Interpretation of bedside chest X-rays in the ICU: is the radiologist still needed?
作者信息
Martini Katharina, Ganter Christoph, Maggiorini Marco, Winklehner Anna, Leupi-Skibinski Katarzyna E, Frauenfelder Thomas, Nguyen-Kim Thi Dan Linh
机构信息
University Hospital Zurich, Department of Diagnostic and Interventional Radiology, Rämistrasse 100, CH-8091 Zürich.
University Hospital Zurich, Medical Intensive Care Unit, Rämistrasse 100, CH-8091 Zürich.
出版信息
Clin Imaging. 2015 Nov-Dec;39(6):1018-23. doi: 10.1016/j.clinimag.2015.07.024. Epub 2015 Jul 23.
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.
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