Structured Reporting of Whole-Body Trauma CT Scans Using Checklists : Diagnostic Accuracy of Reporting Radiologists Depending on Their Level of Experience
Thieme. All rights reserved..
PURPOSE: Evaluation of the diagnostic accuracy of a checklist-style structured reporting template in the setting of whole-body multislice computed tomography in major trauma patients depending on the level of experience of the reporting radiologist.
MATERIALS AND METHODS: A total of 140 major trauma scans with the same protocol were included in this retrospective study. In a purely trial-intended reading, the trauma scans were analyzed by three radiologists with different levels of experience (resident, radiologist with 3 years of experience after board certification, and radiologist with 7 years of experience after board certification). The aim was to fill in the checklist 1 template within one minute to immediately diagnose management-altering findings. Checklist 2 was intended for the analysis of important trauma-related findings within 10 minutes. Reading times were documented. The final radiology report and the documented injuries in the patient's medical record were used as gold standard.
RESULTS: The evaluation of checklist 1 showed a range of false-negative reports between 5.0 % and 11.4 % with the resident showing the highest accuracy. Checklist 2 showed overall high diagnostic inaccuracy (19.3-35.0 %). The resident's diagnostic accuracy was statistically significantly higher compared to the radiologist with 3 years of experience after board certification (p = 0.0197) and with 7 years of experience after board certification (p = 0.0046). Shorter average reporting time resulted in higher diagnostic inaccuracy. Most of the missed diagnoses were fractures of the spine and ribs.
CONCLUSION: By using a structured reporting template in the setting of major trauma computed tomography, less experienced radiologists reach a higher diagnostic accuracy compared to experienced readers.
KEY POINTS: · In the setting of a pure trial reading, the diagnostic inaccuracy of template-based reporting of major trauma CT examinations is high.. · Fractures in general and especially of the vertebral bodies and ribs were the most commonly missed diagnoses.. · In a study setting, less experienced radiologists seem to reach a higher diagnostic accuracy when using a structured reporting approach.
CITATION FORMAT: · Dendl LM, Pausch AM, Hoffstetter P et al. Structured Reporting of Whole-Body Trauma CT Scans Using Checklists: Diagnostic Accuracy of Reporting Radiologists Depending on Their Level of Experience. Fortschr Röntgenstr 2021; 193: 1451 - 1460.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:193 |
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| Enthalten in: |
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin - 193(2021), 12 vom: 01. Dez., Seite 1451-1460 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Strukturierte Befundung von Polytrauma-CTs mit Checklisten: Diagnostische Genauigkeit in Abhängigkeit von der Erfahrung des Radiologen |
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| Beteiligte Personen: |
Dendl, Lena Marie [VerfasserIn] |
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Date Completed 29.11.2021 Date Revised 23.08.2022 published: Print-Electronic CommentIn: Rofo. 2022 Jul;194(7):777-778. - PMID 35817034 Citation Status MEDLINE |
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| doi: |
10.1055/a-1541-8265 |
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| PPN (Katalog-ID): |
NLM328927937 |
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| 100 | 1 | |a Dendl, Lena Marie |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Structured Reporting of Whole-Body Trauma CT Scans Using Checklists |b Diagnostic Accuracy of Reporting Radiologists Depending on Their Level of Experience |
| 246 | 3 | 3 | |a Strukturierte Befundung von Polytrauma-CTs mit Checklisten: Diagnostische Genauigkeit in Abhängigkeit von der Erfahrung des Radiologen |
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| 500 | |a Date Completed 29.11.2021 | ||
| 500 | |a Date Revised 23.08.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Rofo. 2022 Jul;194(7):777-778. - PMID 35817034 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Thieme. All rights reserved. | ||
| 520 | |a PURPOSE: Evaluation of the diagnostic accuracy of a checklist-style structured reporting template in the setting of whole-body multislice computed tomography in major trauma patients depending on the level of experience of the reporting radiologist | ||
| 520 | |a MATERIALS AND METHODS: A total of 140 major trauma scans with the same protocol were included in this retrospective study. In a purely trial-intended reading, the trauma scans were analyzed by three radiologists with different levels of experience (resident, radiologist with 3 years of experience after board certification, and radiologist with 7 years of experience after board certification). The aim was to fill in the checklist 1 template within one minute to immediately diagnose management-altering findings. Checklist 2 was intended for the analysis of important trauma-related findings within 10 minutes. Reading times were documented. The final radiology report and the documented injuries in the patient's medical record were used as gold standard | ||
| 520 | |a RESULTS: The evaluation of checklist 1 showed a range of false-negative reports between 5.0 % and 11.4 % with the resident showing the highest accuracy. Checklist 2 showed overall high diagnostic inaccuracy (19.3-35.0 %). The resident's diagnostic accuracy was statistically significantly higher compared to the radiologist with 3 years of experience after board certification (p = 0.0197) and with 7 years of experience after board certification (p = 0.0046). Shorter average reporting time resulted in higher diagnostic inaccuracy. Most of the missed diagnoses were fractures of the spine and ribs | ||
| 520 | |a CONCLUSION: By using a structured reporting template in the setting of major trauma computed tomography, less experienced radiologists reach a higher diagnostic accuracy compared to experienced readers | ||
| 520 | |a KEY POINTS: · In the setting of a pure trial reading, the diagnostic inaccuracy of template-based reporting of major trauma CT examinations is high.. · Fractures in general and especially of the vertebral bodies and ribs were the most commonly missed diagnoses.. · In a study setting, less experienced radiologists seem to reach a higher diagnostic accuracy when using a structured reporting approach | ||
| 520 | |a CITATION FORMAT: · Dendl LM, Pausch AM, Hoffstetter P et al. Structured Reporting of Whole-Body Trauma CT Scans Using Checklists: Diagnostic Accuracy of Reporting Radiologists Depending on Their Level of Experience. Fortschr Röntgenstr 2021; 193: 1451 - 1460 | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Pausch, Antonia Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Hoffstetter, Patrick |e verfasserin |4 aut | |
| 700 | 1 | |a Dornia, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Höllthaler, Josef |e verfasserin |4 aut | |
| 700 | 1 | |a Ernstberger, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Becker, Roland |e verfasserin |4 aut | |
| 700 | 1 | |a Kopf, Sebastian |e verfasserin |4 aut | |
| 700 | 1 | |a Schleder, Stephan |e verfasserin |4 aut | |
| 700 | 1 | |a Schreyer, Andreas G |e verfasserin |4 aut | |
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