Abstract:
BACKGROUND:There are few data regarding the frequency and type of diagnostic errors made by radiology residents and fellows ("trainees"). However, increasing interest in reducing medical errors highlights the need to analyze which areas of medical knowledge are most problematic for physicians-in-training, including radiology trainees. Once these areas are identified, they can be emphasized during training. OBJECTIVE:To quantify the diagnostic errors made by radiology trainees interpreting radiographs from a pediatric emergency department. MATERIALS AND METHODS:A total of 23,273 dictations of emergency radiographs performed over a 1-year period at a pediatric hospital were analyzed for corrections after staff interpretation and for type and incidence of missed abnormalities by radiology trainees. Errors were categorized by type of pathology and anatomic region. RESULTS:Of the 80 errors detected, 90% were false negatives and 69% were recurrent. Most errors (69%) involved the diagnosis of fractures and/or dislocations. Sixty-one percent of all recurrent errors involved buckle, Salter II, avulsion, and transverse fractures-yet these cases constituted only 3% of all cases seen during the study period. CONCLUSION:The most common errors made by radiology trainees can be identified. By targeting these errors, training programs can improve the quality and relevance of the education they provide.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Halsted MJ,Kumar H,Paquin JJ,Poe SA,Bean JA,Racadio JM,Strife JL,Donnelly LFdoi
10.1007/s00247-004-1150-7keywords:
subject
Has Abstractpub_date
2004-04-01 00:00:00pages
331-6issue
4eissn
0301-0449issn
1432-1998journal_volume
34pub_type
杂志文章abstract:BACKGROUND:The aberrant cervical thymus is an uncommon entity to be considered in the differential diagnosis of neck masses in children, so a preoperative diagnosis has rarely been made. OBJECTIVE:The purpose of this study was to assess the ultrasound features of aberrant cervical thymus and determine if recognition o...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100468
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Laterality defects are quite common in thoracoileopagus and parapagus dicephalus but rare in other types of conjoined twins. OBJECTIVE:To present the presumed laterality defects in cephalothoracoileopagus and prosopothoracoileopagus conjoined twins, based on the unilateral or bilateral absence or duplicatio...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2316-8
更新日期:2012-06-01 00:00:00
abstract::Dideoxyinosine (ddI) is a widely used antiretroviral agent in treatment of HIV infection. Pancreatitis is a serious side effect. Two cases are reported, one with rapid development of a pseudocyst. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050099
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND:Crohn disease is a chronic inflammatory condition that can lead to intestinal strictures. The presence of fibrosis within strictures alters optimal management but is not reliably detected by current imaging methods. OBJECTIVE:To correlate the MRI features of surgically resected small-bowel strictures in ped...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3506-6
更新日期:2016-04-01 00:00:00
abstract::Lenticulostriate vasculopathy can be seen in an increasing number of clinical conditions, among which congenital infections and chromosomal abnormalities are best known. Two further patients with this ultrasound finding are reported, who were both recipients in the twin-to-twin transfusion syndrome. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::Three of seven infants afflicted with congenital syphilis at our institution in the past five years showed diffuse pulmonary infiltrates. These persisted long after adequate antibiotic treatment of the primary infection. Review of pathologic literature suggests these infiltrates represent pulmonary immaturity, extrame...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02026670
更新日期:1991-01-01 00:00:00
abstract::Neuroblastomas are the most common extracranial solid malignancy in children. In contrast, salivary gland tumors are uncommon in children, accounting for only 1% of all pediatric neoplasms. Parotid metastases are rare; only two cases of parotid metastases from neuroblastomas have been reported with an emphasis on the ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-010-1750-3
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Food allergy may be partly due to impairment of the intestinal barrier and is frequently associated with atopic dermatitis (AD) in early life. OBJECTIVE:To determine whether bowel wall thickening, as demonstrated by US, is useful for the identification of food allergy. MATERIALS AND METHODS:We used US to s...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0593-3
更新日期:2002-01-01 00:00:00
abstract::Orbital sonography with color-flow Doppler imaging is a relatively new technology with significant application in the pediatric patient. This review stresses the primary indications for pediatric ophthalmic ultrasound and also discusses those instances where the use of ultrasound supplements other imaging studies. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/BF01372106
更新日期:1996-01-01 00:00:00
abstract::Physiologic changes in renal transplant patients, such as transiently low central venous pressure, may be related to increased intra-abdominal pressure, from the volume of the transplanted kidney itself. Using intraoperative and postoperative Doppler ultrasound of the transplant renal vessels, we identified changes in...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-1094-3
更新日期:2004-05-01 00:00:00
abstract::Goiter secondary to amyloidosis is rare in clinical practice and only a few descriptions of its radiologic features have been reported. We present the ultrasound and MRI findings of thyroid amyloidosis in a 7-year-old Turkish boy with familial Mediterranean fever. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012155
更新日期:1993-01-01 00:00:00
abstract::A 2 1/2-year-old boy presented with a large abdominal mass that proved to be a hepatic mesenchymal hamartoma. Radiologic studies included ultrasound and MRI which correlated well with pathologic findings. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02020176
更新日期:1994-01-01 00:00:00
abstract::A boy is described with severe hyperostosis of the cranium and facial bones, and many other abnormalities including macrocephaly, abnormal facies, cleft palate, conductive hearing loss, speech defect, dental and digital anomalies, delayed skeletal development, short fibulas, short stature of postnatal onset, cervical ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387953
更新日期:1986-01-01 00:00:00
