Abstract:
AIM:To determine whether radiographers are able to perform and interpret barium swallows and meals (BSM) to an acceptable standard. MATERIALS AND METHODS:A retrospective audit was performed of all radiographer-managed BSMs over a 4-year period in an acute hospital. Descriptive statistics were used to analyse patient demographics, radiation doses, referral sources, and imaging findings. Radiographer reports were compared with radiologist reports assumed to be the reference standard, and correlated with patient outcomes via electronic record searches and case note scrutiny. Reporting accuracy, sensitivity, and specificity were calculated. RESULTS:Three radiographers performed a total of 962 BSMs in the 4-year audit period, including a varied and complex case-mix. Only 13 (0.01%) cases were abandoned due to technical reasons, with all other examinations of diagnostic quality. Although radiation dose levels were initially variable, following the installation of modern fluoroscopy equipment they remained comfortably within the national and regional diagnostic reference levels. Consultant radiologists verified the majority of the radiographer reports, with the most experienced radiographer independently reporting 230 cases (24%). Follow-up of patient outcome was possible in 935 cases. The overall radiographer accuracy based on the 935 cases was 98.9%, sensitivity 98%, and specificity 98.9%. CONCLUSIONS:Appropriately trained radiographers are able to perform and interpret BSM examinations to a very high standard.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Judson EE,Nightingale JMdoi
10.1016/j.crad.2009.04.008subject
Has Abstractpub_date
2009-08-01 00:00:00pages
807-14issue
8eissn
0009-9260issn
1365-229Xpii
S0009-9260(09)00167-6journal_volume
64pub_type
杂志文章abstract::Magnetic resonance imaging (MRI), with its superior soft-tissue delineation, plays a pivotal role in the staging and surveillance of cancers affecting adult males, in particular, rectal, urinary bladder, and prostate cancers. There has been much recent interest in the complementary roles of diffusion-weighted imaging ...
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pub_type: 临床试验,杂志文章,随机对照试验
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