Interpretation of bedside chest X-rays in the ICU: is the radiologist still needed?

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• 作者：Katharina Martini^a ; ^{Katharina.Martini@usz.ch" class="auth_mail" title="E-mail the corresponding author} ; Christoph Ganter^b ; ^{christoph.ganter@usz.ch" class="auth_mail" title="E-mail the corresponding author} ; Marco Maggiorini^b ; ^{marco.maggiorini@usz.ch" class="auth_mail" title="E-mail the corresponding author} ; Anna Winklehner^a ; ^{winklehner.anna@usz.ch" class="auth_mail" title="E-mail the corresponding author} ; Katarzyna E. Leupi-Skibinski^c ; ¹ ; ^{kathrin.leupi@gmx.ch" class="auth_mail" title="E-mail the corresponding author} ; Thomas Frauenfelder^a ; ^{thomas.frauenfelder@usz.ch" class="auth_mail" title="E-mail the corresponding author} ; Thi Dan Linh Nguyen-Kim^a ; ^{thidanlinh.nguyen@usz.ch" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Bedside chest X-ray ; ICU patients ; Interreader variability ; Diagnostic accuracy ; Interpretation
• 刊名：Clinical Imaging
• 出版年：2015
• 出版时间：November-December 2015
• 年：2015
• 卷：39
• 期：6
• 页码：1018-1023
• 全文大小：958 K

文摘

To compare diagnostic accuracy of intensivists to radiologists in reading bedside chest X-rays.

Methods

In a retrospective trial, 33 bedside chest X-rays were evaluated by five radiologists and five intensivists with different experience. Images were evaluated for devices and lung pathologies. Interobserver agreement and diagnostic accuracy were calculated. Computed tomography served as reference standard.

Results

Seniors had higher diagnostic accuracy than residents (mean-ExpB_Senior= 1.456; mean-ExpB_Resident= 1.635). Interobserver agreement for installations was more homogenously distributed between radiologists compared to intensivists (ExpB_Rad= 1.204–1.672; ExpB_Int= 1.005–2.368). Seniors had comparable diagnostic accuracy.

Conclusion

No significant difference in diagnostic performance was seen between seniors of both disciplines, whereas the resident intensivists might still benefit from an interdisciplinary dialogue.