High-Resolution Computed Tomography in the Diagnosis of Diffuse Parenchymal Lung Diseases: Is it Possible to Improve Radiologist's Performance?

High-Resolution Computed Tomography in the Diagnosis of Diffuse Parenchymal Lung Diseases: Is it Possible to Improve Radiologist's Performance?

Author Yuji Verrastro, Carlos Gustavo Autor UNIFESP Google Scholar
Antunes, Viviane Baptista Autor UNIFESP Google Scholar
Jasinowodolinski, Dany Google Scholar
D'Ippolito, Giuseppe Autor UNIFESP Google Scholar
Portes Meirelles, Gustavo de Souza Autor UNIFESP Google Scholar
Abstract Objective The aims of this study were to assess the concordance between high-resolution computed tomography (HRCT) diagnostic hypotheses (DH) and final diagnosis in patients with diffuse lung disease and to evaluate whether clinical data or the radiologist's degree of certainty influence concordance. Methods Concordances between first and any one of radiologists' DH and final diagnosis were assessed before and after access to clinical data, with study of importance of degree of certainty in the DH formulated. Results Concordances of HRCT DH and final diagnosis were 48% and 76%, respectively, considering first or any of the DH without access to clinical data. Accessing clinical data improved concordance especially for hypersensitivity pneumonitis. Diagnostic hypotheses formulated with high degree of confidence were correct in 69% of cases. Conclusions First HRCT DH was concordant with final diagnosis in approximately half of cases, increasing to approximately 75% when considering any 1 of the 3 DH. Radiologists' knowledge of clinical data or increased degree of certainty improved concordance of HRCT DH and the final diagnosis.
Keywords interstitial lung diseases
idiopathic interstitial pneumonias
x-ray computed tomography
computer-assisted radiographic image interpretation
differential diagnosis
xmlui.dri2xhtml.METS-1.0.item-coverage Philadelphia
Language English
Date 2016
Published in Journal Of Computer Assisted Tomography. Philadelphia, v. 40, n. 2, p. 248-255, 2016.
ISSN 0363-8715 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 248-255
Origin http://dx.doi.org/10.1097/RCT.0000000000000344
Access rights Closed access
Type Article
Web of Science ID WOS:000373455100011
URI https://repositorio.unifesp.br/handle/11600/57856

Show full item record




File

File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account