Detection and Communication of Critical Findings Noted on Thoracic CT Scans by Radiology Residents

Awais, Muhammad; Hilal, Kiran; Waheed, Adeel; Khattak, Yasir Jamil; Rehman, Abdul; Baloch, Noor Ul-Ain

doi:10.1016/j.jacr.2015.06.034

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…In real emergency scenarios, chest CT scans are often read and interpreted provisionally by trainee radiologists. This is especially true during holidays and after usual hours on working days [29], which may adversely affect diagnostic performance. Moreover, the quality of CT scout film is also dependent on the type of CT scanner installed at a particular institution.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Computed Tomography Scout Film and Chest X-ray for Detection of Rib Fractures in Patients with Chest Trauma: A Cross-sectional Study

Awais

Salam

Nadeem

et al. 2019

Cureus

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Background: Rib fractures are a major source of morbidity in patients with chest trauma. Computed tomography (CT) scout film is a low-dose image that is obtained prior to a complete chest CT study for all patients undergoing a CT scan. In this study, we evaluated the diagnostic performance of CT scout film vis-à-vis that of chest X-ray for detection of rib fractures using chest CT scan as the reference standard.Methods: A cross-sectional study was performed at the radiology department of Aga Khan University Hospital (Karachi, Pakistan) from October 1, 2013 to September 31, 2014. Patients who underwent CT chest for evaluation of thoracic trauma were included in the study. Sensitivity and specificity of chest X-ray and CT scout film were calculated.Results: A total of 207 patients were included in the study (193 were male). Penetrating and blunt thoracic injuries affected 104 (50.2%) and 103 (49.8%) patients respectively. On CT chest, 75 (36.2%) patients had evidence of rib fractures. Sensitivity and specificity of CT scout film for detection of rib fractures were 56% and 87.9%, while those of chest X-ray were 61.3% and 98.5% respectively. The overall accuracy of CT scout film and chest X-ray for detection of rib fractures were 76.3% and 85% respectively.Conclusion: Diagnostic performance of CT scout film for detection of rib fractures was comparable to that of the plain chest radiograph. CT scout film does not provide any additional information or advantage over a plain chest radiograph. In patients with severe thoracic trauma, CT chest remains the modality of choice for accurate delineation of rib fractures and associated internal injuries.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Computed Tomography Scout Film and Chest X-ray for Detection of Rib Fractures in Patients with Chest Trauma: A Cross-sectional Study

Awais

Salam

Nadeem

et al. 2019

Cureus

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“…Emergency abdominal CT scans are often interpreted preliminarily by trainee radiologists, especially during holidays and after usual working hours [ 6 ]. In emergency scenarios, timely and accurate interpretation of CT scans is indispensable for efficient patient care and avoidance of serious medical errors [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Multiplanar Computed Tomography of Vascular Etiologies of Acute Abdomen: A Pictorial Review

Awais

Rehman

Baloch

2018

Cureus

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Acute abdomen is a common presentation in the emergency department and radiologic imaging plays a pivotal role in the evaluation of such patients. Multi-detector computed tomography (MDCT) is the most commonly utilized radiologic investigation in such patients as it can be performed fairly rapidly and has excellent accuracy for diagnosing various causes of an acute abdomen. Additionally, MDCT may also reveal clues towards an alternative diagnosis that was not even suspected on the basis of a history and physical examination. Consequently, it is indispensable for radiologists to be able to accurately and efficiently recognize imaging features of disorders that may present as an acute abdomen. While gastrointestinal, hepatobiliary and genitourinary causes account for most cases of acute abdomen, vascular etiologies may also be implicated in a small—but significant—proportion of cases. Therefore, in this pictorial review, we describe the typical MDCT imaging features of various vascular etiologies that may present as an acute abdomen.

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Accuracy and reliability of tablet computer as an imaging console for detection of radiological signs of acute appendicitis using PACS workstation as reference standard

et al. 2017

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Detection and Communication of Critical Findings Noted on Thoracic CT Scans by Radiology Residents

Cited by 4 publications

References 34 publications

Diagnostic Accuracy of Computed Tomography Scout Film and Chest X-ray for Detection of Rib Fractures in Patients with Chest Trauma: A Cross-sectional Study

Diagnostic Accuracy of Computed Tomography Scout Film and Chest X-ray for Detection of Rib Fractures in Patients with Chest Trauma: A Cross-sectional Study

Multiplanar Computed Tomography of Vascular Etiologies of Acute Abdomen: A Pictorial Review

Accuracy and reliability of tablet computer as an imaging console for detection of radiological signs of acute appendicitis using PACS workstation as reference standard

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