Interpretation of Computed Tomography of the Head: Emergency Physicians versus Radiologists

Trauma Monthly
Ali Arhami DolatabadiBehrooz Hashemi

Abstract

Many patients are brought to crowded emergency departments (ED) of hospitals every day for evaluation of head injuries, headaches, neurologic deficits etc. CT scan of the head is the most common diagnostic measure used to search for pathologies. In many EDs the initial interpretation of images are performed by emergency physicians (EP). Since most decisions are made based on the initial interpretation of the images by emergency physicians and not the radiologists, it is necessary to assess the accuracy of interpretations made by the former group. The objective of this study was to compare the findings reported in the interpretation of head CTs by emergency physicians and compare to radiologists (the gold standard). This was a prospective cross sectional study conducted from March to May 2009 in a teaching hospital in Tehran, Iran. All non-contrast head CTs obtained during the study period were copied on DVDs and sent separately to a radiologist, 6 emergency medicine (EM) attending physicians and 14 senior EM residents for interpretation. Clinical information pertaining to each patient was also sent with each CT. The radiologist's interpretation was considered as the gold standard and reference for comparison. Data from EM physi...Continue Reading

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Citations

Feb 27, 2015·Trauma Monthly·Hosein Delavar KasmaeiZahra Nasiri
Mar 5, 2015·Archives of Trauma Research·Saeed SafariSamaneh Hosseini Selkisari
Jun 21, 2016·The American Journal of Emergency Medicine·Pinar Hanife KaraAli Osman Demır
Oct 9, 2016·The American Journal of Emergency Medicine·Zeynep Aslı Kartalİclal Erdem Toslak
Dec 25, 2016·Postgraduate Medical Journal·Lachlan R EvansDinesh Varma
Apr 27, 2019·Frontiers in Cardiovascular Medicine·David C RotzingerSalah D Qanadli
May 20, 2016·Anesthesia and Analgesia·Gregory M Janelle, Martin J London
Nov 19, 2014·Annals of Surgery·Iain M SmithDouglas M Bowley
Mar 12, 2017·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Benjamin M GrayDon Tyndall
Jul 3, 2020·African Journal of Emergency Medicine : Revue Africaine De La Médecine D'urgence·Priyashini Parag, Timothy Craig Hardcastle
Dec 4, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sebastian VestlundMarcus Edelhamre

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Methods Mentioned

BETA
X-ray

Software Mentioned

SPSS

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