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Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians
OBJECTIVES: The objective of this study is to prospectively analyze emergency physicians' (EP's) abilities to interpret noncontrast computed tomography (NCCT) brain images in a blinded fashion and assess whether they can make medical decisions solely based on their interpretations. METHODS...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529454/ https://www.ncbi.nlm.nih.gov/pubmed/36199970 http://dx.doi.org/10.1155/2022/5659129 |
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author | Al Aseri, Zohair Al Aqeel, Mohamed Aldawood, Badr Albadr, Fahad Ghandour, Rawan Al Mulaik, Abdulaziz Malabarey, Mohammed A. Khan, Anas |
author_facet | Al Aseri, Zohair Al Aqeel, Mohamed Aldawood, Badr Albadr, Fahad Ghandour, Rawan Al Mulaik, Abdulaziz Malabarey, Mohammed A. Khan, Anas |
author_sort | Al Aseri, Zohair |
collection | PubMed |
description | OBJECTIVES: The objective of this study is to prospectively analyze emergency physicians' (EP's) abilities to interpret noncontrast computed tomography (NCCT) brain images in a blinded fashion and assess whether they can make medical decisions solely based on their interpretations. METHODS: A cross-sectional study was conducted at the emergency department (ED), King Saud University Medical City (KSU-MC), Saudi Arabia, over a period of one year, from May 2014 to May 2015. Any patient who underwent plain brain NCCT during the study period in our ED was included in this study. An independent attending neuroradiologist compared the EP's interpretations with the official final reports dictated by an on-call radiologist. RESULTS: A brain NCCT prospective chart audit of 1,524 patients was interpreted by ED physicians (EP) at KSU-MC from 2014–2015. The ages of patients were between 14 and 107 years, and the mean ± SD age was 45.6 ± 22.1 years. Radiological brain lesions were confirmed by EPs and radiology physicians in 230 (15.09) and 239 (15.68) patients, respectively, out of which concordance was observed in 170 (71.13) cases, with a kappa value of r = 0.675. Normal, chronic, and nil acute reports were made by EPs and radiology physicians for 1,295 (84.97) patients and 1,285 (84.32) patients, respectively, out of which concordance was observed in 1,225 (95.33) cases, with a kappa value of r = 0.672. The study results demonstrated that the overall agreement between EPs and radiologist specialists was 91.6, with a kappa value of .675 (p < 0.001). CONCLUSION: Emergency physicians are moderately accurate at interpreting brain NCCT compared to radiologists. More research is needed to discover the most cost-effective technique for reducing the number of significant misinterpretations. |
format | Online Article Text |
id | pubmed-9529454 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-95294542022-10-04 Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians Al Aseri, Zohair Al Aqeel, Mohamed Aldawood, Badr Albadr, Fahad Ghandour, Rawan Al Mulaik, Abdulaziz Malabarey, Mohammed A. Khan, Anas Comput Intell Neurosci Research Article OBJECTIVES: The objective of this study is to prospectively analyze emergency physicians' (EP's) abilities to interpret noncontrast computed tomography (NCCT) brain images in a blinded fashion and assess whether they can make medical decisions solely based on their interpretations. METHODS: A cross-sectional study was conducted at the emergency department (ED), King Saud University Medical City (KSU-MC), Saudi Arabia, over a period of one year, from May 2014 to May 2015. Any patient who underwent plain brain NCCT during the study period in our ED was included in this study. An independent attending neuroradiologist compared the EP's interpretations with the official final reports dictated by an on-call radiologist. RESULTS: A brain NCCT prospective chart audit of 1,524 patients was interpreted by ED physicians (EP) at KSU-MC from 2014–2015. The ages of patients were between 14 and 107 years, and the mean ± SD age was 45.6 ± 22.1 years. Radiological brain lesions were confirmed by EPs and radiology physicians in 230 (15.09) and 239 (15.68) patients, respectively, out of which concordance was observed in 170 (71.13) cases, with a kappa value of r = 0.675. Normal, chronic, and nil acute reports were made by EPs and radiology physicians for 1,295 (84.97) patients and 1,285 (84.32) patients, respectively, out of which concordance was observed in 1,225 (95.33) cases, with a kappa value of r = 0.672. The study results demonstrated that the overall agreement between EPs and radiologist specialists was 91.6, with a kappa value of .675 (p < 0.001). CONCLUSION: Emergency physicians are moderately accurate at interpreting brain NCCT compared to radiologists. More research is needed to discover the most cost-effective technique for reducing the number of significant misinterpretations. Hindawi 2022-09-26 /pmc/articles/PMC9529454/ /pubmed/36199970 http://dx.doi.org/10.1155/2022/5659129 Text en Copyright © 2022 Zohair Al Aseri et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Al Aseri, Zohair Al Aqeel, Mohamed Aldawood, Badr Albadr, Fahad Ghandour, Rawan Al Mulaik, Abdulaziz Malabarey, Mohammed A. Khan, Anas Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians |
title | Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians |
title_full | Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians |
title_fullStr | Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians |
title_full_unstemmed | Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians |
title_short | Accuracy of Brain Computed Tomography Diagnosis by Emergency Medicine Physicians |
title_sort | accuracy of brain computed tomography diagnosis by emergency medicine physicians |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529454/ https://www.ncbi.nlm.nih.gov/pubmed/36199970 http://dx.doi.org/10.1155/2022/5659129 |
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