Department of Radiology, Madigan Army Medical Center, 9040 Jackson Ave, Joint Base Lewis-McChord, Tacoma, WA 98431.
Department of Radiology, Uniformed Services University, Bethesda, MD.
AJR Am J Roentgenol. 2021 Mar;216(3):806-811. doi: 10.2214/AJR.20.23328. Epub 2021 Jan 21.
The purpose of this study was to evaluate the level of agreement in diagnostic probability for selected phrases among radiologists and emergency medicine (EM) physicians. A survey was distributed to the radiologists and EM physicians at our academic institution. Respondents selected the degree of diagnostic probability they believe was conveyed by 18 commonly used phrases chosen from studies in the radiology literature. Potential responses for the degree of diagnostic probability were < 10%, ≈ 25%, ≈ 50%, ≈ 75%, and > 90%. Seventy-eight percent (28/36) of EM residents and 56% (14/25) of EM attending physicians (combined fellows and attending physicians) completed the survey; 83% (15/18) of radiology residents and 81% (17/21) of radiology attending physicians completed the survey. There was a high degree of shared understanding for most phrases between the departments except for the phrase "compatible with," which was associated with a higher degree of diagnostic probability by radiologists than by EM physicians ( = .02). Although no term was significantly more specific than any other within the ≈ 50% category or below, "most likely" and "diagnostic of" were significantly more specific than other terms in the ≈ 75% and > 90% categories, respectively. The results of this study show a high degree of shared understanding between radiologists and EM physicians for most of the phrases (17/18) in the survey. The only phrase that showed a significant difference was "compatible with." These results can be used to generate diagnostic probability groups with suggested phrases that can be used when creating radiology reports, thereby improving communication with the emergency department.
本研究旨在评估放射科医生和急诊医学（EM）医生对选定短语的诊断概率的一致性程度。我们向我们学术机构的放射科医生和 EM 医生分发了一份调查。受访者选择了他们认为从放射学文献研究中选择的 18 个常用短语所传达的诊断概率程度。诊断概率程度的潜在反应是 <10%、≈25%、≈50%、≈75%和 >90%。78%（28/36）的 EM 住院医师和 56%（14/25）的 EM 主治医生（包括研究员和主治医生）完成了调查；83%（15/18）的放射科住院医师和 81%（17/21）的放射科主治医生完成了调查。除了“与......相符”这个短语外，放射科和 EM 医生对大多数短语的理解程度非常高（ =.02）。虽然在≈50%及以下类别中没有一个术语比其他术语更具特异性，但“最有可能”和“诊断为”在≈75%和>90%类别中比其他术语更具特异性，分别。本研究结果表明，放射科医生和 EM 医生对调查中大多数短语（17/18）有很高的共识。唯一显示出显著差异的短语是“与......相符”。这些结果可用于生成具有建议短语的诊断概率组，从而在撰写放射科报告时改善与急诊部的沟通。
