EFFECT OF CLINICAL HISTORY ON THE INTERPRETATION OF CHEST RADIOGRAPHS IN CHILDHOOD BRONCHIOLITIS
EFFECT OF CLINICAL HISTORY ON THE INTERPRETATION OF CHEST RADIOGRAPHS IN CHILDHOOD BRONCHIOLITIS
复制标题
DOI：
10.1097/00004424-199303000-00005
复制
发表时间：
1993-03-01
影响因子：
6.7
通讯作者：
COBLENTZ, CL
中科院分区：
文献类型：
--
作者：
BABCOOK, CJ;NORMAN, GR;COBLENTZ, CL
原理和说明。本研究评估了“毛细支气管炎"与”健康儿童“的临床病史对小儿胸片解释的影响。放射科医生回顾了以前被确定为“明确的细支气管炎”、“可疑的细支气管炎”、“明确的正常”和“可疑的正常”的X光片。他们被要求识别细支气管炎的特征，并给出诊断的置信水平。对于所有明确和一半不明确的X线片，提供了“细支气管炎”或“健康儿童”的正确临床病史。另一半可疑的X线片与不正确的病史相匹配。如果有正常的X线片和毛细支气管炎病史，放射科医师报告的毛细支气管炎的特征更多，可信度也更高。结果表明，历史的影响是不是简单地提供额外的确认信息，从而提高诊断评级，而是改变功能的解释，甚至在正常的X光片的功能显然是看到的程度。
RATIONALE AND OBJECTIVES. This study assesses the effect of a clinical history of ''bronchiolitis'' versus ''well child'' on the interpretation of pediatric chest radiographs.METHODS. Radiologists reviewed radiographs previously identified as ''definite bronchiolitis,'' ''equivocal bronchiolitis,'' ''definite normal,'' and ''equivocal normal.'' They were asked to identify features of bronchiolitis and give a confidence level for their diagnosis. A correct clinical history of ''bronchiolitis'' or a ''well child'' was provided for all definite and half the equivocal radiographs. The other half of the equivocal radiographs were matched with incorrect histories.RESULTS. Given normal radiographs with a history of bronchiolitis, radiologists reported more features of bronchiolitis with increased confidence and also more features.CONCLUSIONS. The results suggest that the effect of history is not simply to provide additional confirmatory information, thereby increasing the diagnosis rating, but rather to change the interpretation of features, to the extent that features apparently are seen even on normal radiographs.