Mucci B, Brett C, Huntley L S, Greene M K
Department of Radiology, West Cumberland Hospital, Whitehaven, Cumbria CA28 8JG, UK.
Emerg Med J. 2005 Aug;22(8):538-40. doi: 10.1136/emj.2003.013755.
Cranial computed tomography (CT) is replacing skull radiography in head trauma. Rapid radiological opinions on these images may not always be available. We assessed the ability of our permanent emergency department staff to interpret the images.
A retrospective series of 100 consecutive cases was reviewed and interpreted by five permanent emergency department medical staff, and their interpretation compared with the consensus opinion of two radiologists.
An overall agreement of 86.6% (95% confidence interval (CI) 83.4 to 89.9) was achieved, with a false negative rate of 4.2% (95% CI 3.9 to 4.3). No findings that would have changed the overnight management of any patient were missed.
Our results for CT scans are similar to studies of interpretation of other radiographic images in emergency departments. Our emergency staff could safely make the initial interpretation of cranial CT images in trauma out of hours, and formal reporting may wait until a suitably experienced radiologist is available.
在头部创伤中，头颅计算机断层扫描（CT）正逐渐取代颅骨X线摄影。对于这些图像，可能无法始终快速获得放射学意见。我们评估了我们急诊科固定工作人员解读这些图像的能力。
回顾性分析了连续100例病例，由五名急诊科固定医务人员进行解读，并将他们的解读与两名放射科医生的一致意见进行比较。
总体一致性为86.6%（95%置信区间（CI）83.4至89.9），假阴性率为4.2%（95%CI 3.9至4.3）。没有遗漏任何会改变任何患者夜间管理的检查结果。
我们的CT扫描结果与急诊科其他放射影像解读研究相似。我们的急诊工作人员可以在非工作时间安全地对创伤患者的头颅CT图像进行初步解读，正式报告可等到有经验丰富的放射科医生时再进行。
