Abstract:
RATIONALE AND OBJECTIVES:Prospective studies of radiologists' interpretations of selected radiographs reported 20-40 years ago indicated error rates of 30% and higher. The authors retrospectively evaluated the interpretations of groups of radiologists and determined a range of rates of disagreement in interpretation. Quality assessment or recredentialing may add to the importance of such studies in the future. MATERIALS AND METHODS:Over a 7-year period, a team of radiologists reviewed imaging interpretations in the radiology departments of six community hospitals. Each review, which lasted about 3 days, included evaluation of the interpretations of a 3%-4% sample of the images read by the radiologists at these hospitals. Reading errors were quantitated and evaluated qualitatively. RESULTS:In a review of over 11,000 images read by 35 radiologists, the authors found a 4.4% mean rate of interpretation disagreement; only one radiologist had a mean rate above 8%. Qualitative analysis of the interpretation errors revealed a mean rate of 3.0% of errors that were considered to be below an acceptable standard of care. Radiologists whose errors included a relatively high proportion of false-positive findings tended to make relatively fewer total errors. CONCLUSION:Rates of disagreement for a broad range of studies that radiologists interpret in a community hospital setting appear to be far lower than earlier studies on selective radiographs indicated.
journal_name
Acad Radioljournal_title
Academic radiologyauthors
Siegle RL,Baram EM,Reuter SR,Clarke EA,Lancaster JL,McMahan CAdoi
10.1016/s1076-6332(98)80277-8subject
Has Abstractpub_date
1998-03-01 00:00:00pages
148-54issue
3eissn
1076-6332issn
1878-4046journal_volume
5pub_type
杂志文章abstract:RATIONALE AND OBJECTIVES:The aim of the study is to develop a permutation test to compare receiver operating characteristic (ROC) curves of two diagnostic modalities in a multireader paired design. MATERIALS AND METHODS:A statistical test for comparing two diagnostic modalities is developed based on all possible excha...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2005.12.012
更新日期:2006-04-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To evaluate the value of texture analysis on preoperative magnetic resonance imaging (MRI) for identifying nonfunctional pancreatic neuroendocrine neoplasms (NF-PNENs) and solid pseudopapillary neoplasms (SPNs). MATERIALS AND METHODS:This retrospective study included 119 patients who underwent...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2019.07.012
更新日期:2020-06-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To assess the usefulness of classifying degree of difficulty in abnormality detection and to determine the effect of knowing the true diagnosis when selecting subtle images for observer-performance studies. MATERIALS AND METHODS:A total of 529 posteroanterior chest images that had been used in...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(98)80127-x
更新日期:1998-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of this study was to investigate the subjective similarity for pairs of images with various abnormal patterns of diffuse interstitial lung disease on thin-section computed tomography by experienced radiologists to explore a basis for selecting similar images to assist radiologists' inte...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2008.10.016
更新日期:2009-04-01 00:00:00
abstract::Radiology articles are primarily designed to be read on paper or a screen. Audio versions let users hear this material during activities when reading is not practical. Currently, there are relatively few radiology materials in audio format. However, inexpensive text-to-speech software can easily produce spoken-word ve...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2010.06.020
更新日期:2010-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:This study presents a method for generating breast masses and microcalcifications in mammography via simulation. This simulation method allows for the creation of large image datasets with particular lesions, which may serve as a useful tool for perception studies measuring imaging system perfo...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2006.03.015
更新日期:2006-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Cardiovascular (CV) disease is predominately influenced by CV risk factors and coronary computed tomography angiography (CTA) is capable of detecting early-stage coronary artery disease. We sought to determine the influence of CV risk factors on the prevalence of nonobstructive atherosclerosis ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.12.005
更新日期:2017-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:We compared the peritumoral vascular definition in rats using either a paramagnetic extracellular or a macromolecular contrast medium in combination with high-resolution magnetic resonance (MR) imaging. METHODS:High-resolution, three-dimensional spoiled gradient-refocused acquisition in a stea...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(05)80059-5
更新日期:1995-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:We examined whether high-resolution computed tomography (HRCT) would detect and quantify induced airway changes in asthmatic volunteers. METHODS:We performed pulmonary function tests and HRCT on eight asthmatic adults and two nonasthmatic control adults under three conditions: baseline, after ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(05)80671-3
更新日期:1996-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of the study is to develop a theory-based signal calibration approach to be used for the conversion of signal-time curves to absolute contrast concentration-time curves for first-pass contrast-enhanced quantitative myocardial perfusion studies. MATERIALS AND METHODS:A normalization pro...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2006.02.040
更新日期:2006-06-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To evaluate the potential use of gadolinium (Gd)-based contrast media, especially that of Gadovist, a 1-molar Gd medium, in computed tomography (CT) and compare our findings with standard iodinated contrast media. MATERIAL AND METHODS:Using a live rabbit and an acrylic CT body phantom for comp...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2006.03.019
更新日期:2006-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Primary dilated cardiomyopathy is a disease of unknown etiology, and it leads to severe heart failure. Abnormalities of the cardiac metabolism can play an important role in prognosis and influence the symptomatology in this group. The aim of this study was to assess cardiac metabolism using pro...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)00104-1
更新日期:2003-10-01 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:Needle biopsy is currently the only way to confirm prostate cancer. To increase prostate cancer diagnostic rate, needles are expected to be deployed at suspicious cancer locations. High-contrast magnetic resonance (MR) imaging provides a powerful tool for detecting suspicious cancerous tissues....
