Document Detail


Promotion of residents' diagnostic accuracy of early ischemic infarct on nonenhanced brain computed tomography with a modified window setting.
MedLine Citation:
PMID:  20827119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To assess the effect of a modified window width and center level setting in promoting residents' interpretation of acute ischemic infarct on nonenhanced brain computed tomography (CT).
METHODS: Nonenhanced brain CT images of 11 acute ischemic infarct patients were mixed with 11 control patients. Twelve residents reviewed the randomized images on standard setting (window width and center level of 80 and 30) and then on a modified setting (window width and center level of 40 and 40).
RESULTS: There was significant elevation of sensitivity, positive predictive rate, and negative predictive rate (P < 0.05, Paired-Samples test) but no significant difference in specificity.
CONCLUSION: The radiology department of hospitals with picture archiving and communication system may suggest that a modified brain CT setting according to individual CT scanner and scanning parameters accompany the standard settings to assist residents in the detection of acute ischemic infarct. It is a simple, economic, and effective method, which is worthy of more attention.
Authors:
Richard Kuo; So-Jen Cheng; Jon-Kway Huang; Fei-Shih Yang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The neurologist     Volume:  16     ISSN:  1074-7931     ISO Abbreviation:  Neurologist     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-09     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503763     Medline TA:  Neurologist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  306-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Mackay Memorial Hospital, Taipei, Taiwan. kuoricha@ms1.mmh.org.tw
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Brain* / pathology,  radiography
Female
Humans
Internship and Residency
Radiology Information Systems
Random Allocation
Sensitivity and Specificity
Stroke / diagnosis*
Tomography, X-Ray Computed / methods*

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


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