Discordance Rates Between Preliminary and Final Radiology Reports on Cross-sectional Imaging Studies at a Level 1 Trauma Center

2008 ◽  
Vol 15 (10) ◽  
pp. 1217-1226 ◽  
Author(s):  
Kathryn J. Stevens ◽  
Karen L. Griffiths ◽  
Jarrett Rosenberg ◽  
Swaminatha Mahadevan ◽  
Leslie M. Zatz ◽  
...  
Keyword(s):  
Trauma Center ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Radiology Reports ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Level 1 ◽  
Level 1 Trauma Center

scholarly journals THE ETIOLOGIC RELEVANCE OF 3-D PATHOANATOMY OF ADOLESCENT IDIOPATHIC SCOLIOSIS

2017 ◽  
Vol 16 (4) ◽  
pp. 302-307
Author(s):  
Tom Schlösser ◽  
Rob Brink ◽  
René Castelein
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Three Dimensional ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Ongoing Research ◽  
Biomechanical Loading ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
The One

ABSTRACT Despite many years of dedicated research into the etiopathogenesis of adolescent idiopathic scoliosis, there is still no single distinct cause for this puzzling condition. In this overview, we attempt to link knowledge on the complex three-dimensional pathoanatomy of AIS, based on our ongoing research in this field, with etiopathogenic questions. Evidence from multiple recent cross-sectional imaging studies is provided that supports the hypothesis that AIS has an intrinsic biomechanical basis: an imbalance between the biomechanical loading of the upright human spine due to its unique sagittal configuration on the one hand, and the body’s compensating mechanisms on the other. The question that remains in the etiology of AIS, and the focus of our ongoing research, is to determine what causes or induces this imbalance.

Mental foramen and anterior loop anatomic characteristics: a systematic review and meta-analysis of cross-sectional imaging studies.

2021 ◽  
Author(s):  
Daniel Almeida Ferreira Barbosa ◽  
Lucca Reis Mesquita ◽  
Marcela Maria Costa Borges ◽  
Diego Santiago de Mendonça ◽  
Francisco Samuel Rodrigues de Carvalho ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Mental Foramen ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Anterior Loop ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

scholarly journals Comparing magnetic resonance angiography (MRA) and computed tomography angiography (CTA) with conventional angiography in the detection of distal territory cerebral mycotic and oncotic aneurysms

2016 ◽  
Vol 22 (5) ◽  
pp. 524-528 ◽  
Author(s):  
Lara Walkoff ◽  
Waleed Brinjikji ◽  
Aymeric Rouchaud ◽  
Jildaz Caroff ◽  
David F Kallmes
Keyword(s):  
Predictive Value ◽  
Interobserver Variability ◽  
Conventional Angiography ◽  
Cross Sectional ◽  
Radiology Reports ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Low Sensitivity ◽  
Sensitivity Specificity ◽  
Oncotic Aneurysm

Background Mycotic and oncotic aneurysms may result in devastating neurologic sequelae if undetected. The objectives of this study were to examine interobserver variability and accuracy of cross-sectional imaging for the detection of distal territory mycotic and oncotic aneurysms. Methods We searched our institutional database for all radiology reports from 2005 to 2015 with an indication or diagnosis of mycotic or oncotic aneurysm. Patients who underwent DSA and either CTA or MRA within 12 weeks of each other were identified. The cross-sectional images from each study were blinded and reviewed by two radiologists. If positive for aneurysm, location and number of aneurysms were reported. Sensitivity, specificity, positive predictive value, negative predictive value, and interobserver variability were determined for MRA and MRA/CTA. Results Twenty-five patients were included in this study. Ten (40%) harbored distal aneurysms. Cross-sectional imaging had a sensitivity of 45.5%, specificity of 90.0%, and kappa value of 0.29 (0.00–0.69) for the detection of cerebral mycotic and oncotic aneurysms. Conclusions Because of the low sensitivity and high interobserver variability of cross-sectional imaging, DSA should remain the gold standard for evaluation of suspected oncotic and mycotic aneurysms. In cases in which cross sectional imaging is negative and there is a high clinical suspicion for mycotic aneurysm, DSA should be strongly considered.

scholarly journals Revealing the most common reporting errors through data mining of the report proofreading process

