Computed tomography colonography: Radiographer independent preliminary clinical evaluation for intraluminal pathology
| Autor: | Karen M. Knapp, D.L. Fox, RM Meertens, Susan Jane Rimes |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pathology
medicine.medical_specialty medicine.diagnostic_test business.industry Colon Computer aided detection 030218 nuclear medicine & medical imaging Endoscopy Radiology report Radiography 03 medical and health sciences 0302 clinical medicine Cohen's kappa Computed Tomography Colonography Optical colonoscopy 030220 oncology & carcinogenesis medicine Humans Radiology Nuclear Medicine and imaging Clinical Competence business Colorectal Neoplasms Clinical evaluation Colonography Computed Tomographic Retrospective Studies |
| Zdroj: | Radiography (London, England : 1995). 25(4) |
| ISSN: | 1532-2831 |
| Popis: | Introduction We evaluated the reporting competency of radiographers providing preliminary clinical evaluations (PCE) for intraluminal pathology of computed tomography colonography (CTC). Method Following validation of a suitable tool, audit was undertaken to compare radiographer PCE against radiology reports. A database was designed to capture radiographer and radiologist report data. The radiographer's PCE of intraluminal pathology was given a score, the “pathology discrepancy and significance” (PDS) score based on the pathology present, any discrepancy between the PCE and the final report, and the significance of that discrepancy on the management of the patient. Agreement was assessed using percentage agreement and Kappa coefficient. Significant discrepancies between findings were compared against endoscopy and pathology reports. Results There was agreement or insignificant discrepancy between the radiographer PCE and the radiology report for 1736 patients, representing 97.0% of cases. There was a significant discrepancy between findings in 2.8% of cases and a major discrepancy recorded for 0.2% of cases. There was a 98.4% agreement in the 229 cases where significant pathologies were present. Conclusion From a database of 1815 studies acquired over three years and representing work done in a clinical environment, this study indicates a potential for trained radiographers to provide a PCE of intraluminal pathology. |
| Databáze: | OpenAIRE |
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