Trainee Misinterpretations on Pediatric Neuroimaging Studies: Classification, Imaging Analysis, and Outcome Assessment

Guimaraes, Carolina V.; Leach, James; Jones, Blaise V.

doi:10.3174/ajnr.a2567

Cited by 9 publications

(3 citation statements)

References 15 publications

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“…There was no difference between resident major discrepancy rates by type of report, general pediatric radiology CT and pediatric neuroradiology CT, which coincides with similar reports (8–10). This suggests that the skillsets needed to interpret these two types of CT scans do not differ.…”

Section: Discussionsupporting

confidence: 89%

“…Two studies demonstrated a significant discrepancy rate of 2% and 2.5%, and another study demonstrated a similar finding of 1.7% (4,8,9). A study that examined discrepancy rates on pediatric neuroimaging studies demonstrated a major discrepancy rate of 0.17% on pediatric neuroimaging studies and found that most discrepancies occurred on CT examinations (10).…”

Section: Introductionmentioning

confidence: 99%

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Overnight radiology resident discrepancies at a large pediatric hospital: categorization by year of training, program, imaging modality, and report type

Dinh

Yazdani

Godiyal³

et al. 2021

Acta Radiol

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Background Overnight radiology resident discrepancies have been described in multiple studies; however, study of resident discrepancies specific to pediatric radiology is limited. Purpose To examine radiology resident discrepancies as they pertain to a large pediatric hospital system. Material and Methods A total of 21,560 preliminary reports issued by 39 residents over a one-year period were scored as agreement, minor discrepancy, or major discrepancy by faculty members using a modification of the 2009 RADPEER scoring system. Residents were trainees of three different diagnostic radiology programs: large university-based, medium-sized community-based, or small community-based. Discrepancy rates were evaluated based on resident postgraduate year, program, and imaging modality. The effect of a general pediatric radiology report versus pediatric neuroradiology report of a CT scan was also tested. CT was the only modality in which there were comparable numbers of studies scored by both general pediatric radiologists and neuroradiologists. Results The rate of major resident to faculty assessment discrepancies was 1.01%, and the rate of minor resident to faculty assessment discrepancies was 4.47%. Major discrepancy rates by postgraduate years 3-5 were 1.08%, 0.75%, and 1.59%, respectively. Major discrepancy rates were highest for MR (11.22%), followed by CT (1.82%), radiographs (0.91%), and ultrasound (0.56%). There was no significant difference in discrepancy rate between residency programs and general pediatric radiology report of a CT versus pediatric neuroradiology report of a CT. Conclusion Radiology discrepancy rates for residents issuing preliminary reports at a large children’s hospital system are similar to those reported for adult procedures.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Overnight radiology resident discrepancies at a large pediatric hospital: categorization by year of training, program, imaging modality, and report type

Dinh

Yazdani

Godiyal³

et al. 2021

Acta Radiol

View full text Add to dashboard Cite

show abstract

“…This can be difficult in patients with multiple fractures in which it is important to distinguish those fractures that are surgically relevant. In a paper by Guimaraes, the most common trainee misinterpretation of facial CT was facial fractures, highlighting further the importance of a systematic method for maxillofacial CT analysis …”

Section: Introductionmentioning

confidence: 99%