Interobserver agreement between radiologists and radiology residents and emergency physicians in the detection of PE using CTPA

被引：11

作者：

Hochhegger, Bruno ^{[1
]}

Alves, Giordano R. T. ^{[2
]}

Chaves, Marcus ^{[3
]}

Moreira, Ana Luiza ^{[3
]}

Kist, Renato ^{[1
]}

Watte, Guilherme ^{[1
]}

Moreira, Jose S. ^{[3
]}

Irion, Klaus L. ^{[4
]}

Marchiori, Edson ^{[5
]}

机构：

[1] Fed Univ Hlth Sci Porto Alegre, Med Imaging Res Lab, BR-90020090 Porto Alegre, RS, Brazil

[2] Univ Fed Rio de Janeiro, Postgrad Program Med Radiol, BR-21941901 Rio De Janeiro, Brazil

[3] Santa Casa Healthcare Complex Porto Alegre, Div Pulm Med, BR-90020090 Porto Alegre, RS, Brazil

[4] Liverpool Heart & Chest Hosp NHS Fdn Trust, Dept Radiol, Liverpool L14 3PE, Merseyside, England

[5] Univ Fed Rio de Janeiro, Dept Radiol, BR-21941901 Rio De Janeiro, Brazil

来源：

CLINICAL IMAGING | 2014年 / 38卷 / 04期

关键词：

Pulmonary embolism; Computed tomography pulmonary angiography; Interobserver agreement; Lung diseases; MULTIDETECTOR COMPUTED-TOMOGRAPHY; SUSPECTED PULMONARY-EMBOLISM; HELICAL CT; DIAGNOSIS;

D O I：

10.1016/j.clinimag.2014.03.001

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Objective: To assess interobserver agreement between thoracic radiologists, radiology residents, and emergency physicians in diagnosing pulmonary embolism (PE). Materials and methods: Emergency physicians, radiology residents, and thoracic radiologists evaluated 123 computed tomography pulmonary angiography images. Interobserver agreement was analysed using kappa statistics. Results: Very good agreements were observed between thoracic radiologists and radiology residents (0.81 and 0.82). Fair and moderate agreements (0.39 and 0.42) were demonstrated between emergency physicians and thoracic radiologists. Conclusions: Important differences in interobserver agreement were found, with emergency physicians tending to overdiagnose PE. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：445 / 447

页数：3

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