Abstract:
RATIONALE AND OBJECTIVES:To quantify the use of Diagnostic Certainty Phrases (DCP) in radiology reports, including DCPs with good agreement (including "diagnostic of," "unlikely" and "represents") in connoting degree of certainty between providers based on previous studies; and to assess whether modality, presence of a trainee, radiologic subspecialty, and individual radiologists are associated with the usage of DCPs with good agreement. MATERIALS AND METHODS:This retrospective, IRB-approved study was conducted at an academic medical center. Radiology reports that contain DCPs were identified using information retrieval from all reports generated in 2016, excluding mammograms, obstetrical ultrasound, bone densitometry, and interventional studies. DCPs connoting good agreement were further noted. Of the reports that contained DCPs, a two-level hierarchical generalized linear model with attending as the level-two variable was performed comparing the use of DCP with good agreement while considering trainee involvement, modality, and subspecialty. RESULTS:A total of 159,151 reports out of 370,881 were found to have at least one DCP (43%). Reports of CT scans had the most number of DCP (68% of all CT reports). Breast and abdomen subspecialties were associated with use of DCP with good agreement. There was significant variation in use of DCP with good agreement between physicians that could not be explained by modality, trainee presence, and subspecialty. CONCLUSION:Phrases to convey diagnostic certainty were commonly used in radiology reports. There is wide variation in usage of DCP with good agreement. Future interventions to reduce variation in use of DCPs may reduce ambiguity and improve quality of radiology reports.
journal_name
Acad Radioljournal_title
Academic radiologyauthors
Lacson R,Odigie E,Wang A,Kapoor N,Shinagare A,Boland G,Khorasani Rdoi
10.1016/j.acra.2018.10.017subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1229-1234issue
9eissn
1076-6332issn
1878-4046pii
S1076-6332(18)30481-1journal_volume
26pub_type
杂志文章abstract:RATIONALE AND OBJECTIVES:The association between hepatic steatosis and oral 5-fluorouracil (5-FU) agents is clinically recognized but has not been systematically studied. The aim of this study was to determine the effects of 5-FU on hepatic fat content in patients undergoing oral 5-FU therapy and to compare the effects...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2005.02.010
更新日期:2005-06-01 00:00:00
abstract::At our institution, we have developed a remediation team of strong, focused experts who help us with struggling learners in making the diagnosis and then coaching on their milestone deficits. It is key for all program directors to recognize struggling residents because early recognition and intervention gives the resi...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.12.022
更新日期:2017-06-01 00:00:00
abstract::The National Cancer Institute organized a workshop entitled "Image Archive Management" that was presented on August 28 and 29, 2000, at the Natcher Conference Center on the National Institutes of Health (NIH) campus. The purpose of this workshop was to solicit expert input for the planned development of an archival sy...
journal_title:Academic radiology
pub_type:
doi:10.1016/S1076-6332(03)80699-2
更新日期:2001-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The Mammography Quality Standards Act requires practices to measure limited aspects of their performance. The authors conducted this study to calculate the differences in measurements of sensitivity and specificity due only to differences in the definitions used in the analysis. This included d...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(00)80057-4
更新日期:2000-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Ultrasonography (US) is becoming popular for the assessment of adiposity, but no one has studied this tool in the light of its potential limitations. Our purpose was to investigate the impact of technical conditions on the evaluation of abdominal fat by US. MATERIALS AND METHODS:Forty-five hea...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2013.07.009
更新日期:2013-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The addition of digital breast tomosynthesis (DBT) to digital screening mammography (DM) has been shown to decrease recall rates and improve cancer detection rates, but there is a lack of data regarding the impact of DBT on rates of short-term follow-up. We assessed possible changes in performa...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.10.001
更新日期:2017-03-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To determine the differences in the psychosocial effects and future mammography screening behavior between women who had an abnormal mammogram followed either by percutaneous or open surgical breast biopsy or cyst aspiration, or by short-term follow-up mammography to provide insight to radiolog...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)00382-9
更新日期:2003-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Although inflammatory breast carcinoma (IBC) accounts for 1%-4% of all breast cancer cases, the appearance of this highly malignant tumor in magnetic resonance imaging (MRI) is still not well characterized. The aim of this study was to identify typical imaging features of IBC in comparison with...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.09.011
更新日期:2008-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:This project evaluated human observer performance and that of a human visual system model (JNDmetrix) to assess whether the veiling glare of a digital display influences observer performance during soft-copy interpretation of mammographic images for the detection of masses. MATERIALS AND METHO...
journal_title:Academic radiology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.acra.2005.11.006
更新日期:2006-03-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Previous cross-sectional studies have demonstrated that airway wall thickness and air trapping are greater in subjects with severe asthma than in those with mild-to-moderate asthma. However, a better understanding of how airway remodeling and lung density change over time is needed. This study ...
