| Effectiveness of a worksheet for diagnosing postmortem computed tomography in emergency departments. | |
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MedLine Citation:
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PMID: 22009421 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: The aim of this study was to evaluate the effectiveness of a worksheet for diagnosing postmortem computed tomography (PMCT) in emergency departments (EDs). MATERIALS AND METHODS: A total of 49 cases of clinically diagnosed nontraumatic deaths in the ED who underwent total body PMCT were enrolled. PMCT images were prospectively evaluated by four radiologists: two radiologists with 1.5 and 3.5 years of residency and two board-certified radiologists with >20 years of experience. Readers were independently instructed to detect and interpret findings with reference to fatal findings, postmortem features, changes caused by cardiopulmonary resuscitation, and other pathological findings according to a worksheet that was composed of the possible findings previously reported. Agreement on detection and interpretation of findings between each reader was measured using Cohen's kappa coefficients. RESULTS: For the detection of findings, there was substantial agreement among the four readers (kappa > 0.60, P < 0.0001). There was substantial (kappa > 0.60, P < 0.0001) and near-substantial (kappa = 0.60, P < 0.0001) agreement in the interpretation of the finding. CONCLUSION: Results of our study suggest equivalency on diagnosing PMCT regardless of the reader's level of experience. We conclude that the worksheet is useful for diagnosing PMCT in emergency departments. |
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Authors:
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Naoya Takahashi; Takeshi Higuchi; Motoi Shiotani; Suguru Satou; Yasuo Hirose |
Publication Detail:
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Type: Journal Article Date: 2011-10-19 |
Journal Detail:
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Title: Japanese journal of radiology Volume: 29 ISSN: 1867-108X ISO Abbreviation: Jpn J Radiol Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-10-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101490689 Medline TA: Jpn J Radiol Country: Japan |
Other Details:
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Languages: eng Pagination: 701-6 Citation Subset: IM |
Affiliation:
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Department of Diagnostic Radiology, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata, 950-1197, Japan, nandtr@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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