JACR® December Highlights
Cost-Effectiveness Analysis in Radiology: A Systematic Review
Cost-effectiveness analysis and similar tools are important for assisting radiologists and clinicians to make informed decisions regarding patient care. Just as importantly, they may influence institutional or government policy. However, there is little standardization of methodology in these types of analyses, which limits reproducibility and can lead to controversy. The authors in this study attempt to review the current literature to discern which models which may be the most useful.
The Effect of Computer-Assisted Reporting on Interreader Variability of Lumbar Spine MRI Degenerative Findings: Five Readers With 30 Disc Levels
This study examines interreader variability among radiologists interpreting degenerative disc disease on lumbar spine MRI after implementation of a computer-assisted reporting (CAR) tool. Five fellowship-trained MSK radiologists assessed the L4-L5 discs on 30 separate MRI studies. The initial assessment was performed with a traditional free-dictation method, while a subsequent interpretation was performed one month later using a web-based CAR tool. Statistically significant decreases in interreader variability was seen in the evaluation of neural foraminal stenosis and facet joint disease.
Radiologists’ Experience With Patient Interactions in the Era of Open Access of Patients to Radiology Reports
A survey of staff and trainee radiologists’ interaction with patients at an academic medical center was conducted. Respondents were organized by age, level of training, and subspecialty of practice. The survey included the amount of time spent with patients, the form of said interactions, as well as hypothetical responses to fictional clinical scenarios. The vast majority of respondents found patient interactions to be a satisfying experience, while a small majority desired a greater degree of patient interaction than they currently experienced. Radiologists practicing in mammography and IR were significantly more likely to desire increased patient interaction.
Discrepancies in Radiograph Interpretation Between Pediatric Radiologists and Pediatric Intensivists in the Pediatric or Neonatal ICU
This study attempts to quantify and classify discrepancies in interpretation between clinicians and radiologists in pediatric or neonatal ICU patients. Preliminary chest and abdominal radiograph interpretations by clinicians were recorded online and then compared to the final reports from the pediatric radiologists. The total discrepancy rate was approximately 35 percent, however, only 8 percent of these were deemed “actionable.” The most common discrepancies included mischaracterization of neonatal lung disease or atelectasis, while the most common actionable discrepancies were line/tube position and interpretation of parenchymal lung opacities.