Literature DB >> 23436857

Relationship between radiologist training level and fluoroscopy time for voiding cystourethrography.

Ruth Lim1, Ranish Deedar Ali Khawaja, Katherine Nimkin, Pallavi Sagar, Randheer Shailam, Michael S Gee, Sjirk J Westra.   

Abstract

OBJECTIVE: The objective of our study was to determine whether voiding cystourethrography (VCUG) fluoroscopy time is related to the training level of the performing radiologist.
MATERIALS AND METHODS: VCUG reports with normal findings from 2008 to 2011 at one institution were retrospectively reviewed. The average fluoroscopy time was calculated for first-year radiology residents, senior radiology residents, pediatric radiology fellows, and attending pediatric radiologists. The average fluoroscopy time was also calculated for radiologist sex, patient sex, and patient age group. The analysis of variance was used to evaluate differences in average fluoroscopy times between training levels of radiologists, patient age groups, and patient sexes.
RESULTS: We reviewed 784 VCUG reports with normal findings: 340 (43.4%) were performed by first-year residents; 181 (23%), by senior residents; 161 (20.5%), by fellows; and 102 (13%), by attending pediatric radiologists. The overall average fluoroscopy time was 1.86 minutes (SD ± 0.98). The attending pediatric radiologists had the shortest average fluoroscopy time (1.63 ± 0.92 minutes), significantly shorter than senior residents (1.96 ± 1.09 minutes; p = 0.0070) and fellows (1.91 ± 0.85 minutes; p = 0.0255). There was no significant difference between attending radiologists and first-year residents (1.85 ± 1.00 minutes; p = 0.0550). The male-to-female ratio of radiologists was 54% versus 46%, with identical average fluoroscopy times: male radiologists, 1.86 ± 1.05 minutes; female radiologists, 1.86 ± 0.90 minutes. There was no significant difference in average fluoroscopy times among patient age groups: 1.93, 1.76, and 1.78 minutes, respectively, for groups A (0-1 years), B (> 1 to ≤ 5 years), and C (> 5 years) (p = 0.1750, 0.4605, 0.6303). The average fluoroscopy time for male patients (2.02 ± 1.00 minutes) was significantly longer than that for female patients (1.71 ± 0.95 minutes; p < 0.0001).
CONCLUSION: Attending pediatric radiologists have the shortest fluoroscopy time; the differences between their average time compared with the average times of pediatric radiology fellows and of senior radiology residents were statistically significant. The average fluoroscopy time is longer for male patients than for female patients.

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Year:  2013        PMID: 23436857     DOI: 10.2214/AJR.12.8902

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  9 in total

1.  Benchmarking Lumbar Puncture Fluoroscopy Time during Fellowship Training.

Authors:  H Yang; K Schaffer; L Liu; M Mahesh; D M Yousem
Journal:  AJNR Am J Neuroradiol       Date:  2016-12-01       Impact factor: 3.825

2.  Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience.

Authors:  Martin Jonczyk; Bernhard Gebauer; Roman Rotzinger; Dirk Schnapauff; Bernd Hamm; Federico Collettini
Journal:  In Vivo       Date:  2018 Jan-Feb       Impact factor: 2.155

3.  Pre-procedural scout radiographs are unnecessary for routine pediatric fluoroscopic examinations.

Authors:  Sean G Creeden; Anil G Rao; Meryle J Eklund; Jeanne G Hill; Paul G Thacker
Journal:  Pediatr Radiol       Date:  2016-11-17

Review 4.  Radiology Trainee vs Faculty Radiologist Fluoroscopy Time for Imaging-Guided Procedures: A Retrospective Study of 17,966 Reports Over a 5.5-Year Period.

Authors:  Ariadne K DeSimone; Andrew Post; Richard Duszak; Phuong-Anh T Duong
Journal:  Curr Probl Diagn Radiol       Date:  2017-07-08

5.  Evaluation of pediatric VCUG at an academic children's hospital: is the radiographic scout image necessary?

Authors:  Jason G Domina; Ramon Sanchez; Indu R Meesa; Emmanuel Christodoulou
Journal:  Pediatr Radiol       Date:  2014-12-14

6.  Simulation of fluoroscopic-guided lumbar puncture with a novel spine task trainer.

Authors:  Saad Ali; Rishi Ramakrishna; Anup Alexander; Carina W Yang
Journal:  BMJ Simul Technol Enhanc Learn       Date:  2018-10-04

7.  Implementation of a competency check-off in diagnostic fluoroscopy for radiology trainees: impact on reducing radiation for three common fluoroscopic exams in children.

Authors:  Sweta Shah; Stephane L Desouches; Lisa H Lowe; Nima Kasraie; Brenton Reading
Journal:  Pediatr Radiol       Date:  2014-07-24

Review 8.  Analysis of patient's X-ray exposure in hepatic chemosaturation procedures: a single center experience.

Authors:  Sebastian Ebel; Martin Reinhardt; Anne Bettina Beeskow; Felix Teske; Manuel Florian Struck; Rhea Veelken; Florian van Boemmel; Thomas Berg; Michael Moche; Matthias Gutberlet; Holger Gößmann; Timm Denecke
Journal:  BMC Med Imaging       Date:  2022-09-13       Impact factor: 2.795

9.  Effect of using immobilization device in fluoroscopic study in pediatric patient: Focused on radiation dose reduction in voiding cystourethrogram.

Authors:  Hyun-Hae Cho; So Mi Lee; Sun Kyoung You
Journal:  PLoS One       Date:  2019-10-18       Impact factor: 3.240

  9 in total

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