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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...

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Autores principales: Al Aseri, Zohair, Al Aqeel, Mohamed, Aldawood, Badr, Albadr, Fahad, Ghandour, Rawan, Al Mulaik, Abdulaziz, Malabarey, Mohammed A., Khan, Anas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
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.
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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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