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]
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]
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.