Academic Radiology
Volume 15, Issue 1 , Pages 71-76 , January 2008

Comparison of On-Call Radiology Resident and Faculty Interpretation of 4- and 16-row Multidetector CT Pulmonary Angiography with Indirect CT Venography

  • Stephanie L. Rufener, MD

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Imaging, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109
    • VA Ann Arbor Healthcare System, Ann Arbor, MI.
    • Corresponding Author InformationAddress correspondence to: S.L.R.
    • ,
  • Smita Patel, MBBS, MRCP, FRCR

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Imaging, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109
    • VA Ann Arbor Healthcare System, Ann Arbor, MI.
    • ,
  • Ella A. Kazerooni, MD, MS

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Imaging, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109
    • VA Ann Arbor Healthcare System, Ann Arbor, MI.
    • ,
  • Matthew Schipper, PhD

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Imaging, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109
    • ,
  • Aine M. Kelly, MD, MS

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Imaging, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109
    • VA Ann Arbor Healthcare System, Ann Arbor, MI.

Received 29 April 2007 ,Accepted 29 June 2007.

References 

  1. Patel S, Kazerooni EA. Helical CT for the evaluation of acute pulmonary embolism. AJR Am J Roentgenol. 2005;185:135–149
  2. Scott J, Romano C. On-call services provided by radiology residents in a university hospital environment. Can Assoc Radiol J. 2003;54:104–108
  3. Lal NR, Murray U, Eldevik OP, et al. Clinical consequences of misinterpretations of neuroradiologic CT scans by on-call radiology residents. AJNR Am J Neuroradiol. 2000;21:124–129
  4. Erly WK, Berger WG, Krupinski E, et al. Radiology resident evaluation of head CT scan orders in the emergency department. Am J Neuroradiol. 2002;23:103–107
  5. Albano MC, Ross GW, Ditchek JJ, et al. Resident interpretation of emergency CT scans in the evaluation of acute appendicitis. Acad Radiol. 2001;8:915–918
  6. Lowe L, Draud K, Hernanz-Schulman M, et al. Nonenhanced limited CT in children suspected of having appendicitis: prospective comparison of attending and resident interpretations. Radiology. 2001;221:755–759
  7. Freed KS, Paulson EK, Frederick MG, et al. Interobserver variability in the interpretation of unenhanced helical CT for the diagnosis of ureteral stone disease. J Comput Assist Tomogr. 1998;22:732–737
  8. Wechsler RJ, Spettell CM, Kurtz AB, et al. Effects of training and experience in interpretation of emergency body CT scans. Radiology. 1996;199:717–720
  9. Tieng L, Grinberg D, Li S. Discrepancies in interpretation of ED body computed tomographic scans by radiology residents. Am J Emerg Med. 2007;25:45–48
  10. Shaham D, Heffez R, Bogot N, et al. CT pulmonary angiography for the detection of pulmonary embolism: interobserver agreement between on-call radiology residents and specialists (CTPA interobserver agreement). Clini Imaging. 2006;30:266–270
  11. Safriel Y, Sclafani S, Gale B, et al. Comparing the interpretations of CT pulmonary angiograms by attending and resident radiologists: can residents identify life-threatening pulmonary emboli in hospitalized patients?. Emerg Radiol. 2002;9:55–59
  12. Ghanima W, Nielssen BE, Holmen LO, et al. Multidetector computed tomography (MDCT) in the diagnosis of pulmonary embolism: interobserver agreement among radiologists with varied levels of experience. Acta Radiol. 2007;48:165–170
  13. Patel S, Kazerooni EA, Cascade P. Pulmonary embolism: optimization of small pulmonary artery visualization at multi-detector row CT. Radiology. 2003;227:455–460
  14. Carney E, Kempf J, DeCarvalho V, et al. Preliminary interpretations of after-hours CT and sonography by radiology residents versus final interpretations by body imaging radiologists at a level 1 trauma center. AJR Am J Roentgenol. 2003;181:367–373

1 Funded in part by the RSNA Research Scholar Grant. Funded in part by the GE-AUR Radiology Research Academic Fellowship.

PII: S1076-6332(07)00393-5

doi: 10.1016/j.acra.2007.06.030

Academic Radiology
Volume 15, Issue 1 , Pages 71-76 , January 2008

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