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Considerations on The Effect of Clinical History on Diagnostic Imaging Interpretation

  • Stefanie Y. Lee
    Correspondence
    Address correspondence to: S.Y.L.
    Affiliations
    Department of Radiology (S.Y.L.), McMaster University, Hamilton, ON, Canada
    Department of Diagnostic Imaging (S.Y.L.), Juravinski Hospital and Cancer Centre, Hamilton Health Sciences, 711 Concession Street, Hamilton, ON L8V 1C3, Canada
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Published:March 18, 2022DOI:https://doi.org/10.1016/j.acra.2022.02.013
      It was with much interest that I read the recent systematic review by Yapp et al. (
      • Yapp KE
      • Brennan P
      • Ekpo E.
      The effect of clinical history on diagnostic imaging interpretation - a systematic review.
      ) examining the effects of provided clinical history on radiologists’ diagnostic performance. I commend the authors on the significant work they have invested in performing a methodologically rigorous review. However, the breadth of the title and conclusion, as written, may be misleading and could potentially be viewed by referring healthcare providers as reason to withhold clinical information in an attempt to prevent false positives, despite the known importance of clinical history to the proper performance and interpretation of examinations, as noted in the accompanying editorial by Reed (
      • Reed W.
      Clinical history - new analysis methods provide extra insight into the effect of clinical history on diagnostic performance.
      ).
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