2020 ◽  
Author(s):  
Jan Vosshenrich ◽  
Ivan Nesic ◽  
Joshy Cyriac ◽  
Daniel T. Boll ◽  
Elmar M. Merkle ◽  
...  
Keyword(s):  
Patient Safety ◽  
Speech Recognition ◽  
Error Rates ◽  
Structured Reporting ◽  
Cross Sectional ◽  
Error Awareness ◽  
Radiology Reports ◽  
Prose Style ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Abstract Objectives To investigate the most common errors in residents’ preliminary reports, if structured reporting impacts error types and frequencies, and to identify possible implications for resident education and patient safety. Material and methods Changes in report content were tracked by a report comparison tool on a word level and extracted for 78,625 radiology reports dictated from September 2017 to December 2018 in our department. Following data aggregation according to word stems and stratification by subspecialty (e.g., neuroradiology) and imaging modality, frequencies of additions/deletions were analyzed for findings and impression report section separately and compared between subgroups. Results Overall modifications per report averaged 4.1 words, with demonstrably higher amounts of changes for cross-sectional imaging (CT: 6.4; MRI: 6.7) than non-cross-sectional imaging (radiographs: 0.2; ultrasound: 2.8). The four most frequently changed words (right, left, one, and none) remained almost similar among all subgroups (range: 0.072–0.117 per report; once every 9–14 reports). Albeit representing only 0.02% of analyzed words, they accounted for up to 9.7% of all observed changes. Subspecialties solely using structured reporting had substantially lower change ratios in the findings report section (mean: 0.2 per report) compared with prose-style reporting subspecialties (mean: 2.0). Relative frequencies of the most changed words remained unchanged. Conclusion Residents’ most common reporting errors in all subspecialties and modalities are laterality discriminator confusions (left/right) and unnoticed descriptor misregistration by speech recognition (one/none). Structured reporting reduces overall error rates, but does not affect occurrence of the most common errors. Increased error awareness and measures improving report correctness and ensuring patient safety are required. Key Points • The two most common reporting errors in residents’ preliminary reports are laterality discriminator confusions (left/right) and unnoticed descriptor misregistration by speech recognition (one/none). • Structured reporting reduces the overall the error frequency in the findings report section by a factor of 10 (structured reporting: mean 0.2 per report; prose-style reporting: 2.0) but does not affect the occurrence of the two major errors. • Staff radiologist review behavior noticeably differs between radiology subspecialties.

Causes of Misinterpretation of Cross-Sectional Imaging Studies for Dissection of the Craniocervical Arteries

2011 ◽  
Vol 196 (1) ◽  
pp. 45-52 ◽  
Author(s):  
James M. Provenzale ◽  
Basar Sarikaya ◽  
Lotfi Hacein-Bey ◽  
Max Wintermark
Keyword(s):  
Imaging Studies ◽  
Cross Sectional ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Large Haemangiopericytoma of the Posterior Cervical Space

1997 ◽  
Vol 3 (2) ◽  
pp. 155-160 ◽  
Author(s):  
J.K. Horky ◽  
J.C. Chaloupka ◽  
C.M. Putman ◽  
T.C. Roth ◽  
C.T. Sasaki
Keyword(s):  
Mr Imaging ◽  
Diagnostic Imaging ◽  
Neck Region ◽  
Incisional Biopsy ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Head And Neck Region ◽  
Diagnostic Angiography ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

We report a case of a 39-year old woman who upon developing a rapidly enlarging posterior cervical space tumour, underwent incisional biopsy prior to diagnostic imaging that resulted in nearly catastrophic haemorrhage. Subsequently, MR imaging showed evidence of marked hypervascularity, prompting diagnostic angiography and endovascular microembolization prior to surgical resection. The tumour turned out to be a large haemangiopericytoma arising from the paravertebral musculature. The case is instructive by highlighting the need for considering rare locations of hypervascular tumours in the head and neck region before attempting biopsy, which can be predicted by cross-sectional imaging studies, and the benefits of pre-operative devascularization with modern superselective microembolisation techniques.

scholarly journals Structured Reporting in Cross-Sectional Imaging of the Heart: Reporting Templates for CMR Imaging of Cardiomyopathies (Myocarditis, Dilated Cardiomyopathy, Hypertrophic Cardiomyopathy, Arrhythmogenic Right Ventricular Cardiomyopathy and Siderosis)

2019 ◽  
Vol 192 (01) ◽  
pp. 27-37
Author(s):  
Alexander Christian Bunck ◽  
Bettina Baeßler ◽  
Christian Ritter ◽  
Jan Robert Kröger ◽  
Thorsten Persigehl ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Cardiovascular Imaging ◽  
Structured Reporting ◽  
German Language ◽  
Ventricular Cardiomyopathy ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Cross Sectional Imaging ◽  
Structured Reports ◽  
Sectional Imaging

