Assessment of physicians' proficiency in reading chest radiographs for pneumoconiosis, based on a 60-film examination set with two factors constituting eight indices.

Assessment of physicians' proficiency in reading chest radiographs for pneumoconiosis, based on a 60-film examination set with two factors constituting eight indices.
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DOI:
10.2486/indhealth.2017-0115
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发表时间:
2018-10-03
期刊:
影响因子:
2
通讯作者:
Akira M
Akira M
中科院分区:
医学4区
文献类型:
--
作者:
Tamura T;Kusaka Y;Suganuma N;Suzuki K;Subhannachart P;Siriruttanapruk S;Dumavibhat N;Zhang X;Sishodiya PK;Thanh TA;Hering KG;Parker JE;Algranti E;O'Connor FS;Shida H;Akira M

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233名患者在亚洲尘肺强化阅片(AIR EQUIPO)研讨会上阅读了胸部X线图像(CXR)。使用以下8个指标(X1-X8)计算他们在阅读CXR中对尘肺的熟练程度:尘肺的敏感性(X1)和特异性(X2);大阴影的敏感性(X3)和特异性(X4);胸膜斑块的敏感性(X5)和特异性(X6);灌注增量一致性(X7);以及形状区分的一致性(X8)。对于这8个指标,根据参与者的专业,对6个组进行了单因素方差分析(ANOVA)和Scheffe多重比较:放射学,呼吸医学,工业医学,公共卫生,普通内科和杂项医生。我们的分析显示,放射科医生在X3、X5和X8的平均得分上与所有组(不包括放射科医生)相比有显著差异。在因子分析中,X1、X3、X5、X7和X8构成因子1,X2、X4和X6构成因子2。关于六个参与者组的因子得分,放射科医生的因子1的平均得分显著高于所有组,不包括放射科医生。这两个因素和八个指标可以用来恰当地评价专家的阅读能力。
Two hundred and thirty-three individuals read chest x-ray images (CXR) in the Asian Intensive Reader of Pneumoconiosis (AIR Pneumo) workshop. Their proficiency in reading CXR for pneumoconiosis was calculated using eight indices (X1–X8), as follows: sensitivity (X1) and specificity (X2) for pneumoconiosis; sensitivity (X3) and specificity (X4) for large opacities; sensitivity (X5) and specificity (X6) for pleural plaques; profusion increment consistency (X7); and consistency for shape differentiation (X8). For these eight indices, one-way analysis of variance (ANOVA) and Scheffe’s multiple comparison were conducted on six groups, based on the participants’ specialty: radiology, respiratory medicine, industrial medicine, public health, general internal medicine, and miscellaneous physicians. Our analysis revealed that radiologists had a significant difference in the mean scores of X3, X5, and X8, compared with those of all groups, excluding radiologists. In the factor analysis, X1, X3, X5, X7, and X8 constituted Factor 1, and X2, X4, and X6 constituted Factor 2. With regard to the factor scores of the six participant groups, the mean scores of Factor 1 of the radiologists were significantly higher than those of all groups, excluding radiologists. The two factors and the eight indices may be used to appropriately assess specialists’ proficiency in reading CXR.
DOI: 10.2486/indhealth.ms1315
发表时间: 2012-03-01
期刊: INDUSTRIAL HEALTH
影响因子: 2
作者:
Zhou, Huashi;Kusaka, Yukinori;Akira, Masanori
通讯作者: Akira, Masanori
DOI: 10.1007/s00420-012-0803-3
发表时间: 2013-08-01
影响因子: 3
作者:
Vehmas, Tapio;Pallasaho, Paula;Piirila, Paivi
通讯作者: Piirila, Paivi
DOI: 10.1177/001316446002000116
发表时间: 1960-01-01
影响因子: 2.7
作者:
KAISER, HF
通讯作者: KAISER, HF
DOI: 10.2486/indhealth.ms1316
发表时间: 2012-03-01
期刊: INDUSTRIAL HEALTH
影响因子: 2
作者:
Zhou, Huashi;Kusaka, Yukinori;Akira, Masanori
通讯作者: Akira, Masanori