Abstract：
AIM:To assess inter-observer variation in the interpretation of chest radiographs of individuals with pneumonia versus those without pneumonia. MATERIALS AND METHODS:Chest radiographs of out-patients with a lower respiratory tract infection (LRTI) were assessed for the presence of infiltrates by radiologists from three local hospitals and were reassessed by one university hospital radiologist. Various measures of inter-observer agreement were calculated. RESULTS:The observed proportional agreement was 218 in 243 patients (89.7%). Kappa was 0.53 (moderate agreement) with a 95% confidence interval of 0.37 to 0.69. The observed positive agreement (59%) was much lower than for negative agreement (94%). Kappa was considerably lower, if chronic obstructive pulmonary disease was present (kappa = 0.20) or Streptococcus pneumoniae (kappa = -0.29) was the infective agent. CONCLUSION:The overall inter-observer agreement adjusted for chance was moderate. Inter-observer agreement in cases with pneumonia was much worse than the agreement in negative (i.e. non-pneumonia) cases. A general practitioner's selection of patients with a higher chance of having pneumonia for chest radiography would thus not improve the observer agreement.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Hopstaken RM,Witbraad T,van Engelshoven JM,Dinant GJdoi
10.1016/j.crad.2004.01.011subject
Has Abstractpub_date
2004-08-01 00:00:00pages
743-52issue
8eissn
0009-9260issn
1365-229Xpii
S0009926004000431journal_volume
59pub_type
杂志文章,多中心研究abstract：:Healthcare expenditure is continually increasing and projected to accelerate in the future, with an increasing proportion being spent on interventional radiology. The role of cost effectiveness studies in ensuring the best allocation of resources is discussed, and the role of National Institute of Health and Care Exce...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2020.09.017
更新日期：2020-10-17 00:00:00
abstract：:Axial T2-weighted fat-saturated imaging provides information not readily available from routine lumbar spine magnetic resonance imaging (MRI) protocols and routine inclusion of this sequence in place of axial T1-weighted imaging provides additional diagnostic information that can be obtained without increasing examina...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2014.05.006
更新日期：2014-09-01 00:00:00
abstract：:A comparison has been made of the MRI findings of 17 studies in 16 patients with osteomyelitis: eight studies were performed in patients with acute osteomyelitis, six in chronic and three in healed osteomyelitis. Soft tissues, cortex and marrow were assessed in all patients. The best predictors of acute osteomyelitis ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80934-1
更新日期：1990-01-01 00:00:00
abstract：AIM:To determine (1) the relationship of a glenoid notch to the presence of a normal labral variant in the anterior-superior glenoid labrum; (2) the inter- and intra-observer reliability of recognising a glenoid notch; and (3) whether magnetic resonance arthrography (MRA) is more reliable than non-contrast magnetic res...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.04.016
更新日期：2015-08-01 00:00:00
abstract：AIM:To determine the most robust commonly available magnetic resonance imaging (MRI) sequence to quantify breast tissue composition at 1.5 T. MATERIALS AND METHODS:Two-dimensional (2D) T1-weighted, Dixon fat, Dixon water and SPAIR images were obtained from five participants and a breast phantom using a 1.5 T Siemens A...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.11.020
更新日期：2016-03-01 00:00:00
abstract：AIM:To evaluate apparent diffusion coefficient (ADC) histogram analysis parameters, acquired from whole-body diffusion-weighted magnetic resonance imaging (DW-MRI), as very early predictors of response to chemotherapy in patients with metastatic colorectal cancer (mCRC). MATERIALS AND METHODS:This was a single-institu...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2018.04.011
更新日期：2018-09-01 00:00:00
abstract：AIM:Peripherally inserted central catheters (PICC) are increasingly used as a route of chemotherapy administration. Our aims were to assess a collaborative approach to PICC placement, with radiological support for a nurse led line insertion service in a minority of cases, and to determine whether PICC provided a safe a...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2001.0843
更新日期：2002-05-01 00:00:00
abstract：:The experience of the British National Lymphoma Investigation in the treatment of 68 children with Hodgkin's disease is reported over a 14 year period from 1970. The presenting histology was reviewed by a single histopathologist; 87% of the cases were classified as nodular sclerosis (NS) and further subdivided into NS...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(87)80382-3
