Second Opinion Interpretations by Specialty Radiologists at a Pediatric Hospital: Rate of Disagreement and Clinical Implications

Eakins, Christopher; Ellis, Wendy; Pruthi, Sumit; Johnson, David; Hernanz‐Schulman, Marta; Yu, Chang Sik; Kan, J. Herman

doi:10.2214/ajr.11.7662

Cited by 92 publications

(43 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Gollub et al reported on 143 body CT scans reinterpreted at a tertiary care cancer centre and found major disagreements between initial and second-opinion interpretations of 24/143 (17%) scans; the disagreements led to changes in management in 5/143 (3.5%) patients [10]. Eakins et al analyzed 733 paediatric cases for which diagnostic imaging examinations were re-reviewed at a paediatric hospital; they found major discrepancies between initial and second-opinion reports for 168 (21.7%) examinations [8]. The second-opinion interpretations were more accurate than the initial reports in 83 (90%) of 92 discrepant cases with proven diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Second-Opinion Interpretations of Gynecologic Oncologic MRI Examinations by Sub-Specialized Radiologists Influence Patient Care

et al. 2015

View full text Add to dashboard Cite

Purpose To determine if second-opinion review of gynaecologic oncologic (GynOnc) magnetic resonance imaging (MRI) by sub-specialized radiologists impacts patient care. Methods Four hundred and sixty-nine consecutive second-opinion MRI interpretations rendered by GynOnc radiologists were retrospectively compared to the initial outside reports. Two gynaecologic surgeons, blinded to the reports’ origins, reviewed all cases with discrepancies between initial and second-opinion MRI reports and recorded whether these discrepancies would have led to a change in patient management defined as a change in treatment approach, counselling, or referral. Histopathology or minimum 6-month imaging follow-up were used to establish the diagnosis. Results Second-opinion review of GynOnc MRIs would theoretically have affected management in 94/469 (20%) and 101/469 (21.5%) patients for surgeons 1 and 2, respectively. Specifically, second-opinion review would have theoretically altered treatment approach in 71/469 (15.1%) and 60/469 (12.8%) patients for surgeons 1 and 2, respectively. According to surgeons 1 and 2, these treatment changes would have prevented unnecessary surgery in 35 (7.5%) and 31 (6.6%) patients, respectively, and changed surgical procedure type/extent in 19 (4.1%) and 12 (2.5%) patients, respectively. Second-opinion interpretations were correct in 103 (83%) of 124 cases with clinically relevant discrepancies between initial and second-opinion reports. Conclusions Expert second-opinion review of GynOnc MRI influences patient care.

show abstract

Section: Discussionmentioning

confidence: 99%

Second-Opinion Interpretations of Gynecologic Oncologic MRI Examinations by Sub-Specialized Radiologists Influence Patient Care

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Eakins et al [18] analyzed 733 pediatric cases that had been reinterpreted at a pediatric hospital. For 83 of 92 patients (90%) with major discrepancies for whom final diagnoses were independently proven, the second-opinion report was more accurate than the initial interpretation [18].…”

Section: Wibmer Et Almentioning

confidence: 99%

Diagnosis of Extracapsular Extension of Prostate Cancer on Prostate MRI: Impact of Second-Opinion Readings by Subspecialized Genitourinary Oncologic Radiologists

Wibmer

Vargas

Donahue

et al. 2015

American Journal of Roentgenology

View full text Add to dashboard Cite

show abstract

“…In this study the tumor staging was changed based on the expert opinion of the neuroradiologist in 56 % of cases and the recommended tumor management was changed in 38 % of cases. In a study by Eakens in 2012, a highly specialized subgroup of pediatric radiologists was examined regarding the effect of the their second opinion [4]. A lack of agreement between the initial report and the second opinion of the pediatric radiologists was detected here in 41.8 % of cases in 773 examined radiology reports.…”

Section: Discussionmentioning

confidence: 95%

Analysis of Radiological Case Presentations and their Impact on Therapy and Treatment Concepts in Internal Medicine

Dendl

Teufel

Schleder

et al. 2017

Fortschr Röntgenstr

View full text Add to dashboard Cite

ABSTR ACTPurpose Evaluation of clinical impact regarding diagnostic and therapeutic changes influenced by interdisciplinary radiological case presentations. Materials and MethodsProspective evaluation of radiological-gastrointestinal clinical case conferences over a 1-year period at a tertiary care center. We documented the preparation (phase 1) and clinical case conference (phase 2) regarding their impact on the radiology report and further diagnostic work-up and therapy.Results 1067 examinations were evaluated in 69 clinical case conferences including 487 cases. We calculated a mean time of 35.8 minutes per conference with 5.1 minutes per case for preparation. During phase 1, major changes compared to the previous report were found in 1.2 % of cases, and no change was found in 91.4 % of cases. In phase 2 an additional relevant finding was found in 0.6 % of cases, while there was no major change to the reports in 99 % of cases. We recommended further radiological diagnostic workup in 9 % of cases and interventional radiological examination in 2.7 % of cases, while no change was documented in 83.2 %. Further radiological or surgical therapy was recommended in 7 % and 6.8 % of cases, respectively. There was no change in therapy in 78.5 % of cases. ConclusionThe analysis of an interdisciplinary radiological case presentation in internal medicine shows that the case discussion with the radiologist results in a change in patient management in 37.3 % of cases (16.8 % diagnosis, 21.5 % therapy). Overall, interdisciplinary ra-

show abstract

Second Opinion Interpretations by Specialty Radiologists at a Pediatric Hospital: Rate of Disagreement and Clinical Implications

Cited by 92 publications

References 8 publications

Second-Opinion Interpretations of Gynecologic Oncologic MRI Examinations by Sub-Specialized Radiologists Influence Patient Care

Second-Opinion Interpretations of Gynecologic Oncologic MRI Examinations by Sub-Specialized Radiologists Influence Patient Care

Diagnosis of Extracapsular Extension of Prostate Cancer on Prostate MRI: Impact of Second-Opinion Readings by Subspecialized Genitourinary Oncologic Radiologists

Analysis of Radiological Case Presentations and their Impact on Therapy and Treatment Concepts in Internal Medicine

Contact Info

Product

Resources

About