Variability in chest radiology interpretation between thoracic and non-thoracic radiologists: Implications for pulmonary fibrosis care - 22/11/24
Doi : 10.1016/j.rmed.2024.107824
Daniel M. Guidot a, b, ⁎ 
, Danielle Seaman c, Roy A. Pleasants d, e, Armando Bedoya b, f, Robert M. Tighe b, f, Bhavika Kaul g, h, i
, Danielle Seaman c, Roy A. Pleasants d, e, Armando Bedoya b, f, Robert M. Tighe b, f, Bhavika Kaul g, h, i a Geriatrics Research Education and Care Center, Durham VA Medical Center, Durham, NC, USA
b Division of Pulmonary and Critical Care, Duke University Medical Center, Durham, NC, USA
c Allegheny Health Network, Pittsburgh, PA, USA
d Marsico Lung Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
e Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA
f Division of Pulmonary, Durham VA Medical Center, Durham, NC, USA
g Veterans Affairs Center for Innovation in Quality, Effectiveness, and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA
h Baylor College of Medicine, Houston, TX, USA
i University of California San Francisco, San Francisco, CA, USA
⁎Corresponding author. 2035 Joshua Ln, Durham, NC, 27703, USA.2035 Joshua LnDurhamNC27703USA
Highlights |
• | In pulmonary fibrosis, CT detection of UIP is influenced by radiologist expertise. |
• | Thoracic radiologist overreads disagree strongly with real-world CT report findings. |
• | UIP or its components often not reported when present by thoracic radiologist read. |
• | When UIP present but not documented on reports, invasive diagnostic testing higher. |
• | In Veterans with pulmonary fibrosis, radiologist expertise could impact diagnosis. |
Keywords : Idiopathic pulmonary fibrosis (IPF), Computed tomography (CT), Diagnosis, Variability, Radiologist expertise, Health services
Plan
© 2024
Publié par Elsevier Masson SAS.
Vol 234
Article 107824- novembre 2024 Retour au numéro
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