abstract::Many heritable disorders of the skeleton are transmitted as autosomal recessive (AR) traits. During the past two decades, family studies have been undertaken in conditions of this type in order to detect any structural manifestations in obligate and potential heterozygotes. The positive findings that emerge from this ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s002470050155
更新日期:1997-05-01 00:00:00
abstract::Hepatocyte-specific contrast media are gadolinium chelates that are taken up by hepatocytes and partially cleared via the biliary tree. The absence of lesional uptake of the contrast media in the hepatobiliary phase is a marker of either the absence of hepatocytes or of poorly functioning, neoplastic hepatocytes. Upta...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4108-x
更新日期:2018-08-01 00:00:00
abstract::It is essential to diagnose thyroid dysfunction at an early stage because congenital hypothyroidism (CH) represents one of the most common preventable causes of delayed physical and psychological development, including mental retardation. US evaluates the shape of the thyroid gland. CT and scintigraphic examinations d...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-004-1145-4
更新日期:2004-07-01 00:00:00
abstract::Pediatric blunt scrotal trauma is most often the consequence of sports injury and presents a diagnostic challenge because swelling and pain make a scrotal physical exam difficult. US with color flow and duplex Doppler is the first-line imaging modality with the goal of accurate and timely diagnosis of injury requiring...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-016-3600-4
更新日期:2016-06-01 00:00:00
abstract::A patient with tuberous sclerosis and a normal intravenous urogram 5 years previously presented with a large and palpable upper pole renal mass. Since patients with tuberous sclerosis have small bilateral hamartomas, a Wilms' tumor was suspected. In retrospect, inhomogenous nephrograms should have alerted the radiolog...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01092953
更新日期:1980-07-01 00:00:00
abstract::Airway compression is a common problem in children with certain forms of congenital heart disease. Although various surgical approaches are available to overcome this form of airway obstruction, internal stenting is necessary in a minority of patients. It can be difficult to assess the success of stenting at the time ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0174-6
更新日期:2006-08-01 00:00:00
abstract::A 10-year-old girl presented with a cerebral malignant ectomesenchymoma (MEM), a very unusual tumour with undifferentiated mesenchymal as well as ectodermal elements. Somatostatin receptor scintigraphy (SRS) was performed during the diagnostic workup. The recurrent residual tumour mass was exactly visualized with SRS,...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000404
更新日期:2001-03-01 00:00:00
abstract::Congenital syphilis is re-emerging in modern society. The pediatric radiologist may contribute to its early diagnosis. A case of unusual bone involvement with fracture of the olecranon and facial bone lesions is described; the condition had to be differentiated from the "battered child syndrome". The problem of congen...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386714
更新日期:1978-12-04 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of lateral decubitus high-resolution CT (HRCT) in detecting air trapping in children. MATERIALS AND METHODS:HRCT scans of 21 children with heterogeneous lung attenuation caused by air trapping (n = 10) or with infiltrative lung disease (n = 11) were reviewed retrospectively. The...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0622-2
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Fever without a focus is defined as a temperature of 38° C or higher as the single presenting symptom. After extensive investigation, a large percentage (12-67%) of cases remain undiagnosed. OBJECTIVE:To assess the diagnostic value of whole-body magnetic resonance imaging (WB-MRI) in children with fever wit...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04889-6
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:Identification of osteoporotic vertebral fractures allows treatment opportunity reducing future risk. There is no agreed standardised method for diagnosing paediatric vertebral fractures. OBJECTIVE:To evaluate the precision of a modified adult algorithm-based qualitative (ABQ) technique, applicable to child...
journal_title:Pediatric radiology
pub_type: 评论,杂志文章
doi:10.1007/s00247-015-3537-z
更新日期:2016-05-01 00:00:00
abstract::Periventricular leukomalacia (PVL) is a common finding during neurosonography of preterm infants. Secondary thinning of the corpus callosum is seen following PVL, typically from loss of hemispheric white matter tracts. We report a case of direct involvement of the corpus callosum with PVL, its pathogenesis, and its po...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050187
更新日期:1997-07-01 00:00:00
abstract::Ultrasound (US) has been proposed as an alternative first-line imaging modality to diagnose community-acquired pneumonia in children. Lung US has the potential benefits over chest radiography of being radiation free, subject to fewer regulatory requirements, relatively lower cost and with immediate bedside availabilit...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-017-3910-1
更新日期:2017-10-01 00:00:00
abstract::As the number of patients with liver transplants continues to increase, radiologists need to be aware of the normal post-operative appearance of the different liver transplants currently performed along with the wide variety of complications encountered. The complications commonly affect the biliar and vascular system...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-010-1545-6
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Sclerotic bone lesions are often seen on chest CT in adults with tuberous sclerosis complex. OBJECTIVE:To characterize bone lesions at abdominal MRI in children with tuberous sclerosis complex. MATERIALS AND METHODS:This retrospective review included 70 children with tuberous sclerosis complex who had unde...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-016-3549-3
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Children are better served by radiologists and technical personnel trained in the care of pediatric patients. However, a variety of obstacles may limit the access of children to dedicated pediatric imaging facilities. OBJECTIVE:We designed and implemented two models for providing community-based imaging by ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050003
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Awareness and preparedness to handle sedation, analgesia, and contrast-media complications are key in the daily radiology practice. OBJECTIVE:The purpose is to create a computerized simulator (PC-Windows-based) that uses a graphical interface to reproduce critical incidents in pediatric and adult patients u...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050744
更新日期:2000-05-01 00:00:00