Research Article
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Year 2023, Volume: 5 Issue: 2, 290 - 4, 15.05.2023
https://doi.org/10.37990/medr.1205918

Abstract

References

  • Turgut K. Comparison of abdominal ct interpretation levels of emergency physicians and radiologists. ADYÜ Sağlık Bilimleri Derg. 2019;5 :1482-91.
  • Berdahl CT, Vermeulen MJ, Larson DB, Schull MJ. Emergency department computed tomography utilization in the United States and Canada. Ann Emerg Med. 2013;62:486 94.
  • Freid VM, Bernstein AB. Health care utilization among adults aged 55-64 years: how has it changed over the past 10 years? NCHS Data Brief. 2010:1-8.
  • Berkseth TJ, Mathiason MA, Jafari ME, et al. Consequences of increased use of computed tomography imaging for trauma patients in rural referring hospitals prior to transfer to a regional trauma centre. Injury. 2014;45:835-9.
  • Howlett DC, Drinkwater K, Frost C, et al. The accuracy of interpretation of emergency abdominal CT in adult patients who present with non traumatic abdominal pain: Results of a UK national audit. Clin Radiol. 2017;72:41-5.
  • Mucci B, Brett C, Huntley LS, Greene MK. Cranial computed tomography in trauma: the accuracy of interpretation by staff in the emergency department. Emerg Med J Emj. 2005;22:538-40.
  • Dolatabadi AA, Baratloo A, Rouhipour A, et al. Interpretation of computed tomography of the head: emergency physicians versus radiologists. Trauma Mon. 2013;18:86.
  • Al-Reesi A, Stiell IG, Al-Zadjali N, Cwinn AA. Comparison of CT head interpretation between emergency physicians and neuroradiologists. Eur J Emerg Med. 2010;17:280-2.
  • Hodgson L. Cost containment in the emergency department. CAL/ACEP 1993 Source Guide. 1993:710.
  • Larson DB, Johnson LW, Schnell BM, et al. National trends in CT use in the emergency department: 1995 2007. Radiolog. 2011;258:164-73.
  • Gallagher FA, Tay KY, Vowler SL, et al. Comparing the accuracy of initial head CT reporting by radiologists, radiology trainees, neuroradiographers and emergency doctors. Br J Radiol. 2011;84:1040-5.
  • Mukerji N, Cahill J, Paluzzi A, et al. Emergency head CT scans: can neurosurgical registrars be relied upon to interpret them? Br J Neurosurg. 2009;23:158-61.
  • Nitowski LA, O'Connor RE, Reese CLth. The rate of clinically significant plain radiograph misinterpretation by faculty in an emergency medicine residency program. Acad Emerg Med. 1996;3:782–9.
  • Arhami Dolatabadi A, Baratloo A, Rouhipour A, et al. Interpretation of Computed Tomography of the Head: Emergency Physicians versus Radiologists. Trauma Mon. 2013;18:86-9.
  • Kang MJ, Sim MS, Shin TG, et al. Evaluating the Accuracy of Emergency Medicine Resident Interpretations of Abdominal CTs in Patients with Non-Traumatic Abdominal Pain. J Korean Med Sci. 2012;27:1255- 60.
  • Alfaro D, Levitt MA, English DK, et al. Accuracy of interpretation of cranial computed tomography scans in an emergency medicine residency program. Ann Emerg Med. 1995;25:169-74.
  • Arhami Dolatabadi A, Baratloo A, Rouhipour A, et al. Interpretation of Computed Tomography of the Head: Emergency Physicians versus Radiologists. Trauma Mon. 2013;18:86-9.
  • Khan A, Qashqari S, Al-Ali AA. Accuracy of non-contrast CT brain interpretation by emergency physicians: A cohort study. Pak J Med Sci. 2013;29:549-53.
  • Ardic S, Guneysel O. Emergency medicine residents can assess cranial computed tomography scans consistently with radiologists. Journal of Acute Medicine. 2015;5:92-5.
  • Turen CH, Mark JB, Bozman R. Comparative analysis of radiographic interpretation of orthopedic films: is there redundancy? J Trauma. 1995;39:720–1.

Comparison of the Interpretations of Brain Computed Tomography of Emergency Medicine Specialists and Neurosurgeons

Year 2023, Volume: 5 Issue: 2, 290 - 4, 15.05.2023
https://doi.org/10.37990/medr.1205918

Abstract

Aim: We aimed to examine the similarity in the brain computed tomography (CT) reports of emergency medicine and neurosurgery specialists.
Material and Methods: Patients who applied to the emergency department and underwent cranial CT in traumatic and non-traumatic conditions were analyzed retrospectively. The reports of emergency medicine and neurosurgeon specialists were reviewed. The radiologist's report was set as the gold standard. All CT examinations were performed independently of the radiologist by physicians with at least 5 years of experience.
Results: Emergency medicine and neurosurgery specialists were found to be highly compatible in detecting pathologies in CT reports. There was significant similarity in the diagnosis of bone defects and maxillofacial trauma in the CT reporting of emergency medicine specialists and neurosurgeons.
Conclusion: It was observed that emergency medicine specialists were as successful as neurosurgeons in the interpretation of brain CT pathologies of traumas. Since their knowledge and experience in non-traumatic pathologies are insufficient, they should receive support from radiology in residency training.

