比较放射科医生、放射科住院医师、神经放射技师和急诊医生初始头部 CT 报告的准确性。
Comparing the accuracy of initial head CT reporting by radiologists, radiology trainees, neuroradiographers and emergency doctors.
机构信息
Department of Radiology, Addenbrooke's Hospital, Cambridge, UK.
出版信息
Br J Radiol. 2011 Nov;84(1007):1040-5. doi: 10.1259/bjr/24581602.
OBJECTIVES
Demand for out-of-hours cranial CT imaging is increasing and some departments have considered addressing this shortfall by allowing non-radiologists to provisionally report imaging studies. The aim of this work was to assess whether it is appropriate for non-radiologists to report head CTs by comparing the misreporting rates of those who regularly report head CTs with two groups of non-radiologists who do not usually report them: neuroradiographers and emergency doctors.
METHODS
62 candidates were asked to report 30 head CTs, two-thirds of which were abnormal, and the results were compared by non-parametric statistical analysis.
RESULTS
There was no evidence of a difference in the score between neuroradiographers, neuroradiologists and general consultant radiologists. Neuroradiographers scored significantly higher than senior radiology trainees, and the emergency doctors scored least well.
CONCLUSION
The results of this preliminary study show that appropriately trained neuroradiographers are competent at reporting the range of abnormalities assessed with this test and that their misreporting rates are similar to those who already independently report these studies.
目的
对非工作时间颅脑 CT 成像的需求正在增加，一些部门考虑通过允许非放射科医生临时报告影像研究来解决这一短缺问题。这项工作的目的是通过比较定期报告头部 CT 的放射科医生与两组通常不报告头部 CT 的非放射科医生（神经放射技师和急诊医生）的错误报告率，来评估非放射科医生报告头部 CT 是否合适。
方法
62 名候选人被要求报告 30 份头部 CT，其中三分之二是异常的，并通过非参数统计分析比较结果。
结果
神经放射技师、神经科医生和普通顾问放射科医生之间的评分没有差异。神经放射技师的评分明显高于高级放射科住院医师，而急诊医生的评分最低。
结论
这项初步研究的结果表明，经过适当培训的神经放射技师能够胜任评估本试验的一系列异常，并具有与已经独立报告这些研究的放射科医生相似的错误报告率。
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