更新日期：1987-01-01 00:00:00
abstract：:Chemical shift imaging (CSI) provides valuable information for assessing the bone marrow, while adding little to total examination time. In this article, we review the uses of CSI for evaluating bone marrow abnormalities. CSI can be used for differentiating marrow-replacing lesions from a range of non-marrow-replacing...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2014.01.027
更新日期：2014-06-01 00:00:00
abstract：:Seventy-one patients with allograft dysfunction had concomitant Doppler sonography and percutaneous biopsy. Forty-one had biopsy proven acute cellular rejection and eight had acute cellular rejection in combination with acute tubular necrosis. Real time ultrasonic appearance and various parameters of Doppler waveform ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80168-0
更新日期：1992-10-01 00:00:00
abstract：:Six neonates are described in whom plain films of the abdomen demonstrated scattered flecks of calcification. Three of the patients had rectal atresia with recto-urethral fistula, one rectal atresia without fistula, one jejunal atresia and one a severe stenosis of the distal small bowel associated with log segment aga...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(78)80047-6
更新日期：1978-09-01 00:00:00
abstract：:We present a case of a woman with pulmonary metastatic disease from breast carcinoma who presented with features of pulmonary osteoarthropathy (HPOA). We document the unusual presentation with classical features of HPOA in the absence of finger clubbing and the response of the scintigraphic appearances to antitumor ch...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(05)80254-5
更新日期：1991-04-01 00:00:00
abstract：OBJECTIVE:To report the computed tomography (CT) features of afferent loop syndrome which is often clinically unsuspected. MATERIALS AND METHODS:The CT studies of five patients with afferent loop syndrome were reviewed. These patients had undergone gastroenterostomy and other surgical procedures, for malignant neoplas...
journal_title：Clinical radiology
pub_type： 杂志文章,多中心研究
doi：
更新日期：2002-09-01 00:00:00
abstract：AIM:To determine the level of confidence general practitioners (GPs) have in radiology reports provided by neuroradiologists and to elicit the preferences of GPs regarding report format and level of detail. MATERIALS AND METHODS:Electronic surveys comprising anonymised neuroradiology reports were sent to GP practices ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2018.06.013
更新日期：2018-11-01 00:00:00
abstract：:Patients with end-stage renal disease on long term dialysis may develop de novo renal cystic disease. We used ultrasound as a primary screening procedure for renal cysts in 71 patients. In seven patients (10%) the native kidneys could not be identified. In 35 patients renal cysts were identified indicating a prevalenc...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81658-7
更新日期：1990-04-01 00:00:00
abstract：AIM:To investigate the technical success rate and procedure-related complications of computed tomography (CT)-guided needle biopsy of lung lesions and to identify the factors that are correlated with the occurrence of procedure-related complications. MATERIALS AND METHODS:This was a single- institution retrospective s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2017.07.023
更新日期：2017-12-01 00:00:00
abstract：AIM:To determine if imaging features of lesions with a core biopsy suggestive of a phyllodes tumour can be used to identify which lesions require surgical excision with margins. MATERIALS AND METHODS:Thirty-one lesions were identified from a prospective database of ultrasound visible masses. Demographic, mammographic,...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.11.006
更新日期：2020-04-01 00:00:00
abstract：:Endovascular mechanical thrombectomy (MT) is reserved for acute ischaemic stroke secondary to large vessel occlusion. The various MT techniques employed in the treatment of hyperacute strokes are constantly evolving with new devices and improvisation of existing technology (Wahlgren, et al 2016). In this review, we de...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2017.10.022
更新日期：2018-05-01 00:00:00
abstract：AIM:To investigate the utility of multidetector CT (MDCT) in helping to establish the underlying cause of acute colitis. METHODS AND MATERIALS:All patients who had acute colitis with a well-identified cause and underwent abdomen 64-MDCT were included in the study. MDCT images were retrospectively analysed in a blinded...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2014.11.008
