Radiographers and radiologists reporting plain radiograph requests from accident and emergency and general practice

Brealey, Stephen; King, David G.; Hahn, Seokyung; Crowe, Martin; Williams, Patricia; Rutter, Paul; Crane, Steven

doi:10.1016/j.crad.2004.11.013

Cited by 26 publications

(9 citation statements)

References 21 publications

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“…Furthermore, the level of accuracy was positively associated with the number of years in practice 56 suggesting the segment of the radiographer workforce to be targeted initially. Evidence of the ability of radiographers to report musculoskeletal (MSK) 18,[51][52][53] CT and MRI across anatomical sites also supports the potential for further role extension. [57][58][59] Future radiography education requirements…”

Section: Accuracy Of Reportingmentioning

confidence: 85%

“…There is a significant body of published evidence for the GSR to draw that supports the proposition that suitably trained radiographers can perform reporting to the same standards as radiologists in most areas of imaging. 18,[51][52][53][54][55][56][57][58] International data demonstrates that radiographers, following an accredited postgraduate programme delivered in a robust academic environment, are capable of identifying abnormal chest radiographs and provide a report on abnormal appearances to mean sensitivity and specificity scores of 95.4% (95% CI 94.4-96.3) and 95.9% (95% CI, 94.9-96.7), respectively. 56 Radiographers can report on a broad range of chest pathologies under controlled conditions and show high concordance with consultant radiologists.…”

Section: Accuracy Of Reportingmentioning

confidence: 99%

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Opportunities for radiographer reporting in Ghana and the potential for improved patient care

2020

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Section: Accuracy Of Reportingmentioning

confidence: 85%

Section: Accuracy Of Reportingmentioning

confidence: 99%

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

2020

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“…Recruiting RT to perform interpretative tasks in diagnostic radiology may be a matter of debate; nonetheless, several studies have shown that selectively trained RT can be involved in specific tasks of quantitative imaging. These studies have also suggested that carefully selected trained RT can achieve accurate performance comparable to that of radiologists (18, 19). To our knowledge, Swineburne was perhaps the first who proposed that RT can triage some types of radiologic films into normal or abnormal in 1971, highlighting the need for research in this field (35).…”

Section: Discussionmentioning

confidence: 95%

“…Also, this study showed that clinicians' confidence was more adversely affected when the radiologist's reports were incorrect than when RT's reports were incorrect. They also suggested that a carefully selected RT can accurately report both A/E and general practice plain radiographs (19).…”

Section: Discussionmentioning

confidence: 99%

“…Although there may be concern about the role of trained radiology technicians (RT) in interpretative and quantitative radiological tasks, the unremitting workload increase and the shortage of radiologists have encouraged radiology departments to involve selectively trained RT in such tasks. Assigning this task to RT could, therefore, save radiologists' time to carry out more complex investigations (18, 19).…”

Section: Introductionmentioning

confidence: 99%

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Can a Trained Radiology Technician Do Arterial Obstruction Quantification in Patients With Acute Pulmonary Embolism?

Rotzinger

Breault

Knebel

et al. 2019

Front. Cardiovasc. Med.

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Objectives: To assess interobserver variability between a trained radiology technician (RT) and an experienced radiologist in arterial obstruction quantification using the Qanadli obstruction index (QOI), in patients diagnosed with acute pulmonary embolism (APE) at CT pulmonary angiography (CTPA). Materials and Methods: A RT and a radiologist independently reviewed CTPAs of 97 consecutive, prospectively enrolled patients with APE, and calculated the QOI. They classified patients into three risk categories: high for QOI ≥40%, intermediate for QOI 20–37.5%, low for QOI <20%. Interobserver variability was investigated for QOI as a continuous variable and as a categorical variable (high, intermediate, and low-risk groups). Results: Mean QOI (±SD) was 39.5 ± 24.3% and 38.6 ± 18.9% for the RT and the radiologist, respectively. The mean QOI was not statistically different between the RT and the radiologist ( p = 0.502), and the interobserver agreement was excellent (ICC = 0.905). The RT classified 54 patients (55.7%) as high, 17 (17.53%) as intermediate, and 26 (26.8%) as low risk. The radiologist classified 55 patients (56.7%) as high, 22 (22.7%) as intermediate, and 20 (20.6%) as low risk. The interrater agreement for risk stratification was excellent (weighted kappa = 0.844). Conclusion: Once the diagnosis of APE was established, an adequately trained RT achieved an accuracy comparable to that of an experienced radiologist regarding QOI calculation and risk assessment.

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Preliminary image evaluation performance of radiographers in one New Zealand District: a 6‐month prospective study

Lewis,

Mdletshe,

Doubleday

et al. 2024

J of Medical Radiation Sci

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IntroductionPreliminary image evaluation (PIE) is a system where radiographers alert emergency department referrers to the presence or absence of abnormalities on acute extremity X‐ray examinations. PIE and similar systems have been utilised in the United Kingdom (UK) and Australia due to a shortage of radiologists to provide a timely report. As New Zealand (NZ) faces a similar shortage, PIE should be considered to address the negative impact this has on patients. The aim of this study was to determine the effect of regular feedback and education on radiographers' performance when detecting and describing acute abnormalities on extremity X‐ray examinations in ED.MethodsA prospective longitudinal study design was utilised for this study. The sensitivity, specificity, accuracy, and accuracy of PIEs performed by seven radiographers at a public provincial district in NZ were assessed over a 6‐month period, with the participants provided monthly results along with regular e‐mailed feedback on common errors.ResultsThe mean for sensitivity, specificity, and accuracy calculated with a 95% confidence interval over the 6‐month period were 92.8% (89.9, 95.8), 94.9 (93.1, 96.8), and 94.2 (91.9, 96.5), respectively. When the month‐to‐month results were analysed, the results demonstrated an improvement in participants' sensitivity, specificity, and accuracy over the 6‐month period.ConclusionThe results of this study demonstrated that radiographers who participated in the study can perform PIE to a high standard that is comparable with the findings from international studies and demonstrated an improvement over 6 months. Therefore, PIE may be useful in NZ to aid ED clinicians in their clinical decisions when a radiology report is unavailable.

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Radiographers and radiologists reporting plain radiograph requests from accident and emergency and general practice

Cited by 26 publications

References 21 publications

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

Can a Trained Radiology Technician Do Arterial Obstruction Quantification in Patients With Acute Pulmonary Embolism?

Preliminary image evaluation performance of radiographers in one New Zealand District: a 6‐month prospective study

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