White C S, Salis A I, Meyer C A
Department of Diagnostic Radiology, University of Maryland Medical Center, Baltimore 21201, USA.
J Thorac Imaging. 1999 Jan;14(1):63-8. doi: 10.1097/00005382-199901000-00006.
Missed lung cancer is an important medicolegal issue and is the second leading cause for malpractice actions against radiologists. Contributing factors to overlooked lung cancer can be ascribed to observer performance, lesion characteristics, and technical considerations. Of these, errors related to observer performance are probably the most important. Missed lung cancer does not necessarily constitute malpractice, but lesions of high conspicuity are more likely to be associated with an adverse legal outcome. Multiple strategies have been advocated to reduce the frequency of missed lung cancer. Several studies have emphasized the importance of careful comparison of the current radiograph with one or more prior examinations.
漏诊肺癌是一个重要的法医学问题，也是针对放射科医生的医疗事故诉讼的第二大主要原因。肺癌漏诊的促成因素可归因于观察者的表现、病变特征和技术因素。其中，与观察者表现相关的误差可能是最重要的。漏诊肺癌不一定构成医疗事故，但高辨识度的病变更有可能与不良法律后果相关。人们提倡多种策略来减少肺癌漏诊的频率。几项研究强调了将当前的X光片与一张或多张先前的检查进行仔细对比的重要性。