Backround Structured reports have numerous benefits through standardizing the way imaging findings are reported and communicated. Nevertheless, the adoption of structured reports in everyday radiological practice is still limited. In view of the irrefutable benefits, various national and international radiological societies have started initiatives which aim at promoting a broader use of structured reports. Up to now, no consented templates in German language existed for the reporting of cross-sectional imaging studies of the heart. Method Upon invitation of the working group for Cardiovascular Imaging of the German Society of Radiology a panel of radiologists, cardiologists, pediatric cardiologists and cardiothoracic surgeons, experts on the field of cardiovascular imaging and structured reporting, met for two interdisciplinary consensus meetings at the University Hospital Cologne in 2018. The aim of these meetings was to develop and agree on templates for the reporting of MR and CT studies of various cardiovascular disease entities. Results During the meetings the panel of experts developed and reached consensus on 11 different templates for the structured reporting of the following: myocarditis, dilated cardiomyopathy, hypertrophic (obstructive) cardiomyopathy, arrythmogenic right ventricular cardiomyopathy, siderosis, ischemia and vitality imaging, tetralogy of Fallot, aortic coarctation, coronary CT and CT for Transcatheter Aortic Valve Implantation (TAVI) planning. The first five templates are presented in this publication and are currently being transferred to a HTML 5/IHR MRRT compatible format. Subsequently, the templates will be made available for free use on the website www.befundung.drg.de. Conclusion For the first time, consented templates in German language for the structured reporting of cross-sectional imaging studies of the heart are presented. These templates are aimed at providing a constant level of high reporting quality and increasing the efficiency of the generation and communication of imaging reports. Key points:  Citation Format

scholarly journals Evaluating discrepancy rates of radiology resident provisional reports for cross-sectional body imaging studies at a tertiary hospital

2022 ◽  
pp. 201010582110685
Author(s):  
Jonathan Kia-Sheng Phua ◽  
Lionel Tim-Ee Cheng
Keyword(s):  
Tertiary Hospital ◽  
The Body ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Radiology Reports ◽  
Quality Assurance Project ◽  
Mri Scans ◽  
Cross Sectional Imaging ◽  
Clinically Significant ◽  
Magnetic Resonance Imaging Mri

Introduction Urgent radiological studies obtained during on-call hours are often preliminarily read by on-call residents before consultant radiologists finalise the reports at a later time. Such provisional radiology reports provide important information to guide initial patient management. This study aims to determine discrepancy rates between provisional reports and final interpretations, and to assess the clinical significance of such discrepancies. Methods This retrospective quality assurance project reviewed a total of 1218 cross-sectional imaging studies of the body (thorax, abdomen and pelvis) done between July 2015 and May 2016 during on-call hours. The studies included 1201 Computed tomography (CT) scans and 17 Magnetic Resonance Imaging (MRI) scans. Studies with incomplete or unavailable reports were excluded. Conclusions of both the provisional and final reports of each study were reviewed for concordance, with reference to the full report if needed. Discrepancies were graded according to the ACR 2016 RADPEER scoring system. Results There were 1210 studies with complete reports. Discrepant reports were noted in 183 (15.1%) studies. Of these, 89 (7.3%) were assessed to be clinically significant and the majority of these (55) were due to interpretations which should be made most of the time. CT of the abdomen and pelvis were the most prone to discrepant reports, accounting for 148 cases (80.9%). Conclusion The majority of preliminary reports for on-call body scans were concordant with final interpretations. The discrepancy rates for provisional body scan reports provided by residents while on call were comparable to those previously reported in literature.

State-of-the-art aortic imaging: Part II - applications in transcatheter aortic valve replacement and endovascular aortic aneurysm repair

VASA ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 6-26 ◽  
Author(s):  
Fabian Rengier ◽  
Philipp Geisbüsch ◽  
Paul Schoenhagen ◽  
Matthias Müller-Eschner ◽  
Rolf Vosshenrich ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Replacement ◽  
Surgical Repair ◽  
Imaging Modality ◽  
Open Surgical Repair ◽  
Cross Sectional ◽  
Transcatheter Aortic Valve ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Transcatheter aortic valve replacement (TAVR) as well as thoracic and abdominal endovascular aortic repair (TEVAR and EVAR) rely on accurate pre- and postprocedural imaging. This review article discusses the application of imaging, including preprocedural assessment and measurements as well as postprocedural imaging of complications. Furthermore, the exciting perspective of computational fluid dynamics (CFD) based on cross-sectional imaging is presented. TAVR is a minimally invasive alternative for treatment of aortic valve stenosis in patients with high age and multiple comorbidities who cannot undergo traditional open surgical repair. Given the lack of direct visualization during the procedure, pre- and peri-procedural imaging forms an essential part of the intervention. Computed tomography angiography (CTA) is the imaging modality of choice for preprocedural planning. Routine postprocedural follow-up is performed by echocardiography to confirm treatment success and detect complications. EVAR and TEVAR are minimally invasive alternatives to open surgical repair of aortic pathologies. CTA constitutes the preferred imaging modality for both preoperative planning and postoperative follow-up including detection of endoleaks. Magnetic resonance imaging is an excellent alternative to CT for postoperative follow-up, and is especially beneficial for younger patients given the lack of radiation. Ultrasound is applied in screening and postoperative follow-up of abdominal aortic aneurysms, but cross-sectional imaging is required once abnormalities are detected. Contrast-enhanced ultrasound may be as sensitive as CTA in detecting endoleaks.

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