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

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dc.contributor.author Yuji Verrastro, Carlos Gustavo [UNIFESP]
dc.contributor.author Antunes, Viviane Baptista [UNIFESP]
dc.contributor.author Jasinowodolinski, Dany
dc.contributor.author D'Ippolito, Giuseppe [UNIFESP]
dc.contributor.author Portes Meirelles, Gustavo de Souza [UNIFESP]
dc.date.accessioned 2020-08-21T17:00:04Z
dc.date.available 2020-08-21T17:00:04Z
dc.date.issued 2016
dc.identifier http://dx.doi.org/10.1097/RCT.0000000000000344
dc.identifier.citation Journal Of Computer Assisted Tomography. Philadelphia, v. 40, n. 2, p. 248-255, 2016.
dc.identifier.issn 0363-8715
dc.identifier.uri https://repositorio.unifesp.br/handle/11600/57856
dc.description.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. en
dc.format.extent 248-255
dc.language.iso eng
dc.publisher Lippincott Williams & Wilkins
dc.relation.ispartof Journal Of Computer Assisted Tomography
dc.rights Acesso restrito
dc.subject interstitial lung diseases en
dc.subject idiopathic interstitial pneumonias en
dc.subject x-ray computed tomography en
dc.subject computer-assisted radiographic image interpretation en
dc.subject differential diagnosis en
dc.title High-Resolution Computed Tomography in the Diagnosis of Diffuse Parenchymal Lung Diseases: Is it Possible to Improve Radiologist's Performance? en
dc.type Artigo
dc.description.affiliation Univ Fed Sao Paulo UNIFESP, Dept Radiol, 480 Piassanguaba Av, BR-04060000 Sao Paulo, SP, Brazil
dc.description.affiliation Fleury, Dept Radiol, Sao Paulo, Brazil
dc.description.affiliation HCor, Dept Radiol, Sao Paulo, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo UNIFESP, Dept Radiol, 480 Piassanguaba Av, BR-04060000 Sao Paulo, SP, Brazil
dc.identifier.doi 10.1097/RCT.0000000000000344
dc.description.source Web of Science
dc.identifier.wos WOS:000373455100011
dc.coverage Philadelphia
dc.citation.volume 40
dc.citation.issue 2



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