I'm going with Bonnie on this one as well.  We don't videotape our exams
unless there's some reason I need to show the study to the Rad in realtime
and he/she isn't available to walk into the room while I'm doing my scan.
We use static B&W duplex images (24 per exam for carotid studies--other
duplex exams vary with the vessel being examined) for the majority of our
documentation and take 4 representative color images as well(again, for
carotid exams).  Our carotid QA over an 8-year period has a 95% correlation
with angio and we have had no problem going back to the exam in question and
reviewing static images.  Yes, the sonographer must work diligently to
understand and document the appropriate diagnostic images....but isn't that
our job?  My Rads wouldn't look at a videotape and make a diagnosis to save
their ______ !  They fully expect us to fill out the worksheet and grade the
stenoses for them--and frankly, I just as soon do it as we are, after all,
the ones performing the study.  It gives the control for what report comes
out of the u/s department to the sonographer which seems to work better for
our institution since our Rads and Surgeon aren't interested in spending
time looking at a video, much less trying to understand it.     Linda
Butte,MT
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