Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs
(1) Background: The aim of this study was to compare the competence in appendicular trauma radiograph image interpretation between radiology specialists and residents. (2) Methods: In this multicenter retrospective cohort study, we collected radiology reports from radiology specialists (N = 506) and...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10605667/ https://www.ncbi.nlm.nih.gov/pubmed/37892028 http://dx.doi.org/10.3390/diagnostics13203207 |
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author | Huhtanen, Jarno T. Nyman, Mikko Sequeiros, Roberto Blanco Koskinen, Seppo K. Pudas, Tomi K. Kajander, Sami Niemi, Pekka Löyttyniemi, Eliisa Aronen, Hannu J. Hirvonen, Jussi |
author_facet | Huhtanen, Jarno T. Nyman, Mikko Sequeiros, Roberto Blanco Koskinen, Seppo K. Pudas, Tomi K. Kajander, Sami Niemi, Pekka Löyttyniemi, Eliisa Aronen, Hannu J. Hirvonen, Jussi |
author_sort | Huhtanen, Jarno T. |
collection | PubMed |
description | (1) Background: The aim of this study was to compare the competence in appendicular trauma radiograph image interpretation between radiology specialists and residents. (2) Methods: In this multicenter retrospective cohort study, we collected radiology reports from radiology specialists (N = 506) and residents (N = 500) during 2018–2021. As a reference standard, we used the consensus of two subspecialty-level musculoskeletal (MSK) radiologists, who reviewed all original reports. (3) Results: A total of 1006 radiograph reports were reviewed by the two subspecialty-level MSK radiologists. Out of the 1006 radiographs, 41% were abnormal. In total, 67 radiographic findings were missed (6.7%) and 31 findings were overcalled (3.1%) in the original reports. Sensitivity, specificity, positive predictive value, and negative predictive value were 0.86, 0.92, 0.91 and 0.88 respectively. There were no statistically significant differences between radiology specialists’ and residents’ competence in interpretation (p = 0.44). However, radiology specialists reported more subtle cases than residents did (p = 0.04). There were no statistically significant differences between errors made in the morning, evening, or night shifts (p = 0.57). (4) Conclusions: This study found a lack of major discrepancies between radiology specialists and residents in radiograph interpretation, although there were differences between MSK regions and in subtle or obvious radiographic findings. In addition, missed findings found in this study often affected patient treatment. Finally, there are MSK regions where the sensitivity or specificity is below 90%, and these should raise concerns and highlight the need for double reading and should be taken into consideration in radiology education. |
format | Online Article Text |
id | pubmed-10605667 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106056672023-10-28 Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs Huhtanen, Jarno T. Nyman, Mikko Sequeiros, Roberto Blanco Koskinen, Seppo K. Pudas, Tomi K. Kajander, Sami Niemi, Pekka Löyttyniemi, Eliisa Aronen, Hannu J. Hirvonen, Jussi Diagnostics (Basel) Article (1) Background: The aim of this study was to compare the competence in appendicular trauma radiograph image interpretation between radiology specialists and residents. (2) Methods: In this multicenter retrospective cohort study, we collected radiology reports from radiology specialists (N = 506) and residents (N = 500) during 2018–2021. As a reference standard, we used the consensus of two subspecialty-level musculoskeletal (MSK) radiologists, who reviewed all original reports. (3) Results: A total of 1006 radiograph reports were reviewed by the two subspecialty-level MSK radiologists. Out of the 1006 radiographs, 41% were abnormal. In total, 67 radiographic findings were missed (6.7%) and 31 findings were overcalled (3.1%) in the original reports. Sensitivity, specificity, positive predictive value, and negative predictive value were 0.86, 0.92, 0.91 and 0.88 respectively. There were no statistically significant differences between radiology specialists’ and residents’ competence in interpretation (p = 0.44). However, radiology specialists reported more subtle cases than residents did (p = 0.04). There were no statistically significant differences between errors made in the morning, evening, or night shifts (p = 0.57). (4) Conclusions: This study found a lack of major discrepancies between radiology specialists and residents in radiograph interpretation, although there were differences between MSK regions and in subtle or obvious radiographic findings. In addition, missed findings found in this study often affected patient treatment. Finally, there are MSK regions where the sensitivity or specificity is below 90%, and these should raise concerns and highlight the need for double reading and should be taken into consideration in radiology education. MDPI 2023-10-13 /pmc/articles/PMC10605667/ /pubmed/37892028 http://dx.doi.org/10.3390/diagnostics13203207 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Huhtanen, Jarno T. Nyman, Mikko Sequeiros, Roberto Blanco Koskinen, Seppo K. Pudas, Tomi K. Kajander, Sami Niemi, Pekka Löyttyniemi, Eliisa Aronen, Hannu J. Hirvonen, Jussi Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs |
title | Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs |
title_full | Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs |
title_fullStr | Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs |
title_full_unstemmed | Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs |
title_short | Discrepancies between Radiology Specialists and Residents in Fracture Detection from Musculoskeletal Radiographs |
title_sort | discrepancies between radiology specialists and residents in fracture detection from musculoskeletal radiographs |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10605667/ https://www.ncbi.nlm.nih.gov/pubmed/37892028 http://dx.doi.org/10.3390/diagnostics13203207 |
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