The influence of clinical information on the reporting of CT by radiologists
The influence of clinical information on the reporting of CT by radiologists
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DOI：
10.1259/bjr.73.874.11271897
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发表时间：
2000-10-01
影响因子：
2.6
通讯作者：
Goddard, PR
中科院分区：
文献类型：
--
作者：
Leslie, A;Jones, AJ;Goddard, PR
该研究的目的是确定临床信息是否会改变CT报告。这项前瞻性设盲研究包括50名连续患者，他们在放射科接受CT检查。每项研究由三名顾问放射科医生中的两名在了解临床信息之前和之后进行解释。19份报告在了解临床信息后进行了变更。15例病例获得临床随访。在10例病例中，报告在临床信息后更准确，在5例病例中，报告不太准确。在准确性降低的5例病例中，有3例的临床信息不正确。结论是临床信息影响CT报告。如果信息是准确的，它会产生有益的影响;如果信息是不准确的，它会产生有害的影响。研究越复杂，临床信息越重要。关于临床信息的影响，读者之间存在相关性。因此，正确的临床信息可以改善放射学报告。临床医生有责任以准确、清晰的形式提供这些信息。
The aim of the study was to determine whether clinical information alters the CT report. This prospective blinded study consisted of 50 consecutive patients who attended a Department of Radiology for CT. Each study was interpreted by two of three consultant radiologists, before and after knowledge of the clinical information. 19 reports were changed after clinical information was known. Clinical follow-up was available in 15 cases. In ten cases the reports were more accurate after clinical information and in five cases the reports were less accurate. In three of the five cases where accuracy was reduced, the clinical information was incorrect. It was concluded that clinical information affects the CT report. If the information is accurate it has a beneficial effect: if it is inaccurate it has a detrimental effect. The more complex the investigation, the more important the clinical information. There was a correlation between readers regarding the influence of clinical information. Correct clinical information therefore improves the radiology report. It is the responsibility of the clinician to provide this information in an accurate and legible form.