References

  • Turgut K. Comparison of abdominal ct interpretation levels of emergency physicians and radiologists. ADYÜ Sağlık Bilimleri Derg. 2019;5 :1482-91.
  • Berdahl CT, Vermeulen MJ, Larson DB, Schull MJ. Emergency department computed tomography utilization in the United States and Canada. Ann Emerg Med. 2013;62:486 94.
  • Freid VM, Bernstein AB. Health care utilization among adults aged 55-64 years: how has it changed over the past 10 years? NCHS Data Brief. 2010:1-8.
  • Berkseth TJ, Mathiason MA, Jafari ME, et al. Consequences of increased use of computed tomography imaging for trauma patients in rural referring hospitals prior to transfer to a regional trauma centre. Injury. 2014;45:835-9.
  • Howlett DC, Drinkwater K, Frost C, et al. The accuracy of interpretation of emergency abdominal CT in adult patients who present with non traumatic abdominal pain: Results of a UK national audit. Clin Radiol. 2017;72:41-5.
  • Mucci B, Brett C, Huntley LS, Greene MK. Cranial computed tomography in trauma: the accuracy of interpretation by staff in the emergency department. Emerg Med J Emj. 2005;22:538-40.
  • Dolatabadi AA, Baratloo A, Rouhipour A, et al. Interpretation of computed tomography of the head: emergency physicians versus radiologists. Trauma Mon. 2013;18:86.
  • Al-Reesi A, Stiell IG, Al-Zadjali N, Cwinn AA. Comparison of CT head interpretation between emergency physicians and neuroradiologists. Eur J Emerg Med. 2010;17:280-2.
  • Hodgson L. Cost containment in the emergency department. CAL/ACEP 1993 Source Guide. 1993:710.
  • Larson DB, Johnson LW, Schnell BM, et al. National trends in CT use in the emergency department: 1995 2007. Radiolog. 2011;258:164-73.
  • Gallagher FA, Tay KY, Vowler SL, et al. Comparing the accuracy of initial head CT reporting by radiologists, radiology trainees, neuroradiographers and emergency doctors. Br J Radiol. 2011;84:1040-5.
  • Mukerji N, Cahill J, Paluzzi A, et al. Emergency head CT scans: can neurosurgical registrars be relied upon to interpret them? Br J Neurosurg. 2009;23:158-61.
  • Nitowski LA, O'Connor RE, Reese CLth. The rate of clinically significant plain radiograph misinterpretation by faculty in an emergency medicine residency program. Acad Emerg Med. 1996;3:782–9.
  • Arhami Dolatabadi A, Baratloo A, Rouhipour A, et al. Interpretation of Computed Tomography of the Head: Emergency Physicians versus Radiologists. Trauma Mon. 2013;18:86-9.
  • Kang MJ, Sim MS, Shin TG, et al. Evaluating the Accuracy of Emergency Medicine Resident Interpretations of Abdominal CTs in Patients with Non-Traumatic Abdominal Pain. J Korean Med Sci. 2012;27:1255- 60.
  • Alfaro D, Levitt MA, English DK, et al. Accuracy of interpretation of cranial computed tomography scans in an emergency medicine residency program. Ann Emerg Med. 1995;25:169-74.
  • Arhami Dolatabadi A, Baratloo A, Rouhipour A, et al. Interpretation of Computed Tomography of the Head: Emergency Physicians versus Radiologists. Trauma Mon. 2013;18:86-9.
  • Khan A, Qashqari S, Al-Ali AA. Accuracy of non-contrast CT brain interpretation by emergency physicians: A cohort study. Pak J Med Sci. 2013;29:549-53.
  • Ardic S, Guneysel O. Emergency medicine residents can assess cranial computed tomography scans consistently with radiologists. Journal of Acute Medicine. 2015;5:92-5.
  • Turen CH, Mark JB, Bozman R. Comparative analysis of radiographic interpretation of orthopedic films: is there redundancy? J Trauma. 1995;39:720–1.
There are 20 citations in total.

Details

Primary Language English
Subjects Surgery, ​Internal Diseases
Journal Section Original Articles
Authors

Levent Aras 0000-0001-6175-0268

Levent Şahin 0000-0003-0193-4393

Murat Kayabaş 0000-0002-5768-2925

Ömer Çanacık 0000-0001-9346-7416

Türkhun Çetin 0000-0003-0209-4218

Early Pub Date May 15, 2023
Publication Date May 15, 2023
Acceptance Date December 12, 2022
Published in Issue Year 2023 Volume: 5 Issue: 2

Cite

AMA Aras L, Şahin L, Kayabaş M, Çanacık Ö, Çetin T. Comparison of the Interpretations of Brain Computed Tomography of Emergency Medicine Specialists and Neurosurgeons. Med Records. May 2023;5(2):290-4. doi:10.37990/medr.1205918

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

E-mail: medrecsjournal@gmail.com

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