Interpretation of bedside chest X-rays in the ICU: is the radiologist still needed?

Abstract:

PURPOSE:To compare diagnostic accuracy of intensivists to radiologists in reading bedside chest X-rays. METHODS:In a retrospective trial, 33 bedside chest X-rays were evaluated by five radiologists and five intensivists with different experience. Images were evaluated for devices and lung pathologies. Interobserver agreement and diagnostic accuracy were calculated. Computed tomography served as reference standard. RESULTS:Seniors had higher diagnostic accuracy than residents (mean-ExpB(Senior)=1.456; mean-ExpB(Resident)=1.635). Interobserver agreement for installations was more homogenously distributed between radiologists compared to intensivists (ExpB(Rad)=1.204-1.672; ExpB(Int)=1.005-2.368). Seniors had comparable diagnostic accuracy. CONCLUSION:No significant difference in diagnostic performance was seen between seniors of both disciplines, whereas the resident intensivists might still benefit from an interdisciplinary dialogue.

journal_name

Clin Imaging

journal_title

Clinical imaging

authors

Martini K,Ganter C,Maggiorini M,Winklehner A,Leupi-Skibinski KE,Frauenfelder T,Nguyen-Kim TD

doi

10.1016/j.clinimag.2015.07.024

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1018-23

issue

6

eissn

0899-7071

issn

1873-4499

pii

S0899-7071(15)00189-8

journal_volume

39

pub_type

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