The 60-Film Set with 8-index for Examining Physicians' Proficiency in Reading Pneumoconiosis Chest X-rays
The 60-Film Set with 8-index for Examining Physicians' Proficiency in Reading Pneumoconiosis Chest X-rays
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DOI：
10.2486/indhealth.ms1315
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发表时间：
2012-03-01
影响因子：
2
通讯作者：
Akira, Masanori
中科院分区：
文献类型：
--
作者：
Zhou, Huashi;Kusaka, Yukinori;Akira, Masanori
60片片组由专家（专家组）开发，用于检查8项指标：对尘肺病的敏感性（X-1）和特异性（X-2），对大浊斑的敏感性（X-3）和特异性（X-4），胸膜斑块的敏感性（X-5）和特异性（X-6），对小浊斑的浸润增量一致性（X-7），以及对小浊斑的形状分化（X-8），根据ILO 2000分类，医生对尘肺x射线的阅读技能。本研究的目的是评估评估医师阅读能力的考试影片的适当性。分别有29名医生（a1组）和24名医生（a2组）参加了第一届和第二届“亚洲尘肺精读者”（AIR Pneumo）培训班，22名医生（b组）参加了巴西培训班。训练结束后，他们参加了阅读60部电影的考试。采用参数不配对t检验比较考生组与专家组在8项指标上的阅读成绩。由a1组、a2组和b组组成的考生组在各指标上均逊于专家组。a1组X-7、a2组X-7、X-8与专家组比较差异无统计学意义（p < 0.05）。a1组X-8与a2组差异有统计学意义（p < 0.05）， X-3差异有统计学意义（p < 0.05）
The 60-film set was developed by experts (Expert Group) for examining 8 indices: sensitivity (X-1) and specificity (X-2) for pneumoconiosis, sensitivity(X-3) and specificity for (X-4) large opacities, sensitivity (X-5) and specificity (X-6) for pleural plaque, profusion increment consistency for small opacities (X-7), and shape differentiation for small opacities (X-8) of physicians' reading skills on pneumoconiosis X-ray according to ILO 2000 Classification. The aim of this study was to assess the appropriateness of the exam film set for evaluating physicians' reading skills. 29 physicians (A1-Group) and 24 physicians (A2-Group) attended the 1st and 2nd "Asian Intensive Reader of Pneumoconioses" (AIR Pneumo) training course, respectively, and 22 physicians (B-Group) attended Brazilian training course. After training, they took examination of reading 60-film exam set. The examinees' reading results in terms of 8 indices were compared between the examinee groups and the Expert Group by parametric unpaired t-test. The Examinee Group consisting of A1-Group, A2-Group and B-Group was inferior to the Expert Group in all indices. There was no significant difference for X-7 of A1-Group, X-7 and X-8 of A2-Group (p > 0.05) compared with the Expert Group. There was a significant difference in X-8 at p < 0.05 between A1-Group and A2-Group, in X-3 at p