Indices of agreement between neurosurgeons and a radiologist in interpreting tomography scans in an emergency department

التفاصيل البيبلوغرافية
العنوان: Indices of agreement between neurosurgeons and a radiologist in interpreting tomography scans in an emergency department
المؤلفون: Júlio Leonardo Barbosa Pereira, Patrícia Dias, Pollyana Magalhães, Marcos Bicalho, Jules Carlos Dourado, Marcos Dellaretti, Gervásio Teles Cardos de Carvalho, Lucas Alverne Freitas de Albuquerque, Laura Alves de Souza Dias
المصدر: Arquivos de Neuro-Psiquiatria, Volume: 73, Issue: 8, Pages: 688-691, Published: AUG 2015
Arquivos de Neuro-Psiquiatria, Vol 73, Iss 8, Pp 688-691 (2015)
Arquivos de Neuro-Psiquiatria v.73 n.8 2015
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO
بيانات النشر: Academia Brasileira de Neurologia - ABNEURO, 2015.
سنة النشر: 2015
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Adolescent, education, Computed tomography, cranial trauma, tomography, lcsh:RC321-571, Young Adult, radiologistas, Reference Values, tomografia, neurocirurgiões, Medical Staff, Hospital, medicine, Humans, Child, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Aged, Aged, 80 and over, Observer Variation, Brain Diseases, medicine.diagnostic_test, business.industry, Skull, Infant, Newborn, Leukoaraiosis, Infant, Emergency department, Middle Aged, medicine.disease, Hydrocephalus, Cranial trauma, Neurosurgeons, Neurology, neurosurgeons, Child, Preschool, Female, Neurology (clinical), Radiology, Tomography, radiologists, Emergency Service, Hospital, Tomography, X-Ray Computed, business, trauma craniano
الوصف: The power of interpretation in the analysis of cranial computed tomography (CCT) among neurosurgeons and radiologists has rarely been studied. This study aimed to assess the rate of agreement in the interpretation of CCTs between neurosurgeons and a radiologist in an emergency department. Method 227 CCT were independently analyzed by two neurosurgeons (NS1 and NS2) and a radiologist (RAD). The level of agreement in interpreting the examination was studied. Results The Kappa values obtained between NS1 and NS2 and RAD were considered nearly perfect and substantial agreement. The highest levels of agreement when evaluating abnormalities were observed in the identification of tumors, hydrocephalus and intracranial hematomas. The worst levels of agreement were observed for leukoaraiosis and reduced brain volume. Conclusions For diseases in which the emergency room procedure must be determined, agreement in the interpretation of CCTs between the radiologist and neurosurgeons was satisfactory. O poder de interpretação na análise de tomografias de crânio (TCC) entre neurocirurgiões e radiologistas tem sido pouco estudada. O objetivo deste estudo é avaliar as taxas de concordância na interpretação de TCCs entre neurocirugiões e radiologista em um departamento de emergência. Método 227 TCCs foram independentemente analizadas por 2 neurocirugiões (NC1 e NC2) e um radiologista(RAD). O índice de concordância nas análises foi estudada posteriormente. Resultados O valor de Kappa obtido entre os NC1 e NC 2 e entre estes e RAD foram quase perfeitos e substancial respectivamente. O maiores índices de concordância quando avaliadas anormalidades foram observados na identificação de tumores, hidrocefalia e hematomas intracranianos. O piores índices foram observados com relação a leucaraiose e redução volumétrica. Conclusão Para doenças apresentadas em um departamento emergência que demandam tratamento mais agressivo o índice de concordância na interpretação de TCCs entre RAD e NC foi satisfatório.
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اللغة: English
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::81659cba3d9ecae406bedeedf0a314ceTest
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000800688&lng=en&tlng=enTest
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....81659cba3d9ecae406bedeedf0a314ce
قاعدة البيانات: OpenAIRE