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拒绝,还是接受? 一项关于放射科医生对诊断放射图片的观点的研究
Yu Chen1, Nur Sharidah Fifiyana Ilzam1, Tan Yang Loo1
1Department of Radiology, Sengkang General Hospital, 110 Sengkang East Way, Singapore Singapore.
Journal of medical imaging and radiation sciences
|July 23, 2024
概括
放射科医生在图像接受方面表现出相当的共识,但在诊断质量放射图的定义上存在差异,可能导致高拒绝率. 校准定义可以提高一致性并降低患者的剂量.
科学领域:
- 放射学 放射学是指放射学
- 医疗成像医学成像
- 辐射质量保证 辐射质量保证
背景情况:
- 新成立的放射科面临着14%的拒绝率 (RR),超过了美国医学物理学家协会 (AAPM) 8%的目标.
- 分析表明,放射科医生可能会拒绝具有诊断价值的图像,可能是因为对图像质量的定义不一致.
研究的目的:
- 调查放射科医生在定义诊断放射图中的差异.
- 为了确定放射科部门高RR的潜在原因.
主要方法:
- 开发了一个在线调查,包括一个图像库和一个问卷,让参与者将图像分类为接受或拒绝的.
- 采用Fleiss Kappa统计数据来量化X光学家对图像接受/拒绝的判断之间的一致程度.
主要成果:
- 20名具有不同经验的放射科医生参与了这项研究,在他们的判断中表现出相当一致 (k=.277).
- "接受"和"拒绝"类别的个人卡帕值为0.277.
- 在初级,中级和高级放射科医生之间没有观察到协议水平的显著差异.
结论:
- 放射科医生对诊断放射图的定义存在差异,这有助于高RR.
- 校准这些定义可以改善放射科医生的协议,减少RR,降低患者剂量,提高服务效率.
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