Document Detail


The misinterpretation rates of radiology residents on emergent neuroradiology magnetic resonance (MR) angiogram studies: correlation with level of residency training.
MedLine Citation:
PMID:  19499257     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to determine the discrepancy rates of radiology residents interpreting emergent neck and Circle of Willis magnetic resonance angiography (MRA) studies and to detect any adverse clinical outcomes. Three hundred seventeen MRA studies given preliminary reading by radiology residents were retrospectively reviewed over a 2-year period. Discrepancies were classified as either false negatives (failure to diagnose abnormalities) or false positives (misinterpreting normal scans as abnormal). The overall discrepancy rate was 12.1% for Circle of Willis MRA and 7.9% for neck MRA. Fourth-year residents had the lowest discrepancy rates (7.7%), but this was not statistically significant. The most common misses were stenosis greater than 70% (n = 9) and aneurysm (n = 12). No adverse clinical outcome was detected mainly due to rapid turnaround time for final reporting.
Authors:
Christopher G Filippi; Russell E Meyer; Keith Cauley; Joshua P Nickerson; Heather N Burbank; Jason M Johnson; Grant J Linnell; Gray F Alsofrom
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Publication Detail:
Type:  Journal Article     Date:  2009-06-05
Journal Detail:
Title:  Emergency radiology     Volume:  17     ISSN:  1438-1435     ISO Abbreviation:  Emerg Radiol     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431227     Medline TA:  Emerg Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  45-50     Citation Subset:  IM    
Affiliation:
Department of Radiology, Fletcher Allen Health Care-University of Vermont School of Medicine, Burlington, VT 05401, USA. christopher.filippi@vtmednet.org
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MeSH Terms
Descriptor/Qualifier:
Circle of Willis*
Clinical Competence*
Diagnostic Errors / statistics & numerical data*
Educational Status
False Negative Reactions
False Positive Reactions
Humans
Internship and Residency*
Magnetic Resonance Angiography*
Neck / blood supply*
Radiology / education*
Retrospective Studies

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


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