Discrepancy rates of on-call radiology residents' interpretations of CT angiography studies of the neck and circle of Willis

American Journal of Roentgenology

Volumn 193, Issue 2, 2009, Pages 527-532

  Meyer, Russell E ^a   Nickerson, Joshua P ^a   Burbank, Heather N ^a   Alsofrom, Gary F ^a   Linnell, Grant J ^a   Filippi, Christopher G ^a  

^a UNIVERSITY OF VERMONT COLLEGE OF MEDICINE   (United States)

Author keywords

Circle of Willis; CT angiography; Neck; Practice based learning; Radiology residency call; Systems based practices

Indexed keywords

IOPAMIDOL;

ADULT; AGED; ANEURYSM; ARTERY DISSECTION; ARTICLE; BLOOD VESSEL OCCLUSION; BRAIN ARTERIOVENOUS MALFORMATION; BRAIN CIRCULUS ARTERIOSUS; BRAIN TUMOR; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHY SCANNER; DIAGNOSTIC ERROR; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FEMALE; FIBROMUSCULAR DYSPLASIA; HUMAN; IMAGE ANALYSIS; INTRACRANIAL ANEURYSM; MAJOR CLINICAL STUDY; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; NECK; NEURORADIOLOGY; OCCLUSIVE CEREBROVASCULAR DISEASE; OUTCOME ASSESSMENT; PATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; RADIOLOGIST; RESIDENT; RETROSPECTIVE STUDY; STENOSIS;

ADULT; AGED; ANGIOGRAPHY; CAROTID STENOSIS; CIRCLE OF WILLIS; DIAGNOSTIC ERRORS; FALSE POSITIVE REACTIONS; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MIDDLE AGED; NECK; RADIOLOGY; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; STROKE; TOMOGRAPHY, X-RAY COMPUTED; VASCULAR DISEASES; VERMONT;

EID: 68149157034     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/AJR.08.2169     Document Type: Article

References (23)

1. Wysoki MG, Nassar CJ, Keonigsberg RA, Novelline RA, Faro SH, Faerber EN. Head trauma: CT scan interpretation by radiology residents versus staff radiologists. Radiology 1998; 208:125-128
2. Funaki B, Szymski GX, Rosenblum JD. Significant on-call misses by radiology residents interpreting computed tomographic studies: perception versus cognition. Emerg Radiol 1997; 4:290-294 (Pubitemid 27459507)
3. Roszler MH, McCarroll KA, Rashid T, Donovan KR, Kling GA. Resident interpretation of emergency computed tomographic scans. Invest Radiol 1991; 26:374-376
4. Lal NR, Eldevik OP, Murray UM, Desmond JS. Clinical consequences of misinterpretations of neurologic CT scans by on-call radiology residents. Am J Neuroradiol 2000; 21:124-129
5. Erly WK, Berger WB, Krupinski E, Seeger JF, Guisto JA. Radiology resident evaluation of head CT scan orders in the emergency department. Am J Neuroradiol 2002; 23:103-107 (Pubitemid 34098266)
6. Le AH, Licurse A, Catanzano TM. Interpretation of head CT scans in the emergency department by fellows versus general staff non-neuroradiologists: a closer look at the effectiveness of a quality control program. Emerg Radiol 2007; 14:311-316 (Pubitemid 47512770)
7. Strub WM, Vagal AA, Tomsick T, Moulton JS. Overnight resident preliminary interpretations on CT examinations: should the process continue? Emerg Radiol 2006; 13:19-23 (Pubitemid 44440431)
8. Ruchman RB, Jaeger J, Wiggins EF, et al. Preliminary radiology resident interpretations versus final attending radiologist interpretations and the impact on patient care in a community hospital. AJR 2007; 189:523-526 (Pubitemid 47328530)
9. Erly WK, Ashdown BC, Lucio RW, Carmody RF, Seeger JF, Alcala JN. Evaluation of emergency CT scans of the head: is there a community standard? AJR 2003; 180:1727-1730
10. Pedersen HK, Bakke SJ, Hald JK, et al. CTA in patients with subarachnoid hemorrhage. a comparative study with selective, digital angiography and blinded independent review. Acta Radiol 2001; 42:43-49
11. Villablanca JP, Jahan R, Hooshi P, et al. Detection and characterization of very small cerebral aneurysms by using 2D and 3D helical CT angiography. Am J Neuroradiol 2002; 23:1187-1198 (Pubitemid 34894472)
12. White PM, Wardlaw JM, Lindsay KM, Sloss S, Patel DK, Teasdale EM. The non-invasive detection of intracranial aneurysms: are neuroradiologists any better than other observers? Eur Radiol 2003; 13:389-396 (Pubitemid 36798617)
13. Goddard AJP, Tan G, Becker J. Computed tomography angiography for the detection and characterization of intra-cranial aneurysms: current status. Clin Radiol 2005; 60:1221-1236 (Pubitemid 41700402)
14. Sakamoto S, Kiura Y, Shibukawa M, Ouba S, Arita K, Kurisu K. Subtracted 3D CT angiography for evaluation of internal carotid artery aneurysms: comparison with conventional digital subtraction angiography. Am J Neuroradiol 2006; 27:1332-1337 (Pubitemid 44897653)
15. El Khaldi M, Pernter P, Ferro F, et al. Detection of cerebral aneurysms in non-traumatic subarachnoid hemorrhage: role of multislice CT angiography in 130 consecutive patients. Radiol Med (Torino) 2007; 112:123-132
16. Velmahos GC, Fili C, Vassiliu P, Nicolaou N, Radin R, Wilcox A. Around-the-clock attending radiology coverage is essential to avoid mistakes in the care of trauma patients. Am Surg 2001; 67:1175-1177
17. Wechsler RJ, Spettell CM, Kurtz AB, et al. Effects of training and experience in interpretation of emergency body CT scans. Radiology 1996; 199:717-720
18. Strub WM, Leach JL, Tomsick T, Vagal A. Overnight preliminary head CT interpretations provided by residents: locations of misidentified intracranial hemorrhage. Am J Neuroradiol 2007; 28:1679-1682 (Pubitemid 47598139)
19. Tieng N, Grinberg D, Li SF. Discrepancies in interpretation of ED body computed tomographic scans by radiology residents. Am J Emerg Med 2007; 25:45-48 (Pubitemid 44854368)
20. Herman PG, Hessel SJ. Accuracy and its relationship to experience in interpretation of chest radiographs. Invest Radiol 1975; 10:62-67
21. Strub WM, Leach JL, Ying J, Vagal A. First year radiology residents not taking call: will there be a difference? Emerg Radiol 2007; 13:231-235 (Pubitemid 46215321)
22. Seltzer SE, Hessel SJ, Herman PG, Swenson RG, Sheriff CR. Resident film interpretation and staff review. AJR 1981; 137:129-133
23. Branstetter BF 4th, Morgan MB, Nesbit CE, et al. Preliminary reports in the emergency department: is a subspecialist radiologist more accurate than a radiology resident? Acad Radiol 2007; 14:201-206