Katharina Martini1, Christoph Ganter2, Marco Maggiorini3, Anna Winklehner4, Katarzyna E Leupi-Skibinski5, Thomas Frauenfelder6, Thi Dan Linh Nguyen-Kim7. 1. University Hospital Zurich, Department of Diagnostic and Interventional Radiology, Rämistrasse 100, CH-8091 Zürich. Electronic address: Katharina.Martini@usz.ch. 2. University Hospital Zurich, Medical Intensive Care Unit, Rämistrasse 100, CH-8091 Zürich. Electronic address: christoph.ganter@usz.ch. 3. University Hospital Zurich, Medical Intensive Care Unit, Rämistrasse 100, CH-8091 Zürich. Electronic address: marco.maggiorini@usz.ch. 4. University Hospital Zurich, Department of Diagnostic and Interventional Radiology, Rämistrasse 100, CH-8091 Zürich. Electronic address: winklehner.anna@usz.ch. 5. RODIAG - Diagnostic Centers, Bankstrasse 20, CH-8400 Winterthur. Electronic address: kathrin.leupi@gmx.ch. 6. University Hospital Zurich, Department of Diagnostic and Interventional Radiology, Rämistrasse 100, CH-8091 Zürich. Electronic address: thomas.frauenfelder@usz.ch. 7. University Hospital Zurich, Department of Diagnostic and Interventional Radiology, Rämistrasse 100, CH-8091 Zürich. Electronic address: thidanlinh.nguyen@usz.ch.
Abstract
PURPOSE: To compare diagnostic accuracy of intensivists to radiologists in reading bedside chest X-rays. METHODS: In a retrospective trial, 33 bedside chest X-rays were evaluated by five radiologists and five intensivists with different experience. Images were evaluated for devices and lung pathologies. Interobserver agreement and diagnostic accuracy were calculated. Computed tomography served as reference standard. RESULTS: Seniors had higher diagnostic accuracy than residents (mean-ExpB(Senior)=1.456; mean-ExpB(Resident)=1.635). Interobserver agreement for installations was more homogenously distributed between radiologists compared to intensivists (ExpB(Rad)=1.204-1.672; ExpB(Int)=1.005-2.368). Seniors had comparable diagnostic accuracy. CONCLUSION: No significant difference in diagnostic performance was seen between seniors of both disciplines, whereas the resident intensivists might still benefit from an interdisciplinary dialogue.
PURPOSE: To compare diagnostic accuracy of intensivists to radiologists in reading bedside chest X-rays. METHODS: In a retrospective trial, 33 bedside chest X-rays were evaluated by five radiologists and five intensivists with different experience. Images were evaluated for devices and lung pathologies. Interobserver agreement and diagnostic accuracy were calculated. Computed tomography served as reference standard. RESULTS: Seniors had higher diagnostic accuracy than residents (mean-ExpB(Senior)=1.456; mean-ExpB(Resident)=1.635). Interobserver agreement for installations was more homogenously distributed between radiologists compared to intensivists (ExpB(Rad)=1.204-1.672; ExpB(Int)=1.005-2.368). Seniors had comparable diagnostic accuracy. CONCLUSION: No significant difference in diagnostic performance was seen between seniors of both disciplines, whereas the resident intensivists might still benefit from an interdisciplinary dialogue.
Authors: Julia Ley-Zaporozhan; Hassan Shoushtari; Ravi Menezes; Leon Zelovitzky; Devang Odedra; Laura Jimenez-Juan; Karyn Brunet; Yasser Karimzad; Narinder S Paul Journal: PLoS One Date: 2018-12-21 Impact factor: 3.240