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A decision support system improves the interpretation of myocardial perfusion imaging.

Tägil, Kristina LU ; Bondouy, M; Chaborel, J; Djaballah, W; Franken, P; Grandpierre, S; Hesse, B; Lomsky, M; Marie, P and Poisson, T, et al. (2008) In European Journal of Nuclear Medicine and Molecular Imaging 35(9). p.1602-1607
Abstract
PURPOSE: The aim of this study was to investigate the influence of a computer-based decision support system (DSS) on performance and inter-observer variability of interpretations regarding ischaemia and infarction in myocardial perfusion scintigraphy (MPS). METHODS: Seven physicians independently interpreted 97 MPS studies, first without and then with the advice of a DSS. Four physicians had long experience and three had limited experience in the interpretation of MPS. Each study was interpreted regarding myocardial ischaemia and infarction in five myocardial regions. The patients had undergone a gated MPS using a 2-day stress/gated rest (99m)Tc sestamibi protocol. The gold standard used was the interpretations made by one experienced... (More)
PURPOSE: The aim of this study was to investigate the influence of a computer-based decision support system (DSS) on performance and inter-observer variability of interpretations regarding ischaemia and infarction in myocardial perfusion scintigraphy (MPS). METHODS: Seven physicians independently interpreted 97 MPS studies, first without and then with the advice of a DSS. Four physicians had long experience and three had limited experience in the interpretation of MPS. Each study was interpreted regarding myocardial ischaemia and infarction in five myocardial regions. The patients had undergone a gated MPS using a 2-day stress/gated rest (99m)Tc sestamibi protocol. The gold standard used was the interpretations made by one experienced nuclear medicine specialist on the basis of all available clinical and image information. RESULTS: The sensitivity for ischaemia of the seven readers increased from 81% without the DSS to 86% with the DSS (p = 0.01). The increase in sensitivity was higher for the three inexperienced physicians (9%) than for the four experienced physicians (2%). There was no significant change in specificity between the interpretations. The interpretations of ischaemia made with the advice of the DSS showed less inter-observer variability than those made without advice. CONCLUSION: This study shows that a DSS can improve performance and reduces the inter-observer variability of interpretations in myocardial perfusion imaging. Both experienced and, especially, inexperienced physicians can improve their interpretation with the advice from such a system. (Less)
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European Journal of Nuclear Medicine and Molecular Imaging
volume
35
issue
9
pages
1602 - 1607
publisher
Springer
external identifiers
  • wos:000258673800003
  • pmid:18491090
  • scopus:50449101704
ISSN
1619-7070
DOI
10.1007/s00259-008-0807-0
language
English
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yes
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c952831f-ef50-4ff8-9ecf-22b3218c354b (old id 1153940)
date added to LUP
2009-01-09 14:40:44
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2017-01-01 04:35:16
@article{c952831f-ef50-4ff8-9ecf-22b3218c354b,
  abstract     = {PURPOSE: The aim of this study was to investigate the influence of a computer-based decision support system (DSS) on performance and inter-observer variability of interpretations regarding ischaemia and infarction in myocardial perfusion scintigraphy (MPS). METHODS: Seven physicians independently interpreted 97 MPS studies, first without and then with the advice of a DSS. Four physicians had long experience and three had limited experience in the interpretation of MPS. Each study was interpreted regarding myocardial ischaemia and infarction in five myocardial regions. The patients had undergone a gated MPS using a 2-day stress/gated rest (99m)Tc sestamibi protocol. The gold standard used was the interpretations made by one experienced nuclear medicine specialist on the basis of all available clinical and image information. RESULTS: The sensitivity for ischaemia of the seven readers increased from 81% without the DSS to 86% with the DSS (p = 0.01). The increase in sensitivity was higher for the three inexperienced physicians (9%) than for the four experienced physicians (2%). There was no significant change in specificity between the interpretations. The interpretations of ischaemia made with the advice of the DSS showed less inter-observer variability than those made without advice. CONCLUSION: This study shows that a DSS can improve performance and reduces the inter-observer variability of interpretations in myocardial perfusion imaging. Both experienced and, especially, inexperienced physicians can improve their interpretation with the advice from such a system.},
  author       = {Tägil, Kristina and Bondouy, M and Chaborel, J and Djaballah, W and Franken, P and Grandpierre, S and Hesse, B and Lomsky, M and Marie, P and Poisson, T and Edenbrandt, Lars},
  issn         = {1619-7070},
  language     = {eng},
  number       = {9},
  pages        = {1602--1607},
  publisher    = {Springer},
  series       = {European Journal of Nuclear Medicine and Molecular Imaging},
  title        = {A decision support system improves the interpretation of myocardial perfusion imaging.},
  url          = {http://dx.doi.org/10.1007/s00259-008-0807-0},
  volume       = {35},
  year         = {2008},
}