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Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms
Objectives: Several studies reported low detection rates of otosclerosis in high-resolution computed tomography (HRCT), especially when the scans were reviewed by non-specialized general radiologists. In the present study, we conducted a retrospective review of the detection of otosclerosis in HRCT...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860545/ https://www.ncbi.nlm.nih.gov/pubmed/36675559 http://dx.doi.org/10.3390/jcm12020630 |
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author | Bassiouni, Mohamed Bauknecht, Hans-Christian Muench, Gloria Olze, Heidi Pohlan, Julian |
author_facet | Bassiouni, Mohamed Bauknecht, Hans-Christian Muench, Gloria Olze, Heidi Pohlan, Julian |
author_sort | Bassiouni, Mohamed |
collection | PubMed |
description | Objectives: Several studies reported low detection rates of otosclerosis in high-resolution computed tomography (HRCT), especially when the scans were reviewed by non-specialized general radiologists. In the present study, we conducted a retrospective review of the detection of otosclerosis in HRCT by general radiologists and the impact of inadequately filled radiological request forms on the detection rate. Methods: Retrospective analysis of hospital records, HRCT reports, and radiological referral notes of 40 patients who underwent stapedotomy surgery for otosclerosis. HRCT imaging data sets were retrospectively reviewed by a blinded experienced neuroradiologist, whose reading served as the gold standard. Results: General radiologists reading HRCT scans had an overall detection rate of otosclerosis of 36.1% in this cohort (13 of 36 available HRCT reports). The neuroradiologist had a much higher detection rate of 82.5% (33 of 40 cases). Interobserver agreement between the general radiologists and the subspecialist neuroradiologist was poor (Cohen’s kappa κ = 0.26). General radiologists missed the diagnosis in 15 of the 33 CT-positive scans, corresponding to a missed diagnosis rate of 45.4%. There was a highly significant association between a missed diagnosis and the lack of an explicitly mentioned clinical suspicion of otosclerosis in the request forms (Pearson’s chi-squared test, p < 0.005). Conclusion: The diagnosis of otosclerosis is frequently missed by radiologists on HRCT scans of the temporal bone in a clinical setting. Possible reasons include a relative lack of experience of general radiologists with temporal bone imaging as well as the failure of clinicians to unambiguously communicate their suspicion of otosclerosis. |
format | Online Article Text |
id | pubmed-9860545 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98605452023-01-22 Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms Bassiouni, Mohamed Bauknecht, Hans-Christian Muench, Gloria Olze, Heidi Pohlan, Julian J Clin Med Article Objectives: Several studies reported low detection rates of otosclerosis in high-resolution computed tomography (HRCT), especially when the scans were reviewed by non-specialized general radiologists. In the present study, we conducted a retrospective review of the detection of otosclerosis in HRCT by general radiologists and the impact of inadequately filled radiological request forms on the detection rate. Methods: Retrospective analysis of hospital records, HRCT reports, and radiological referral notes of 40 patients who underwent stapedotomy surgery for otosclerosis. HRCT imaging data sets were retrospectively reviewed by a blinded experienced neuroradiologist, whose reading served as the gold standard. Results: General radiologists reading HRCT scans had an overall detection rate of otosclerosis of 36.1% in this cohort (13 of 36 available HRCT reports). The neuroradiologist had a much higher detection rate of 82.5% (33 of 40 cases). Interobserver agreement between the general radiologists and the subspecialist neuroradiologist was poor (Cohen’s kappa κ = 0.26). General radiologists missed the diagnosis in 15 of the 33 CT-positive scans, corresponding to a missed diagnosis rate of 45.4%. There was a highly significant association between a missed diagnosis and the lack of an explicitly mentioned clinical suspicion of otosclerosis in the request forms (Pearson’s chi-squared test, p < 0.005). Conclusion: The diagnosis of otosclerosis is frequently missed by radiologists on HRCT scans of the temporal bone in a clinical setting. Possible reasons include a relative lack of experience of general radiologists with temporal bone imaging as well as the failure of clinicians to unambiguously communicate their suspicion of otosclerosis. MDPI 2023-01-12 /pmc/articles/PMC9860545/ /pubmed/36675559 http://dx.doi.org/10.3390/jcm12020630 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 Bassiouni, Mohamed Bauknecht, Hans-Christian Muench, Gloria Olze, Heidi Pohlan, Julian Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms |
title | Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms |
title_full | Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms |
title_fullStr | Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms |
title_full_unstemmed | Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms |
title_short | Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms |
title_sort | missed radiological diagnosis of otosclerosis in high-resolution computed tomography of the temporal bone—retrospective analysis of imaging, radiological reports, and request forms |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860545/ https://www.ncbi.nlm.nih.gov/pubmed/36675559 http://dx.doi.org/10.3390/jcm12020630 |
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