Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study
| Autor: | M. Sakel, Nick Woznitza, R. Faruqui, A. Roy, Keith Piper, T. Morgan, K. Griffin, L. Pittock, M. Mitchell, A. Thomas |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Consultants medicine.diagnostic_test business.industry Concordance Allied Health Personnel Brain Magnetic resonance imaging Neuroradiologist Magnetic Resonance Imaging 030218 nuclear medicine & medical imaging Patient management Clinical Practice 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Radiologists medicine Humans Radiology Nuclear Medicine and imaging Radiology business |
| Zdroj: | Radiography. 27:475-482 |
| ISSN: | 1078-8174 |
| Popis: | This study assessed agreement between MRI reporting radiographers and a consultant radiologist compared with an index neuroradiologist when reporting MRI head (brain/internal auditory meati [IAMs]) examinations. The effect on patient management of any discordant reports was also examined.Two trained MRI reporting radiographers (RRs), a consultant radiologist (CR) and an index neuroradiologist (INR) reported on a random sample of 210 MRI examinations. The radiographers reported during clinical practice and the radiologists in clinical practice conditions. Two independent consultant physicians (neuro-rehabilitation and neuropsychiatry) compared these reports with the index neuroradiologist report for agreement and the clinical importance of discrepant reports.Overall observer agreement between the RRs and CR was comparable in relation to agreement with the INR: RR; 93/210 (44.3%); and the CR; 83/210 (39.4%) for all head MRI examinations (p = 0.32). For brain examinations the difference was similar: RR; 64/180 (35.6%); and CR; 54/190 (30.0%), p = 0.26. Agreement rates for the IAMs examinations were identical, 29/30 (97.7%). For all head MRI examinations (n = 210) there was a very small observed difference of0.5% in mean agreement between the reporting radiographers and the consultant radiologist (p = 0.92) for examinations where a major disagreement would have been likely to have led to a change in patient management.MRI reporting radiographers reported during clinical practice on MRI head examinations to a level of agreement comparable with a consultant radiologist.This is an area in which radiographers could provide additional reporting roles to the reporting service to increase capacity. Wider potential benefits include cost-effectiveness and role development/retention of radiographers. |
| Databáze: | OpenAIRE |
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