S C Chin1, J R Weir-McCall2, P M Yeap2, R D White3, M J Budak4, G Duncan2, T B Oliver2, I A Zealley2. 1. Department of Clinical Radiology, Ninewells Hospital & Medical School, Ninewells Avenue, Dundee, Tayside, Scotland, DD1 9SY, UK. Electronic address: s.chin1@nhs.net. 2. Department of Clinical Radiology, Ninewells Hospital & Medical School, Ninewells Avenue, Dundee, Tayside, Scotland, DD1 9SY, UK. 3. Department of Clinical Radiology, Ninewells Hospital & Medical School, Ninewells Avenue, Dundee, Tayside, Scotland, DD1 9SY, UK; Department of Radiology, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK. 4. Gold Coast Radiology, Queensland, Australia.
Abstract
AIM: To produce short checklists of specific anatomical review sites for different regions of the body based on the frequency of radiological errors reviewed at radiology discrepancy meetings, thereby creating "evidence-based" review areas for radiology reporting. MATERIALS AND METHODS: A single centre discrepancy database was retrospectively reviewed from a 5-year period. All errors were classified by type, modality, body system, and specific anatomical location. Errors were assigned to one of four body regions: chest, abdominopelvic, central nervous system (CNS), and musculoskeletal (MSK). Frequencies of errors in anatomical locations were then analysed. RESULTS: There were 561 errors in 477 examinations; 290 (46%) errors occurred in the abdomen/pelvis, 99 (15.7%) in the chest, 117 (18.5%) in the CNS, and 125 (19.9%) in the MSK system. In each body system, the five most common location were chest: lung bases on computed tomography (CT), apices on radiography, pulmonary vasculature, bones, and mediastinum; abdominopelvic: vasculature, colon, kidneys, liver, and pancreas; CNS: intracranial vasculature, peripheral cerebral grey matter, bone, parafalcine, and the frontotemporal lobes surrounding the Sylvian fissure; and MSK: calvarium, sacrum, pelvis, chest, and spine. CONCLUSION: The five listed locations accounted for >50% of all perceptual errors suggesting an avenue for focused review at the end of reporting. Crown
AIM: To produce short checklists of specific anatomical review sites for different regions of the body based on the frequency of radiological errors reviewed at radiology discrepancy meetings, thereby creating "evidence-based" review areas for radiology reporting. MATERIALS AND METHODS: A single centre discrepancy database was retrospectively reviewed from a 5-year period. All errors were classified by type, modality, body system, and specific anatomical location. Errors were assigned to one of four body regions: chest, abdominopelvic, central nervous system (CNS), and musculoskeletal (MSK). Frequencies of errors in anatomical locations were then analysed. RESULTS: There were 561 errors in 477 examinations; 290 (46%) errors occurred in the abdomen/pelvis, 99 (15.7%) in the chest, 117 (18.5%) in the CNS, and 125 (19.9%) in the MSK system. In each body system, the five most common location were chest: lung bases on computed tomography (CT), apices on radiography, pulmonary vasculature, bones, and mediastinum; abdominopelvic: vasculature, colon, kidneys, liver, and pancreas; CNS: intracranial vasculature, peripheral cerebral grey matter, bone, parafalcine, and the frontotemporal lobes surrounding the Sylvian fissure; and MSK: calvarium, sacrum, pelvis, chest, and spine. CONCLUSION: The five listed locations accounted for >50% of all perceptual errors suggesting an avenue for focused review at the end of reporting. Crown