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Do radiologists still need to report chest x rays?

P Mehrotra¹, V Bosemani, J Cox

¹Department of Radiology, University Hospital of North Durham, North Road, Durham DH1 5TW, UK. mehr75@doctors.org.uk

Postgraduate Medical Journal

|July 8, 2009

Summary

Senior doctors and specialists demonstrated superior accuracy in interpreting chest x-rays (CXRs). Early review by senior clinicians and radiologist reporting are recommended to enhance patient care and train junior doctors.

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Area of Science:

Radiology
Medical Education
Clinical Diagnostics

Background:

Chest x-rays (CXRs) are crucial diagnostic tools but challenging to interpret accurately.
Variability in clinician experience and specialty may impact CXR interpretation quality.

Purpose of the Study:

To evaluate the diagnostic accuracy of chest x-ray interpretation across different clinician grades and specialties.
To identify factors influencing correct CXR evaluation.

Main Methods:

60 clinicians of varying grades and specialties interpreted 15 CXRs (5 normal, 10 abnormal) within 30 minutes.
Statistical analysis using non-parametric tests compared interpretation abilities.
Participant groups included junior doctors, senior doctors, specialists, and non-specialists.

Main Results:

Senior doctors (consultants, registrars) significantly outperformed junior doctors (p=0.001).
Specialists (radiology, respiratory medicine) achieved higher scores than non-specialists (p=0.0002).
Senior radiologists showed significantly better performance than other senior specialists (p=0.002).

Conclusions:

Early review of chest x-rays by senior clinicians and prompt reporting by radiologists are recommended for improved patient care.
Structured teaching on CXR interpretation is advised for newly qualified doctors, especially given training changes.