Department of Radiology, Texas Children's Hospital, 6107 Fannin St., Suite 470, Houston, TX, 77030, USA.
Department of Radiology, Baylor College of Medicine, Houston, TX, USA.
Pediatr Radiol. 2021 Apr;51(4):523-528. doi: 10.1007/s00247-019-04596-x. Epub 2021 Mar 20.
The value of obtaining second-opinion interpretations by specialty radiologists has been established. In pediatric radiology, this has primarily been explored in general terms, comparing tertiary pediatric radiologists' interpretations to referral reads. In adults, second reads by subspecialty radiologists have been shown to yield changes in patient management, including in neuroradiology, musculoskeletal radiology and oncological radiology. Here, we examine second-opinion reads by pediatric radiologists by reviewing the pediatric and adult subspecialty literature. We also present our experience in providing subspecialty outside reads, summarizing lessons learned in implementing a system for outside interpretations into a pediatric radiology practice.
由专业放射科医生进行二次解读的价值已经得到了确立。在儿科放射学中,这主要是从总体上进行了探索,将三级儿科放射科医生的解读与转诊解读进行了比较。在成人中,亚专业放射科医生的二次阅读已经证明可以改变患者的管理方式,包括神经放射学、肌肉骨骼放射学和肿瘤放射学。在这里,我们通过回顾儿科和成人亚专业文献来检查儿科放射科医生的二次解读。我们还介绍了我们提供亚专业外部解读的经验,总结了在将外部解读系统实施到儿科放射科实践中的经验教训。