Fig. 21
From: Errors, discrepancies and underlying bias in radiology with case examples: a pictorial review
A technique error causing unnecessary effort. A 47-year-old female patient was investigated for inflammatory bowel disease, and MRI enterography was ordered. Before the procedure, the patient had drunk the gadolinium-containing contrast agent in the radiology department by mistake. Due to the paramagnetic feature of gadolinium, the required image quality for evaluation of the intestinal lumen could not be achieved. The MRI technician realized the problem and immediately informed the radiologist. After the radiologist’s evaluation, the study was rescheduled. Although the technical error caused unnecessary effort (repeated examination) in this case, the effective communication between the radiologist and MRI technician enabled them to recognize and correct the error earlier (red arrows, a intestinal lumen with gadolinium, blue arrows, b intestinal lumen with mannitol in another patient)