Document Detail

Effectiveness of nuclear cardiology training guidelines: a comparison of trainees with experienced readers.
MedLine Citation:
PMID:  8799236     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To evaluate the effectiveness of published nuclear cardiology training guidelines, the diagnostic accuracy of image interpretation by nuclear cardiology trainees was compared with that of experienced nuclear cardiologists. METHODS AND RESULTS: The accuracy of three experienced nuclear cardiologists and three trainees with level II experience following Society of Nuclear Medicine/American College of Cardiology/American Society of Nuclear Cardiology guidelines in the interpretation of 114 exercise 99mTc-labeled sestamibi single-photon emission computed tomographic imaging studies was evaluated. Studies were selected randomly and included patients with less than 5% likelihood of coronary artery disease, as well as patients with angiographically demonstrated single and multivessel disease. Studies were interpreted by each reader without knowledge of clinical or exercise data. Each reader classified perfusion as normal or abnormal. Accuracy was assessed according to sensitivity, normalcy rate, and predictive accuracy. In addition, the ability of experienced readers and trainees to identify abnormal perfusion in patients with multivessel disease was compared. Trainees had high accuracy, comparable to experienced readers for sensitivity, normalcy rate, and predictive accuracy, as well as the ability to identify abnormal perfusion in patients with multivessel disease. In all categories, experienced interpretors demonstrated a trend toward greater accuracy with less observer variability than did trainees. CONCLUSION: Structured training in nuclear cardiology following Society of Nuclear Medicine/American College of Cardiology/American Society of Nuclear Cardiology guidelines during clinical cardiology fellowship is effective, and trainees possess the skills to interpret myocardial perfusion images accurately. Interpretive skills can be expected to improve further with experience.
R J Golub; J R McClellan; S D Herman; M I Travin; G M Kline; P W Aitken; J I Baron; A W Ahlberg; G V Heller
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology     Volume:  3     ISSN:  1071-3581     ISO Abbreviation:  J Nucl Cardiol     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-10-29     Completed Date:  1996-10-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9423534     Medline TA:  J Nucl Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  114-8     Citation Subset:  IM    
Nuclear Cardiology Laboratory, Division of Cardiology, Hartford Hospital, Conn 06102, USA.
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MeSH Terms
Cardiology / education*
Clinical Competence*
Coronary Disease / radionuclide imaging
Education, Medical, Graduate
Educational Status
Exercise Test
Fellowships and Scholarships
Guidelines as Topic
Nuclear Medicine / education*
Sensitivity and Specificity
Technetium Tc 99m Sestamibi / diagnostic use
Tomography, Emission-Computed, Single-Photon
Reg. No./Substance:
109581-73-9/Technetium Tc 99m Sestamibi
Comment In:
J Nucl Cardiol. 1996 Mar-Apr;3(2):95   [PMID:  8799233 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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