TY - JOUR
T1 - Evidence-based anatomical review areas derived from systematic analysis of cases from a radiological departmental discrepancy meeting
AU - Chin, S. C.
AU - Weir-McCall, J. R.
AU - Yeap, P. M.
AU - White, R. D.
AU - Budak, M. J.
AU - Duncan, G.
AU - Oliver, T. B.
AU - Zealley, I. A.
N1 - No funding info
PY - 2017/10
Y1 - 2017/10
N2 - 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.
AB - 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.
U2 - 10.1016/j.crad.2017.06.001
DO - 10.1016/j.crad.2017.06.001
M3 - Article
C2 - 28687168
SN - 0009-9260
VL - 72
SP - 902.e1-902.e12
JO - Clinical Radiology
JF - Clinical Radiology
IS - 10
ER -