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Added value of interpreter experience in occult and suspect hip fractures: a retrospective analysis of 254 patients.

Collin, David; Göthlin, Jan H; Nilsson, Martin; Hellström, Mikael and Geijer, Mats LU (2016) In Emergency Radiology 23(3). p.229-234
Abstract
The influence of experience in categorizing suspect and occult fractures on radiography compared to MRI and clinical outcome has not been studied. The aim of this study is to evaluate the importance of experience in diagnosing normal or suspect hip radiographs compared to MRI. Primarily reported normal or suspect radiography in 254 patients with low-energy hip trauma and subsequent MRI was re-evaluated by two experienced reviewers. Primary readings and review were compared. The prevalence of fractures among normal and suspect radiographic studies was assessed. Clinical outcome was used as reference. At review of radiography, 44 fractures (17 %) were found. Significantly more fractures were found among suspect cases than among normal cases.... (More)
The influence of experience in categorizing suspect and occult fractures on radiography compared to MRI and clinical outcome has not been studied. The aim of this study is to evaluate the importance of experience in diagnosing normal or suspect hip radiographs compared to MRI. Primarily reported normal or suspect radiography in 254 patients with low-energy hip trauma and subsequent MRI was re-evaluated by two experienced reviewers. Primary readings and review were compared. The prevalence of fractures among normal and suspect radiographic studies was assessed. Clinical outcome was used as reference. At review of radiography, 44 fractures (17 %) were found. Significantly more fractures were found among suspect cases than among normal cases. At MRI, all 44 fractures were confirmed, and further 64 fractures were detected (25 %). MRI detected all fractures with no missed fractures revealed at follow-up. There were a significantly higher proportion of fractures at MRI among the suspect radiographic diagnoses for both the primary report and at review than among occult cases. The more experienced reviewers classified radiography examinations with higher accuracy than primary reporting general radiologists. There was almost complete agreement on MRI diagnoses. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Emergency Radiology
volume
23
issue
3
pages
229 - 234
publisher
Springer
external identifiers
  • pmid:26914806
  • scopus:84971507040
  • wos:000379640900004
ISSN
1438-1435
DOI
10.1007/s10140-016-1385-2
language
English
LU publication?
yes
id
6ed522da-9ea5-4793-8e65-f2177f27b48f (old id 8821661)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26914806?dopt=Abstract
date added to LUP
2016-03-02 09:57:46
date last changed
2017-01-01 06:25:56
@article{6ed522da-9ea5-4793-8e65-f2177f27b48f,
  abstract     = {The influence of experience in categorizing suspect and occult fractures on radiography compared to MRI and clinical outcome has not been studied. The aim of this study is to evaluate the importance of experience in diagnosing normal or suspect hip radiographs compared to MRI. Primarily reported normal or suspect radiography in 254 patients with low-energy hip trauma and subsequent MRI was re-evaluated by two experienced reviewers. Primary readings and review were compared. The prevalence of fractures among normal and suspect radiographic studies was assessed. Clinical outcome was used as reference. At review of radiography, 44 fractures (17 %) were found. Significantly more fractures were found among suspect cases than among normal cases. At MRI, all 44 fractures were confirmed, and further 64 fractures were detected (25 %). MRI detected all fractures with no missed fractures revealed at follow-up. There were a significantly higher proportion of fractures at MRI among the suspect radiographic diagnoses for both the primary report and at review than among occult cases. The more experienced reviewers classified radiography examinations with higher accuracy than primary reporting general radiologists. There was almost complete agreement on MRI diagnoses.},
  author       = {Collin, David and Göthlin, Jan H and Nilsson, Martin and Hellström, Mikael and Geijer, Mats},
  issn         = {1438-1435},
  language     = {eng},
  month        = {02},
  number       = {3},
  pages        = {229--234},
  publisher    = {Springer},
  series       = {Emergency Radiology},
  title        = {Added value of interpreter experience in occult and suspect hip fractures: a retrospective analysis of 254 patients.},
  url          = {http://dx.doi.org/10.1007/s10140-016-1385-2},
  volume       = {23},
  year         = {2016},
}