Rawath R Muktha, Agrawal Anjali, Kalyanpur Arjun
Clinical Operations Department, Teleradiology Solutions, Bengaluru, India.
Emerg Radiol. 2024 Oct;31(5):677-685. doi: 10.1007/s10140-024-02264-8. Epub 2024 Jul 11.
This study aims to study the feasibility and usefulness of trained Radiologist Assistants in a busy emergency teleradiology practice.
This is a retrospective study over a 21-month period (January 2021 to September 2022). The study analysed archived data from 247118 peer review studies performed by Radiologist Assistants (RAs) out of a total case volume of 828526 and evaluated the rate of discrepancies, the study types commonly noted to have discrepancies, and the severity of errors. These missed findings were brought to the attention of the radiologists for approval and further decision-making.
Peer review by RAs was performed on 30% (n = 247118) of the total volume 828526 studies reported, and yielded additional findings including but not limited to fractures (218; 23%), hemorrhage,(94; 10%) pulmonary thromboembolism, (n = 104; 11%), Calculus (n = 75; 8%) lesion (n = 66; 5%), appendicitis(n = 50; 4%) and others. These were brought to the attention of the radiologist, who agreed in 97% (1279 out of 1318) of cases, and communicated the same to the referring facility, with an addended report.
Trained RAs can provide value to the peer review program of a busy teleradiology practice and decrease errors. This may be useful to meet the ongoing radiologist shortages.
本研究旨在探讨训练有素的放射科助理在繁忙的急诊远程放射学实践中的可行性和实用性。
这是一项为期21个月（2021年1月至2022年9月）的回顾性研究。该研究分析了放射科助理（RA）在总共828526例病例中进行的247118例同行评议研究的存档数据，并评估了差异率、常见有差异的研究类型以及错误的严重程度。这些漏诊结果被提请放射科医生注意，以供批准和进一步决策。
RA对报告的828526例研究总量中的30%（n = 247118）进行了同行评议，并得出了包括但不限于骨折（218例；23%）、出血（94例；10%）、肺血栓栓塞（n = 104例；11%）、结石（n = 75例；8%）、病变（n = 66例；5%）、阑尾炎（n = 50例；4%）等在内的其他额外发现。这些结果被提请放射科医生注意，其中97%（1318例中的1279例）的病例获得了医生的认可，并通过附加报告将结果传达给了转诊机构。
训练有素的RA可为繁忙的远程放射学实践的同行评议计划提供价值并减少错误。这对于应对持续存在的放射科医生短缺情况可能会有所帮助。
