Andrew Meyers, DO, R.T.(R), is an orthopedic resident at Community Memorial Health System in Ventura, California.
Thomas Golden, MD, is program director of the Community Memorial Health System Orthopaedic Surgery Residency program in Ventura. He is certified through the American Board of Orthopaedic Surgery, a fellow of the American Academy of Orthopaedic Surgeons, and belongs to several professional organizations including the Arthroscopy Association of North America and American Association of Hip and Knee Surgeons.
Radiol Technol. 2023 May;94(5):332-336.
To determine if there is a discrepancy between how orthopedic surgeons perceive the quality of plain radiographs compared with that of radiologic technologists.
A prospective survey was developed including 42 deidentified plain radiographs. Included radiographs were of varying anatomical regions, patient positioning, and radiographic parameters. Participants were requested to score each radiograph on a scale from 1 (very poor) to 100 (very good) based on their overall subjective definition of radiographic quality.
Multiple analyses of variance showed that out of the 42 radiographs evaluated, 13 images had significant differences in how they were scored by each group. Technologists provided lower image quality scores for 11 images compared with the orthopedic residents and attending surgeons. Two images were scored significantly higher by the attendings compared with the technologists or residents. Of the 42 images, 29 were scored similarly by the 3 groups.
This study is novel because it explored perceived radiograph quality between attending orthopedic surgeons, orthopedic surgery residents, and radiologic technologists. Review of current literature revealed comparisons of radiography quality assessments between radiologic technologists and radiologists. Like the findings of the authors of the current report, the literature analysis demonstrated that radiologic technologists and radiologists appear to agree on what was considered a quality image, but technologists were more reluctant to accept images of lower quality than were radiologists. These authors believe the present study helps further establish that orthopedic surgeons typically order repeat imaging for reasons other than image quality.
Orthopedic surgeons and radiologic technologists appear to agree in a subjective manner on a quantitative scale. Radiologic technologists tended to be more critical than were orthopedic surgeons in judging radiograph quality, contrary to the authors' original hypothesis.
确定骨科医生对普通放射照片质量的看法与放射技师之间是否存在差异。
开发了一项前瞻性调查，其中包括 42 张匿名普通放射照片。所包括的放射照片来自不同的解剖区域、患者体位和放射参数。参与者被要求根据他们对放射照片质量的整体主观定义，对每张放射照片进行 1（非常差）到 100（非常好）的评分。
多项方差分析显示，在评估的 42 张放射照片中，有 13 张图像在每组评分方面存在显著差异。与骨科住院医师和主治医生相比，技师为 11 张图像提供的图像质量评分较低。有两张图像的评分明显高于主治医生或住院医师。在 42 张图像中，有 29 张图像被 3 组评分相似。
这项研究是新颖的，因为它探讨了主治骨科医生、骨科住院医师和放射技师之间对放射照片质量的看法。对现有文献的回顾显示了放射技师和放射科医生之间对放射照片质量评估的比较。与本报告作者的发现一样，文献分析表明，放射技师和放射科医生似乎对什么是高质量图像达成一致，但与放射科医生相比，技师更不愿意接受质量较低的图像。这些作者认为，本研究有助于进一步确立骨科医生通常出于图像质量以外的原因要求重复成像。
骨科医生和放射技师似乎在主观上对定量量表达成一致。与作者最初的假设相反，放射技师在判断放射照片质量方面比骨科医生更挑剔。
