Radiologic head CT interpretation errors in pediatric abusive and non-abusive head trauma patients

Pediatric Radiology
S F KralikChang Y Ho

Abstract

Pediatric head trauma, including abusive head trauma, is a significant cause of morbidity and mortality. The purpose of this research was to identify and evaluate radiologic interpretation errors of head CTs performed on abusive and non-abusive pediatric head trauma patients from a community setting referred for a secondary interpretation at a tertiary pediatric hospital. A retrospective search identified 184 patients <5 years of age with head CT for known or potential head trauma who had a primary interpretation performed at a referring community hospital by a board-certified radiologist. Two board-certified fellowship-trained neuroradiologists at an academic pediatric hospital independently interpreted the head CTs, compared their interpretations to determine inter-reader discrepancy rates, and resolved discrepancies to establish a consensus second interpretation. The primary interpretation was compared to the consensus second interpretation using the RADPEER™ scoring system to determine the primary interpretation-second interpretation overall and major discrepancy rates. MRI and/or surgical findings were used to validate the primary interpretation or second interpretation when possible. The diagnosis of abusive head trauma w...Continue Reading

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Citations

May 18, 2018·Current Opinion in Pediatrics·Fiona DanaherAlice W Newton
Nov 7, 2019·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Gunes OrmanThierry A G M Huisman
Apr 29, 2021·AJR. American Journal of Roentgenology·Spencer KrissVesna Martich
May 18, 2021·Pediatric Radiology·Stephen D Brown

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