journal_title:Academic radiology
pub_type: 临床试验,杂志文章
doi:10.1016/j.acra.2014.05.001
更新日期:2014-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Because several factors are involved in cancer detection, a malignant lesion that is visible on a mammogram will not necessarily be reported by the radiologist reading the case. Indeed, a significant fraction of screening-detected cancers are visible in retrospect, and were perceived by the rad...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2004.04.015
更新日期:2004-08-01 00:00:00
abstract::Feedback is an essential component of education. It is designed to influence, reinforce, and change behaviors, concepts, and attitudes in learners. Although providing constructive feedback can be challenging, it is a learnable skill. The negative consequences of destructive feedback or lack of feedback all together ar...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.11.023
更新日期:2017-06-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The authors performed this study to determine whether intrathoracic inoculation of non-small-cell lung carcinoma with fluoroscopic guidance would provide for more accurate implantation. MATERIALS AND METHODS:A tumor cell inoculum (2 x 10(6) cells per 0.15 mL) was injected percutaneously under ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(05)80267-3
更新日期:1997-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The purpose of this study was to develop and test new assistive devices to aid in the performance of safe, easy, and accurate microwave thermocoagulation therapy guided by magnetic resonance (MR) imaging. MATERIALS AND METHODS:An open-configuration MR imager with an optical tracking system for...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)80043-0
更新日期:2003-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To determine the impact of COVID-19 workflow changes on patient throughput at the outpatient imaging facilities of a large healthcare system in New York City. MATERIALS AND METHODS:COVID-19 workflow changes to permit social distancing and patient and staff safety included screening at the time...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2020.12.016
更新日期:2021-01-04 00:00:00
abstract::Computer-aided detection (CADe) and computer-aided diagnosis (CADx) have been important areas of research in the last two decades. Significant progress has been made in the area of breast cancer detection, and CAD techniques are being developed in many other areas. Recent advances in multidetector row computed tomogra...
journal_title:Academic radiology
pub_type: 杂志文章,评审
doi:10.1016/j.acra.2008.01.014
更新日期:2008-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Most radiographic contrast media are hyperosmotic and able to shrink cells with which they are in contact. The authors studied cell volume control in rabbit proximal renal tubules after incubation with three contrast media: iohexol, ioxaglate, and iodixanol. MATERIALS AND METHODS:Proximal rena...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/S1076-6332(03)80547-0
更新日期:2001-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:We propose a novel segmentation-based interpolation method to reduce the metal artifacts caused by surgical aneurysm clips. MATERIALS AND METHODS:Our method consists of five steps: coarse image reconstruction, metallic object segmentation, forward-projection, projection interpolation, and fina...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2006.12.015
更新日期:2007-04-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of this study was to compare the performance of various image-based metrics computed from thoracic high-resolution computed tomography (HRCT) with data from pulmonary function testing (PFT) in characterizing interstitial lung disease (ILD) and chronic obstructive pulmonary disease (COPD...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.03.007
更新日期:2012-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The lack of understanding of the real costs (not charge) of delivering healthcare services poses tremendous challenges in the containment of healthcare costs. In this study, we applied an established cost accounting method, the time-driven activity-based costing (TDABC), to assess the costs of ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.11.001
更新日期:2017-02-01 00:00:00
abstract::Computed Tomography (CT) has long been regarded as a purely anatomical imaging modality. Recent advances on CT technology and Contrast Agents (CA) in both clinical and preclinical cardiac imaging offer opportunities for the use of CT in functional imaging. Combined with modern ECG-gating techniques, functional CT has ...
journal_title:Academic radiology
pub_type: 杂志文章,评审
doi:10.1016/j.acra.2019.12.026
更新日期:2021-01-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:This study aimed to determine whether mammographic features assessed by radiologists and using computer algorithms are prognostic of occult invasive disease for patients showing ductal carcinoma in situ (DCIS) only in core biopsy. MATERIALS AND METHODS:In this retrospective study, we analyzed ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2017.03.013
更新日期:2017-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Epicardial adipose tissue (EAT), pericardial adipose tissue (PAT), and subcutaneous adipose tissue (SAT) are mediators of metabolic risk and may be involved in the pathogenesis of coronary artery disease. The aim of this study was to investigate the association of visceral and subcutaneous fat ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2010.08.017
更新日期:2010-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To estimate the gain in signal-to-noise ratio (SNR) in first-pass contrast-enhanced (CE) abdominal magnetic resonance angiography (MRA) at 3.0 T compared with 1.5 T. MATERIALS AND METHODS:Three protocols were simulated using six contrast agents: gadopentetate dimeglumine (Magnevist, Berlex, Wa...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.03.007
更新日期:2007-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To investigate the capability of delta-radiomics to predict pathological complete response (pCR) after neoadjuvant chemoradiotherapy (nCRT) in patients with locally advanced rectal cancer (LARC). MATERIALS AND METHODS:This retrospective study enrolled 165 consecutive patients with LARC (traini...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2020.10.026
更新日期:2020-11-11 00:00:00
abstract:RATIONALE AND OBJECTIVES:No single method is generally accepted for evaluating the accuracy of breast biopsy techniques before their clinical implementation. The purpose of this study was to test a new process for evaluating biopsy techniques by using it in the evaluation of a prototype three-dimensional ultrasound (US...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)80331-8
更新日期:2002-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:We tested deployment feasibility and intraarterial biocompatibility of polyethylene terephthalate (PET) self-expandable vascular stents in a porcine peripheral artery model. METHODS:To assess the thrombogenicity and neointimal response to oversized PET self-expandable stents, we implanted 10 s...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/S1076-6332(05)80151-5
更新日期:1995-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Mammographic breast density is an important and widely accepted risk factor for breast cancer. A statement about breast density in the mammographic report is becoming a requirement in many States. However, there is significant inter-observer variation between radiologists in their interpretatio...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2011.07.011
更新日期:2011-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:In assessing diagnostic accuracy it is often essential to determine the reader's ability both to detect and to correctly locate multiple abnormalities per patient. The authors developed a new approach for the detection and localization of multiple abnormalities and compared it with other approa...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(00)80324-4
更新日期:2000-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To describe the application of time maximum intensity projection CTA (t-MIP CTA) in acute ischemic stroke and compare t-MIP CTA and single-phase CTA (sCTA) in assessing collateral circulation and predicting prognosis. MATERIALS AND METHODS:Twenty-nine acute ischemic stroke patients who underwe...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2019.06.013
更新日期:2020-05-01 00:00:00