Jill Wruble is a

radiologist Radiology ( ) is the medical specialty that uses medical imaging to diagnose diseases and guide treatment within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiation), but tod ...

and fellow at

Johns Hopkins Medicine The Johns Hopkins University School of Medicine (JHUSOM) is the medical school of Johns Hopkins University, a private research university in Baltimore, Maryland. Established in 1893 following the construction of the Johns Hopkins Hospital, the ...

who is best known as a speaker on overdiagnosis due to

incidental imaging finding In medical or research imaging, an incidental imaging finding (also called an incidentaloma) is an unanticipated finding which is not related to the original diagnostic inquiry. As with other types of incidental medical findings, they may represe ...

in United States medicine.

Biography

Wruble is a director at the National Association of Veteran Affairs Physicians and Dentists and a fellow at Johns Hopkins Medicine, in Radiology and Radiological Science. She retired from the

United States Army The United States Army (USA) is the primary Land warfare, land service branch of the United States Department of Defense. It is designated as the Army of the United States in the United States Constitution.Article II, section 2, clause 1 of th ...

as a major. She is a graduate of

Williams College Williams College is a Private college, private liberal arts colleges in the United States, liberal arts college in Williamstown, Massachusetts, United States. It was established as a men's college in 1793 with funds from the estate of Ephraim ...

and the

New York College of Osteopathic Medicine The New York Institute of Technology College of Osteopathic Medicine (NYIT-COM) is a private medical school located primarily in Old Westbury, New York. It also has a degree-granting campus in Jonesboro, Arkansas. Founded in 1977, NYIT-COM is an ...

. She was a clinical assistant professor who taught residents at

Yale School of Medicine The Yale School of Medicine is the medical school of Yale University, a private research university in New Haven, Connecticut. It was founded in 1810 as the Medical Institution of Yale College and formally opened in 1813. It is the sixth-oldest m ...

as recently as 2016.

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 screening The objective of cancer screening is to detect cancer before symptoms appear, involving various methods such as blood tests, urine tests, DNA tests, and medical imaging. The purpose of screening is early cancer detection, to make the cancer easie ...

s and treatment that may cause harm to patients. She says that with contemporary

CT scans A computed tomography scan (CT scan), formerly called computed axial tomography scan (CAT scan), is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers or ...

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

incidentaloma In medical or research imaging, an incidental imaging finding (also called an incidentaloma) is an unanticipated finding which is not related to the original diagnostic inquiry. As with other types of incidental medical findings, they may represe ...

References

External links

Wruble’s TEDx talk
{{DEFAULTSORT:Wruble, Jill New York Institute of Technology alumni Living people Year of birth missing (living people)