Jill Wruble is a radiologist[1] and fellow at Johns Hopkins Medicine[2] who is best known as a speaker on overdiagnosis due to incidental imaging finding in United States medicine.[3][4]

Biography

Wruble is a director at the National Association of Veteran Affairs Physicians and Dentists[5][6] and a fellow at Johns Hopkins Medicine, in Radiology and Radiological Science.[2] She retired from the United States Army as a major. She is a graduate of Williams College and the New York College of Osteopathic Medicine. She was a clinical assistant professor who taught residents at Yale School of Medicine as recently as 2016.[7][8]

Work on Incidentaloma

Wruble's TEDx Penn talk discussed the issue of doctors treating abnormalities found on tests, leading to expensive further testing and potential overdiagnosis and overtreatment. In light of the COVID-19 pandemic and the reduced availability for elective surgeries in some areas, she is among the doctors calling for a reevaluation of aggressive cancer screenings and treatment that may cause harm to patients.[9]

She says that with contemporary CT scans providing a large number of very detailed images, "[w]e now see things that we would have never seen before, like a lesion that may never be a problem"[9] and that it is typical to see multiple abnormalities with each scan.[8] Wruble is concerned with "the unintended consequences of medical testing"[10] and along with co-author Joann Elmore has written about her skepticism of computer aided diagnosis as a tool for detecting breast cancer.[11][12] A paper that she contributed to, "Effective Radiology Reporting"[13] is often cited in papers on incidentaloma.

References

  1. ↑ "Dr. Jill Wruble, Radiologist in New Haven, CT | US News Doctors". Health.usnews.com. Retrieved 2016-02-01.
  2. 1 2 Day, Jo Ann. "Meet Our Fellows | Johns Hopkins Radiology". www.hopkinsmedicine.org. Retrieved 2021-07-21.
  3. ↑ "Jill Wruble | Box | New York Tech".
  4. ↑ "NYIT Magazine Fall 2015 by NYIT Magazine". Issuu.com. Retrieved 2016-02-01.
  5. ↑ "Director Jill Wruble, D.O." NAVAPD.org. Retrieved 2016-02-01.
  6. ↑ "Leadership". NAVAPD. Retrieved 2021-07-21.
  7. ↑ "Jill Wruble, DO > Radiology & Biomedical Imaging | Yale School of Medicine". Radiology.yale.edu. Archived from the original on 2016-01-31. Retrieved 2016-02-01.
  8. 1 2 Boodman, Sandra G. (2016-01-06). "Heavy Use Of CT Scans Raises Concerns About Patients' Exposure To Radiation". Kaiser Health News. Retrieved 2021-07-21.
  9. 1 2 "Covid-19 forces physician to rethink treatments that are overdone or unnecessary". Washington Post. ISSN 0190-8286. Retrieved 2021-07-21.
  10. ↑ Lenzer, Jeanne (2016-04-29). "Experts and activists discuss how to get "right care" for patients". BMJ. 353: i2406. doi:10.1136/bmj.i2406. ISSN 1756-1833. PMID 27129484. S2CID 33547748.
  11. ↑ "Computers Match Accuracy of Radiologists in Screening for Breast Cancer Risk". SBBS. 2018-05-06. Retrieved 2021-07-21.
  12. ↑ Elmore, Joann G.; Wruble, Jill (2018-05-01). "Man Versus Machine: Does Automated Computer Density Measurement Add Value?". Annals of Internal Medicine. 168 (11): 822–823. doi:10.7326/M18-0941. ISSN 0003-4819. PMID 29710227. S2CID 13996153.
  13. ↑ Ware, Jeffrey B.; Jha, Saurabh; Hoang, Jenny K.; Baker, Stephen; Wruble, Jill (2017-06-01). "Effective Radiology Reporting". Journal of the American College of Radiology. 14 (6): 838–839. doi:10.1016/j.jacr.2017.01.045. ISSN 1546-1440. PMID 28434849.
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