Influence of clinical history on MRI interpretation of optic neuropathy

Bansal, Neil K.; Hagiwara, Mari; Borja, Maria J.; Babb, James S.; Patel, Sohil H.

doi:10.1016/j.heliyon.2016.e00162

Cited by 3 publications

(4 citation statements)

References 18 publications

(22 reference statements)

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“…The setting of our study can also be considered a limitation. The readers assessed the images without the benefit of multiple planes, prior imaging, or clinical history, the absence of which could lower diagnostic sensitivity and accuracy (10)(11)(12)(13). These choices were made to allow the rating radiologists to interpret the most diagnostically relevant images in 132 scans in a reasonable time frame.…”

Section: Discussionmentioning

confidence: 99%

Gadolinium-based Contrast Agents Improve Detection of Recurrent Soft-Tissue Sarcoma at MRI

Amini

Murphy

Haygood

et al. 2020

Radiology: Imaging Cancer

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To determine the diagnostic efficacy of gadolinium-based contrast agents for the detection of recurrent soft-tissue sarcoma compared with non-contrast-enhanced conventional MRI sequences. Materials and Methods:A retrospective study of patients with soft-tissue sarcomas who were imaged from January 2009 to December 2014 was performed. MRI studies from 69 patients (mean age, 61 years ± 15 [standard deviation], 45 men) with recurrent soft-tissue sarcoma and 63 age-, sex-, and tumor-matched controls with positive findings (nonrecurrence) were presented to six musculoskeletal radiologists at a tertiary cancer center in three image groupings. Group 1 consisted of precontrast T1-weighted and fat-suppressed T2weighted images (no contrast agent). Group 2 consisted of precontrast and postcontrast fat-saturated T1-weighted images. Group 3 consisted of precontrast and fat-saturated postcontrast T1-and fat-suppressed T2-weighted images. Images within these three groups contained either recurrent soft-tissue sarcomas or positive postoperative findings (nonsarcoma). The presentation order of the first two image sets was reversed for half the readers. The readers were asked to classify presence of tumor on a five-point scale. The average score from the readers was used as consensus score for each case, and a case was considered positive if the average score was less than 3. Receiver operating characteristic (ROC) analysis was performed using the average score for each image set.Results: Assessment of the group 3 image set resulted in higher sensitivity (74%, 95% confidence interval [CI]: 62%, 83%) than the group 2 image set (64%, 95% CI: 51%, 75%), which was also more sensitive than the assessment of the group 1 images set (49%, 95% CI: 37%, 61%), with P = .02 for both. There was no significant difference in specificity between the three groups. The area under the ROC curve (AUC) for the assessment of group 1 was 0.78 (95% CI: 0.70, 0.86), which was significantly lower than that of group 2, 0.92 (95% CI: 0.87, 0.96) and group 3, 0.93 (95% CI: 0.88, 0.97), with P values of .0006 and < .0001, respectively. There was no difference between the AUCs of groups 2 and 3 (P = .58). Conclusion:Gadolinium-based contrast agents improved diagnostic performance in detection of recurrent soft-tissue sarcoma. Addition of fat-saturated T2-weighted images provided modest improvement in sensitivity.

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Section: Discussionmentioning

confidence: 99%

Gadolinium-based Contrast Agents Improve Detection of Recurrent Soft-Tissue Sarcoma at MRI

Amini

Murphy

Haygood

et al. 2020

Radiology: Imaging Cancer

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“…Clinical history has a variable influence on detection of optic nerve enhancement or enlargement. Congruent with our earlier suggestions, history may facilitate early diagnosis, but at times allow oversight of an abnormality .…”

Section: Impact Of Cognitive Factors On Image‐based Diagnosesmentioning

confidence: 93%

“…This finding parallels Littlefair's experimental eye tracking data. Such “satisfaction of search” is another instance of how prior information misleads .…”

Section: Impact Of Cognitive Factors On Image‐based Diagnosesmentioning

confidence: 99%

“…This alters the sequence of test reading routines. By far, the typical test interpretation sequence is to refer to available clinical referral (or history), then read the test, and lastly interpret the findings to render a diagnostic impression to the referral source . Changing this time‐honored sequence can be a key to reducing errors in test interpretations.…”

Section: Possible Solutionsmentioning

confidence: 99%

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Diagnosing Crime and Diagnosing Disease‐II: Visual Pattern Perception and Diagnostic Accuracy

Satya‐Murti¹,

Lockhart²

2018

Journal of Forensic Sciences

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Previously, we reviewed how general cognitive processes might be susceptible to bias across both forensic and clinical fields, and how interdisciplinary comparisons could reduce error. We discuss several examples of clinical tasks which are heavily dependent on visual processing, comparing them to eyewitness identification (EI). We review the "constructive" nature of visual processing, and how contextual factors influence both medical experts and witnesses in decision making and recall. Overall, studies suggest common cognitive factors uniting these visual tasks, in both their strengths and shortcomings. Recently forensic sciences have advocated reducing errors by identifying and controlling nonrelevant information. Such efforts could effectively assist medical diagnosis. We suggest potential remedies for cognitive bias in these tasks. These can generalize across the clinical and forensic domains, including controlling the sequencing of contextual factors. One solution is an agnostic primary reading before incorporation of a complete history and interpretation.

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Optic Nerve Measurement on MRI in the Pediatric Population: Normative Values and Correlations

Al‐Haddad¹,

Sebaaly²,

Tutunji³

et al. 2017

AJNR Am J Neuroradiol

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Influence of clinical history on MRI interpretation of optic neuropathy

Cited by 3 publications

References 18 publications

Gadolinium-based Contrast Agents Improve Detection of Recurrent Soft-Tissue Sarcoma at MRI

Gadolinium-based Contrast Agents Improve Detection of Recurrent Soft-Tissue Sarcoma at MRI

Diagnosing Crime and Diagnosing Disease‐II: Visual Pattern Perception and Diagnostic Accuracy

Optic Nerve Measurement on MRI in the Pediatric Population: Normative Values and Correlations

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