Title |
Indices of agreement between neurosurgeons and a radiologist in interpreting tomography scans in an emergency department
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Published in |
Arquivos de Neuro-Psiquiatria, August 2015
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DOI | 10.1590/0004-282x20150080 |
Pubmed ID | |
Authors |
Jules Carlos Dourado, Júlio Leonardo Barbosa Pereira, Lucas Alverne Freitas de Albuquerque, Gervásio Teles Cardos de Carvalho, Patrícia Dias, Laura Dias, Marcos Bicalho, Pollyana Magalhães, Marcos Dellaretti |
Abstract |
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. |
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Scientists | 1 | 100% |
Mendeley readers
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Student > Doctoral Student | 2 | 13% |
Other | 2 | 13% |
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Social Sciences | 1 | 6% |
Other | 1 | 6% |
Unknown | 4 | 25% |