The role of preliminary interpretation of chest radiographs by radiographers in the management of acute medical problems within a cardiothoracic centre

The British Journal of Radiology
E P SonnexR A Coulden

Abstract

Radiographic staff in a regional cardiothoracic centre were asked to assess all pre- and post-operative chest radiographs over a 6-month period. Radiographs showing new, acute changes were noted and a red dot placed on the film. Medical staff were notified of radiographs with red dots, and these were subsequently reported by radiologists. Using reports by radiologists as the gold standard, an audit was performed of the radiographers' accuracy in identifying new abnormalities. The absence of a necessary red dot as well as inappropriate use were noted. To enhance the accuracy of radiograph interpretation, a series of lectures on the chest radiograph and a protocol for red dot use were developed by senior radiologists. During this 6-month period 8614 chest radiographs were taken; red dots were applied to 464 (5%). These red dots were considered incorrect in 100 radiographs. Radiographers misinterpreted or missed potentially important changes in 38 of the remaining 8150 radiographs without red dots (sensitivity and specificity of 90% and 99%, respectively). Radiographers appeared to err on the side of caution when confronted with an abnormal chest radiograph, especially when previous radiographs and reports were unavailable. This r...Continue Reading

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Citations

Oct 27, 2009·Japanese Journal of Radiology·Hidetoshi YatakeChikazumi Kuroda
Jan 20, 2009·IEEE Transactions on Medical Imaging·Meindert NiemeijerBram van Ginneken
May 13, 2015·The British Journal of Radiology·E U EkpoB E Akpan

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