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磁共振成像胶片双重阅片价值的审计

Audit of the value of double reading magnetic resonance imaging films.

作者信息

Wakeley C J, Jones A M, Kabala J E, Prince D, Goddard P R

机构信息

Department of Clinical Radiology, Bristol Royal Infirmary, UK.

出版信息

Br J Radiol. 1995 Apr;68(808):358-60. doi: 10.1259/0007-1285-68-808-358.

DOI:10.1259/0007-1285-68-808-358
PMID:7795970
Abstract

100 consecutive magnetic resonance imaging (MRI) examinations were reviewed independently by two radiologists. Patients were selected so that the anatomical areas of clinical interest coincided with the special interests of the reviewers. The reviewers were both consultant radiologists, one with 3 years' and the other with 6 years' experience of MRI. Hard copy images from the MRI examinations were reported independently by both reviewers. Of the 100 MRI examinations, there was full concordance of opinion in 61/100. Of the remaining 39 cases, four (10%) were considered "minor unrelated" differences, 12 (31%) "minor related" differences and 23 (59%) "major related" differences resulting in a significant change in patient management.

摘要

两位放射科医生独立回顾了连续100例磁共振成像(MRI)检查。选择患者时,使临床关注的解剖区域与两位阅片者的特殊兴趣点相吻合。两位阅片者均为放射科会诊医生,一位有3年MRI经验,另一位有6年经验。两位阅片者独立报告了MRI检查的硬拷贝图像。在这100例MRI检查中,61/100的意见完全一致。在其余39例病例中,4例(10%)被认为是“轻微无关”差异,12例(31%)是“轻微相关”差异,23例(59%)是“重大相关”差异,这些差异导致了患者治疗的显著变化。

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