Interpretation of bedside chest X-rays in the ICU: is the radiologist still needed?

被引：7

作者：

Martini, Katharina ^{[1
]}

Ganter, Christoph ^{[2
]}

Maggiorini, Marco ^{[2
]}

Winklehner, Anna ^{[1
]}

Leupi-Skibinski, Katarzyna E. ^{[3
]}

Frauenfelder, Thomas ^{[1
]}

Thi Dan Linh Nguyen-Kim ^{[1
]}

机构：

[1] Univ Zurich Hosp, Dept Diagnost & Intervent Radiol, CH-8091 Zurich, Switzerland

[2] Univ Zurich Hosp, Med Intens Care Unit, CH-8091 Zurich, Switzerland

[3] RODIAG Diagnost Ctr, CH-8400 Winterthur, Switzerland

来源：

CLINICAL IMAGING | 2015年 / 39卷 / 06期

关键词：

Bedside chest X-ray; ICU patients; Interreader variability; Diagnostic accuracy; Interpretation; COMPUTED-TOMOGRAPHY; RADIOGRAPHS;

D O I：

10.1016/j.clinimag.2015.07.024

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: To compare diagnostic accuracy of intensivists to radiologists in reading bedside chest X-rays. Methods: In a retrospective trial, 33 bedside chest X-rays were evaluated by five radiologists and five intensivists with different experience. Images were evaluated for devices and lung pathologies. Interobserver agreement and diagnostic accuracy were calculated. Computed tomography served as reference standard. Results: Seniors had higher diagnostic accuracy than residents (mean-ExpB(senior)=1.456; mean-ExpB(Resident)=1.635). Interobserver agreement for installations was more homogenously distributed between radiologists compared to intensivists (ExpB(Rad)=1.204-1.672; ExpB(int)=1.005-2368). Seniors had comparable diagnostic accuracy. Conclusion: No significant difference in diagnostic performance was seen between seniors of both disciplines, whereas the resident intensivists might still benefit from an interdisciplinary dialogue. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1018 / 1023

页数：6

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