Letter to the Editor: Beyond the audit, real-time data integration and dedicated clinical oversight in diagnostic reconciliation

doi:10.12998/wjcc.v14.i16.119871

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Clin Cases. Jun 6, 2026; 14(16): 119871
Published online Jun 6, 2026. doi: 10.12998/wjcc.v14.i16.119871

Letter to the Editor: Beyond the audit, real-time data integration and dedicated clinical oversight in diagnostic reconciliation

Suleman A Merchant, Neesha Merchant

Suleman A Merchant, Department of Radiology, LTM Medical College and LTM General Hospital, Mumbai 400022, Maharashtra, India

Neesha Merchant, Department of Diagnostic Radiology, Medical Imaging, University of Toronto, Toronto M5G 2C4, Ontario, Canada

Author contributions: Merchant SA contributed to conceived the editorial concept, developed the central analytical framework, drafted the original manuscript, and was responsible for all substantive intellectual content including the clinical governance analysis, the Large Concept Models integration, and the critical appraisal of the Virarkar et al initiative; Merchant N assisted in the compilation and formatting of the manuscript, verified and organised the reference list, and contributed to the preparation of the final submission; both authors have read and approved the final version of the manuscript.

AI contribution statement: No AI tool was used. The manuscript was written by all authors.

Conflict-of-interest statement: The authors declare no financial conflicts of interest related to this work.

Corresponding author: Suleman A Merchant, Department of Radiology, LTM Medical College and LTM General Hospital, Sion, Mumbai 400022, Maharashtra, India. suleman.a.merchant@gmail.com

Received: February 24, 2026
Revised: March 9, 2026
Accepted: April 23, 2026
Published online: June 6, 2026
Processing time: 97 Days and 22.5 Hours

Core Tip

Core Tip: This article examines a quality improvement initiative by Virarkar et al utilizing a dedicated consult shift and real-time digital dashboards to resolve diagnostic disagreements. The dual-strategy model achieved a 76% reduction in median resolution time. Successful replication of this approach would require institutional prerequisites including digital infrastructure maturity, interoperability of electronic systems, and clearly defined accountability structures.