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.07.018
更新日期:2007-11-01 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:To identify magnetic resonance (MR) imaging characteristics allowing specific preoperative discrimination between colloid cysts (CCs) of the sellar region and third ventricle (CC3rdv) versus Rathke's cleft cysts (RCCs). MATERIALS AND METHODS:MR imaging data of 38 patients with histologically p...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2013.08.014
更新日期:2013-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To assess computed tomographic (CT) signs that have been described in published studies for the diagnosis of appendicitis to identify independent findings that predict appendicitis. METHODS AND MATERIALS:A retrospective database search identified 67 patients with a CT scan of the abdomen/pelvi...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2008.02.009
更新日期:2008-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of this study was to identify clinically useful tumor/normal brain apparent diffusion coefficient (ADC) ratios for distinguishing common pediatric cerebellar tumors. MATERIALS AND METHODS:Review of medical records revealed 79 patients with cerebellar tumors who underwent preoperative m...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.03.004
更新日期:2012-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To investigate the value of texture analysis and conventional magnetic resonance imaging (MRI) features for predicting the early recurrence (ER) of single hepatocellular carcinoma (HCC) after hepatectomy. MATERIALS AND METHODS:A total of 100 HCC patients were first divided into group A (tumor ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2018.10.011
更新日期:2019-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Pulmonary vascular alteration is one of the characteristic features of chronic obstructive pulmonary disease (COPD). Recent studies suggest that vascular alteration is closely related to endothelial dysfunction and may be further influenced by emphysema. However, the relationship between morpho...
journal_title:Academic radiology
pub_type: 临床试验,杂志文章
doi:10.1016/j.acra.2009.07.022
更新日期:2010-01-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The goal of the study was to determine whether there are certain physical features of pulmonary nodules that attract visual attention and contribute to increased recognition and detection by observers. MATERIALS AND METHODS:A series of posteroanterior chest images with solitary pulmonary nodul...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)00055-2
更新日期:2003-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Manganese is a well-known liver-specific agent used in magnetic resonance imaging. For this purpose, manganese is now administered intravenously. In theory it should be possible to increase the gastrointestinal uptake of manganese through the use of nutritional products as promoters. Such an ag...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)00571-3
更新日期:2004-01-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Computed radiography provides correct optical density on film, independent of the incident radiation exposure, but it can result in under- or overexposure of the imaging plate. In the current study, we evaluated the radiation exposure trends of computed radiography over a 2-year period for port...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(96)80247-9
更新日期:1996-04-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:This study compared the safety and efficacy of iodixanol with those of ioxaglate in adult patients undergoing aortography or peripheral arteriography. METHODS:Forty-six patients were enrolled in this controlled, randomized, double-blind, two-center study. The patients were monitored for advers...
journal_title:Academic radiology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s1076-6332(05)80368-x
更新日期:1996-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of this study was to compare the diagnostic accuracy of 64-slice computed tomographic coronary angiography (CTCA) in groups of patients with low, intermediate, and high risk for coronary artery disease (CAD) events. MATERIALS AND METHODS:The institutional review board approved this stu...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.12.008
更新日期:2008-04-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The purpose of this study was to determine textural features that show a significant difference between carcinomatous tissue and the bladder wall on magnetic resonance imaging (MRI) and explore the feasibility of using them to differentiate malignancy from the normal bladder wall as an initial ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2013.03.011
更新日期:2013-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Neoadjuvant systemic therapy (NST) is the standard treatment for locally advanced breast cancer and a common option for primary operable disease. It is important to develop standardized imaging techniques that can monitor and quantify response to NST enabling treatment tailored to each individu...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2007.02.005
更新日期:2007-05-01 00:00:00
abstract::The authors describe the establishment of a radiology residency research track at their institution. Based on growing biomedical technology needs and the tremendous increase in imaging-based research, the importance of training and cultivating future clinical investigators continues to grow. Within the framework of a ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.08.011
更新日期:2013-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Severe calcifications of the coronary arteries are still a major challenge in coronary computed tomography (CT) angiography (CCTA). Subtraction CCTA using a 320-detector row CT scanner has recently been introduced for patients with severe calcifications. However, the conventional subtraction CC...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.04.012
更新日期:2016-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Diffusion tensor tractography (DTT) for neural fibers of the head-and-neck region at 3T has not been reported. The purpose of this study was to evaluate the feasibility of using DTT for visualizing neural fibers in the head-and-neck region at 3T and to explore the use of this method in patients...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2009.01.019
更新日期:2009-07-01 00:00:00