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提供儿科影像的第二诊疗意见:拥抱增值医学的号召。

Providing second-opinion interpretations of pediatric imaging: embracing the call for value-added medicine.

机构信息

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.

出版信息

Pediatr Radiol. 2021 Apr;51(4):523-528. doi: 10.1007/s00247-019-04596-x. Epub 2021 Mar 20.

DOI:10.1007/s00247-019-04596-x
PMID:33743036
Abstract

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.

摘要

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。

相似文献

1
Providing second-opinion interpretations of pediatric imaging: embracing the call for value-added medicine.提供儿科影像的第二诊疗意见:拥抱增值医学的号召。
Pediatr Radiol. 2021 Apr;51(4):523-528. doi: 10.1007/s00247-019-04596-x. Epub 2021 Mar 20.
2
Second opinion interpretations by specialty radiologists at a pediatric hospital: rate of disagreement and clinical implications.儿科医院专科放射科医生的二次意见解读:不一致率及临床意义。
AJR Am J Roentgenol. 2012 Oct;199(4):916-20. doi: 10.2214/AJR.11.7662.
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Ensuring Appropriateness of Pediatric Second Opinion Consultations.确保儿科二次诊断咨询的恰当性。
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Second-Opinion Subspecialty Consultations in Musculoskeletal Radiology.肌肉骨骼放射学的二次专业会诊
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Quality and Value of Subspecialty Reinterpretation of Thoracic CT Scans of Patients Referred to a Tertiary Cancer Center.转诊至三级癌症中心患者胸部CT扫描亚专业重新解读的质量与价值
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Second-opinion interpretations of neuroimaging studies by oncologic neuroradiologists can help reduce errors in cancer care.肿瘤神经放射科医生对神经影像学研究的二次解读有助于减少癌症治疗中的错误。
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Musculoskeletal Outside Interpretation (MOI-RADS): an automated quality assurance tool to prospectively track discrepancies in second-opinion interpretations in musculoskeletal imaging.肌肉骨骼外部解读(MOI-RADS):一种前瞻性追踪肌肉骨骼影像二次解读差异的自动化质量保证工具。
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Interpretations of Examinations Outside of Radiologists' Fellowship Training: Assessment of Discrepancy Rates Among 5.9 Million Examinations From a National Teleradiology Databank.放射科医生专科培训之外的检查解读:对来自国家远程放射学数据库的590万份检查中差异率的评估。
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引用本文的文献

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On-call or not on-call, what difference does it make in paediatric radiology?是否随时待命,这在儿科放射学中有什么区别呢?
Insights Imaging. 2025 Mar 26;16(1):73. doi: 10.1186/s13244-025-01948-0.
2
Collaborating with non-radiological clinical colleagues.与非放射科临床同事合作。
Pediatr Radiol. 2025 Mar;55(3):397-410. doi: 10.1007/s00247-024-06027-y. Epub 2024 Aug 22.