Accuracy of radiographer plain radiograph reporting in clinical practice: a meta-analysis

Brealey, Stephen; Scally, Andy J.; Hahn, Seokyung; Thomas, Nigel; Godfrey, Christine; Coomarasamy, Aravinthan

doi:10.1016/j.crad.2004.07.012

Cited by 109 publications

(78 citation statements)

References 19 publications

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“…23,24 Previous studies have reported mean sensitivity and SPC ranging from 81% to 98% and 95% to 100%, respectively, for radiographers in the developed world. 2,4 Performance in many of these studies was adjusted for training and body part. A meta-analysis has shown insignificant variation in performance between trained (sensitivity 5 92.9%; SPC 5 97.8%) and untrained radiographers (sensitivity 5 96.0%; SPC 5 93.7%).…”

Section: Discussionmentioning

confidence: 99%

“…1,6,7 Results of the radiological examinations are often not readily available especially in developing low-resource countries, partly due to shortage of qualified personnel to interpret the acquired images and the ever-increasing population. 2,4 In 2011, the International Skeletal Society outreach in SubSaharan West Africa estimated that there were 220 certified radiologists in Nigeria with a population of 152.21 million, and a radiologist to population ratio of 1 : 692,000. 8 With the population increasing to over 170 million and the bottomless demand for radiological examinations, radiologists are faced with a high work volume, making throughput of radiological services quite slow.…”

mentioning

confidence: 99%

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Radiographers' performance in chest X-ray interpretation: the Nigerian experience

Ekpo¹,

Egbe²,

Akpan³

2015

BJR

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Radiographers' performance in chest X-ray interpretation: the Nigerian experience

Ekpo¹,

Egbe²,

Akpan³

2015

BJR

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“…15,16 Meta-analysis has demonstrated that, when compared to a 'reference standard', 17 radiographers are capable of interpreting plain radiographs in clinical practice with a level of sensitivity of 92.6% (95% CI: 92-93.2) and specificity of 97.7% (95% CI: 97.5-97.9). 17 However, little published literature has considered radiographer reporting implementation strategies in the clinical setting, or the contribution of radiographer reporting to patient management, even though improvement in patient care is a primary objective of such skills mix initiatives. 18,19 It has been suggested that the number of radiographers contributing to the reporting workload in UK hospitals is increasing and that the trend is likely to continue.…”

Section: Discussionmentioning

confidence: 99%

“…11,20 The value of the radiographers' contribution to frontline image interpretation in the accident and emergency setting is well documented. 3,12,17,18 It was the genesis of modern radiographer reporting, with the red dot system, 21 and is the clinical area in which the potential benefit for patient outcomes is greatest. 1 However, it appears that the proportion of UK hospitals providing routine 'hot' reporting of trauma examinations is low, at just over 11%.…”

Section: Radiographer Reporting Of Trauma Images: United Kingdom Expementioning

confidence: 99%

Radiographer reporting of trauma images: United Kingdom experience and the implications for evolving international practice

2008

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Some United Kingdom (UK) radiographers share the task of radiological reporting with radiologists. This paper aims to describe the current status of radiographer reporting of trauma images in the countries of the UK and reflect on its relevance to the development of similar advanced practice roles internationally.In February 2007, a cross-sectional survey with respect to radiographer reporting was conducted of 456 UK hospitals with an Emergency Department (ED) or Minor Injuries Unit (MIU). The main outcome measures were the number of reporting radiographers; number of half-day radiographer reporting sessions per week; availability of, and radiographer involvement in 'hot' reporting. A total of 306 (67.1%) responses were received. Reporting radiographers were employed at 56.9% (174/306) of the respondent hospitals. Of hospitals with an ED, 70% (142/203) employed reporting radiographers compared to 31.1% (32/103) of those with a MIU. At 146 of the 174 hospitals that employed reporting radiographers (83.9%) there were between one and six radiographers involved. At 155 hospitals (155/174; 89.1%) radiographers performed between 0 and 10 reporting sessions each week. Most reported for one or two sessions. 'Hot' reporting operated at only 11.1% (34/306) of the respondent hospitals, with radiographers leading this service at 64.7% (22/34) of those sites.The rate of radiographer reporting uptake in UK hospitals appears to have slowed. Also, few radiographers are engaged in 'hot' reporting of trauma images. The prevalent UK model of 'cold' radiographer reporting may not be transferable to other countries where there is a need is for immediate and accurate reporting of trauma images.

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“…These authors had already published a review article (Brealey, Scally, Hahn, Thomas, Godfrey and Coomarasamy, 2005) to determine the accuracy of radiographer reporting in clinical practice with summary sensitivity estimate of 92.6% (CI 92.0 -93.2) and specificity of 97.7% (CI 97.5 -97.9).…”

Section: Accuracy Of Radiographer's Reportingmentioning

confidence: 99%

THE RED DOT SYSTEM - Emergency Diagnosis Impact and Digital Radiology Implementation: A Review

Coelho¹,

Rodrigues

2011

Proceedings of the International Conference on Health Informatics

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Abstract:Radiographer abnormality detection schemes (RADS) were introduced in the early 1980s to assist emergency departments. The development of PACS systems are affecting health professionals forcing them to evolve along, reviewing images on a computer monitor rather than on radiographic film. This article reviewed published articles that evaluated the impact of the use of a Red Dot System in patient outcome of emergency trauma patients and assessed the implementation of a Red Dot System in a Radiology Department with digital radiography and PACS. Few articles addressed the implementation issues and use of a Red Dot system in Computed Radiology. Radiographer skeletal red dot studies, had sensitivity and specificity of, respectively, 0.71 and 0.96 pre-training, and 0.81 and 0.95 post-training, compared with a reference standard. The use of radiographer abnormality detection schemes such as Red Dot and reporting has the potential to improve the diagnosis and outcome of emergency patients. The arrival of Information Technologies (IT) to healthcare and the introduction of Digital Radiography have limited the functionality of RADS due to incompatibility of new technology with the standard practice. New image technology solutions in Radiology should enhance the development and utilization of radiographer skills in RADS environments.

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Accuracy of radiographer plain radiograph reporting in clinical practice: a meta-analysis

Cited by 109 publications

References 19 publications

Radiographers' performance in chest X-ray interpretation: the Nigerian experience

Radiographers' performance in chest X-ray interpretation: the Nigerian experience

Radiographer reporting of trauma images: United Kingdom experience and the implications for evolving international practice

THE RED DOT SYSTEM - Emergency Diagnosis Impact and Digital Radiology Implementation: A Review

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