Surgical residents' interpretation of diagnostic radiologic imaging in the traumatically injured patient

Fakhoury, Elias; Abolghasemi, Daria; McKinney, Justin; Naumova, Alena; Wessner, Scott; Elsawy, Osama; Zuberi, Jamshed; Madlinger, Robert

doi:10.1097/ta.0000000000001701

Cited by 6 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In other studies comparing emergency physician or surgical resident interpretation of CT scans of the head in trauma with radiologists, no impact on patient management or outcome was reported [6, 7, 25], as was the situation in our study.…”

Section: Discussioncontrasting

confidence: 56%

Interpretation of Emergency CT Scans of the Head in Trauma: Neurosurgeon vs Radiologist

Parag

Hardcastle

2022

World j. surg.

View full text Add to dashboard Cite

Background Traumatic brain injury (TBI) is a major cause of mortality and morbidity across all ages in all countries. Management of the patient with TBI is time critical. Emergency computed tomography (CT) scans of the head are often assessed by neurosurgeons and patient management plans are implemented before the final radiological report is released in hospitals, particularly where there is a shortage of radiologists in LMIC. The aims of this study were to identify discrepancies in the interpretation of CT scans of the head in patients with isolated head injury between the neurosurgeon and radiologist and to assess if these differences impacted patient management. Methods This 6-month long prospective observational study was performed at a tertiary hospital in South Africa. The study population comprised 347 patients with isolated head injury who had a CT scan of the head performed on admission. The neurosurgeons' initial CT scan interpretation and the final radiological report were compared. Results Out of 347 CT head scans, the neurosurgeons correctly interpreted 318 cases. Of the 29 incorrectly interpreted cases, there were 17 false negatives and 12 cases with mismatching abnormalities. The concordance rate was 91.64% (95% CI 88.73-94.55) with a kappa of 0.78. An accuracy rate of 95.33% (95% CI 92.63-97.26) was achieved by the neurosurgeon. No patient was negatively impacted by any neurosurgical error in misinterpretation. Conclusions In the interpretation of CT head scans in trauma, there is good neurosurgical and radiological interobserver agreement without negative patient impact. The neurosurgeons' interpretation of CT scans of the head in TBI is safe especially when radiology reports are not timeously available.

show abstract

Section: Discussioncontrasting

confidence: 56%

Interpretation of Emergency CT Scans of the Head in Trauma: Neurosurgeon vs Radiologist

Parag

Hardcastle

2022

World j. surg.

View full text Add to dashboard Cite

show abstract

“…Fakhoury et al 7 . used a cohort of surgical residents to assess cervical spine CTs as well as CT imaging of other body regions.…”

Section: Resultsmentioning

confidence: 99%

“…Fakhoury et al 7 used a cohort of surgical residents to assess cervical spine CTs as well as CT imaging of other body regions. They employed a prospective cohort design to evaluate 39 cervical spine CTs with 33 of these being judged to be interpreted correctly with six errors (discordance of 0.15) with a Cohen K (measure of agreement) value of 0.458.…”

Section: Resultsmentioning

confidence: 99%

Interpretation of computed tomography of the cervical spine by non‐radiologists: a systematic review and meta‐analysis

Wani

Fitzgerald

Varma

et al. 2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background After trauma, clearance of the cervical spine refers to the exclusion of underlying serious injuries. Accurate assessment of computed tomography (CT) is commonly required prior to clearance of the cervical spine. Delays to clearance can lead to prolonged immobilization with associated patient discomfort and adverse effects. This systematic review aimed to determine performance of non‐radiologists to evaluate cervical spine CT. Methods MEDLINE, EMBASE, Cochrane library with sources of grey literature and reference lists of selected articles were appraised from inception to April 2021. We included manuscripts that reported discordance in CT cervical spine interpretation between non‐radiologists and radiologists. The Newcastle–Ottawa scale (NOS) was used to assess quality of included studies and statistical heterogeneity was assessed using the I2 statistic. Results There were 43 studies identified for eligibility and 4 manuscripts included in the final analysis. There were two studies that reported on the performance of radiology residents, one study on the performance of surgical residents and one on emergency physicians. The pooled discordance was 0.25 (95%CI 0.21–0.28) but was lower for radiology residents (range 0.007–0.05). There was significant statistical heterogeneity (I2 = 99.6%, P < 0.001) among studies. Conclusion There is a paucity of evidence documenting the ability of non‐radiologists in accurately interpreting CT of the cervical spine. A number of discordant findings suggest that studies with larger sample sizes are indicated to accurately ascertain the ability of non‐radiologists in this area.

show abstract

Influence of residency discipline and seniority on traumatic musculoskeletal radiographs interpretation accuracy: a multicenter study

Factor

Albagli

Bebin

et al. 2023

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Surgical residents' interpretation of diagnostic radiologic imaging in the traumatically injured patient

Abstract: Therapeutic/Care Management study, Level IV.

Cited by 6 publications

References 7 publications

Interpretation of Emergency CT Scans of the Head in Trauma: Neurosurgeon vs Radiologist

Interpretation of Emergency CT Scans of the Head in Trauma: Neurosurgeon vs Radiologist

Interpretation of computed tomography of the cervical spine by non‐radiologists: a systematic review and meta‐analysis

Influence of residency discipline and seniority on traumatic musculoskeletal radiographs interpretation accuracy: a multicenter study

Contact Info

Product

Resources

About