更新日期：2015-03-01 00:00:00
abstract：:A retrospective analysis of the effect of oral and intravenous hyoscine N butylbromide (Buscopan) on the dimensions of the large bowel during double contrast barium enema (DCBE) examination was made and compared with corresponding measurements without Buscopan. It was found that 20 mg oral Buscopan did not alter colon...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(82)80258-4
更新日期：1982-05-03 00:00:00
abstract：:We have assessed the diagnostic accuracy of a flat or concave left mid-cardiac border (the region of the left atrial appendage) on conventional postero-anterior chest radiographs as a predictor of the presence of thrombi in the left atrium or its appendage in 80 patients with rheumatic mitral stenosis who subsequently...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80543-4
更新日期：1991-05-01 00:00:00
abstract：:In a prospective study, A mode ultrasound scanning contributed to the diagnosis and management of 24 of 50 consecutive patients with pleural disease. In 30% of patients it was superior to radiology in clarifying the solid or fluid nature of a pleural opacity, and in 42% of patients it allowed selection of the most app...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(81)80042-6
更新日期：1981-05-01 00:00:00
abstract：:Most interest in transrectal ultrasound (US) of the prostate has concentrated on its role in the diagnosis and management of prostatic cancer. The increasingly detailed investigation of male patients with infertility has recently led to interest in the use of US in investigating the structure and function of the ejacu...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80187-4
更新日期：1991-10-01 00:00:00
abstract：:Cavernous haemangiomas (CH) are relatively uncommon non-shunting vascular malformations of the central nervous system and can present with seizures or with neurological deficits due to haemorrhage. Radiologists can often suggest the diagnosis of CH based on characteristic magnetic resonance imaging (MRI) features, thu...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2011.10.013
更新日期：2012-04-01 00:00:00
abstract：:Percutaneous high brachial aortography with a small diameter catheter (5 gauge) was used as an alternative to the translumbar approach in 45 patients in whom access via the femoral route was not considered possible. Only one serious complication occurred: the late development of a bleeding false aneurysm in a patient ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(86)80036-8
更新日期：1986-11-01 00:00:00
abstract：AIM:The purpose of the study was to determine the feasibility of three-dimensional (3D) constructive interference in steady state (CISS) sequences for evaluating the anterolateral ligament (ALL). MATERIALS AND METHODS:Magnetic resonance imaging (MRI) of the right knee joint in 30 healthy volunteers was performed using...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.08.014
更新日期：2019-12-01 00:00:00
abstract：AIM:To compare readers' performance in detecting architectural distortion (AD) compared with other breast cancer types using digital mammography. MATERIALS AND METHODS:Forty-one experienced breast screen readers (20 US and 21 Australian) were asked to read a single test set of 30 digitally acquired mammographic cases....
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.10.009
更新日期：2016-01-01 00:00:00
abstract：AIM:To ascertain whether magnetic resonance imaging (MRI) can be used to suggest a diagnosis of endometrial carcinosarcoma. MATERIALS AND METHODS:A retrospective imaging review was performed of the MRI images of 39 patients with endometrial carcinosarcoma. Anteroposterior and longitudinal dimensions of the uterus and ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2011.02.008
更新日期：2011-07-01 00:00:00
abstract：AIM:To determine if ultra-low-dose (ULD) computed tomography (CT) utilising model-based iterative reconstruction (MBIR) with radiation equivalent to plain radiography allows the detection of lung nodules. MATERIALS AND METHODS:Ninety-nine individuals undergoing surveillance of solid pulmonary nodules undertook a low-d...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2019.02.001
更新日期：2019-05-01 00:00:00
abstract：:Two patients with benign chondrolipomatous tumours of the breast were subjected to mammography. In one case this was as part of the investigation of a breast lump detected clinically, while in the other the lesion was detected during routine follow-up of a woman with long-standing cystic hyperplasia. The mammographic ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(88)80560-9
更新日期：1988-05-01 00:00:00
