your doctor will discuss and explain the findings with you and then recommend treatment and co-ordinate follow up care. In the case of a mammogram, the radiographer may sometimes let you know if the mammogram is clear or suggest an ultrasound for confirmation. However, the mammogram images are still sent to a radiologist who will prepare a report and may suggest further screening, if necessary. How long does it take to get the results? This depends on the type of imaging (scan) and the urgency of the case; generally, the results are available within 24 hours. Urgent cases are prioritised. Your doctor will contact you once the results have been received and reviewed. This may mean a follow-up appointment, or it can be discussed over the phone. What does the radiologist’s report reveal? The actual radiology report provides information about the type of imaging test that was done, how it was done, it includes the brief medical history and any information provided by the referring doctor. The report outlines what structures and processes are normal and any abnormalities in the images. A radiologist does not diagnose but they can identify abnormalities or suspicious features in images that might indicate the presence of a tumour. They cannot definitively diagnose cancer from images alone, only a biopsy or tissue sampling can do that definitively. They will use words and phrases in their report, such as: Am I allowed to view my results or get a copy of the X-rays? Absolutely. Some radiology practices have a patient portal that allows you access to your images and results. It is routine for these results and images to be released once your referring doctor has had a chance to view them.(Remember it can take a few days). Alternatively, you are able to request a copy of the imaging and reports from the radiology practice or your doctor. Dr Villiers says, ‘if there are additional questions you want to ask don’t hesitate to ask at the radiology practice where you are having the imaging done.’ For additional information go to: www.scp.co.za






