The Back Alleys and Dark Corners of Abdomen and Pelvis Computed Tomography: The Most Frequent Sites of Missed Findings in the Multiplanar Era

Journal of Clinical Imaging Science
Mark A KliewerJ Louis Hinshaw

Abstract

Radiologists reading multiplanar abdominal/pelvic computed tomography (CT) are vulnerable to oversight of specific anatomic areas, leading to perceptual errors (misses). The aims of this study are to identify common sites of major perceptual error at our institution and then to put these in context with earlier studies to produce a comprehensive overview. We reviewed our quality assurance database over an 8-year period for cases of major perceptual error on CT examinations of the abdomen and pelvis. A major perceptual error was defined as a missed finding that had altered management in a way potentially detrimental to the patient. Record was made of patient age, gender, study indication, study priority (stat/routine), and use of IV and/or oral contrast. Anatomic locations were subdivided as lung bases, liver, pancreas, kidneys, spleen, mesentery, peritoneum, retroperitoneum, small bowel, colon, appendix, vasculature, body wall, and bones. A total of 216 missed findings were identified in 201 patients. The most common indication for the study was cancer follow-up (71%) followed by infection (11%) and abdominal pain (6%). The most common anatomic regions of error were the liver (15%), peritoneum (10%), body wall (9%), retroperito...Continue Reading

References

Sep 19, 1997·Journal of Computer Assisted Tomography·R E BechtoldD J Vining
May 16, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Bettina SiewertJonathan B Kruskal
Feb 23, 2010·AJR. American Journal of Roentgenology·Karen M HortonElliot K Fishman
Apr 14, 2012·Journal of Medical Imaging and Radiation Oncology·Jennifer J Donald, Stuart A Barnard
Aug 10, 2012·Abdominal Imaging·Steven C EberhardtRosaleen B Parsons
Sep 1, 2012·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·Jacob SosnaDavid Groshar
Apr 25, 2016·Abdominal Radiology·Andrew B Rosenkrantz, Neil K Bansal
Sep 27, 2016·Journal of Experimental Psychology. Human Perception and Performance·Melissa L-H VõJeremy M Wolfe
Oct 4, 2017·Journal of Vision·Ellen M KokJeremy M Wolfe
Feb 6, 2018·Current Problems in Diagnostic Radiology·Benjamin Wildman-TobrinerCharles M Maxfield
May 17, 2018·Advances in Health Sciences Education : Theory and Practice·Larissa den BoerAnouk van der Gijp

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsies

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

AJR. American Journal of Roentgenology
Patrick D McLaughlinMichael M Maher
Przegla̧d lekarski
B POLANSKA
Revue médicale de Nancy
ROUSSEL
Revista española de las enfermedades del aparato digestivo y de la nutrición
V GARCIA VILELA
Revista brasileira de cirurgia
COSTA H
© 2021 Meta ULC. All rights reserved