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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticlePractice PerspectivesF

Quality Control in Neuroradiology: Discrepancies in Image Interpretation among Academic Neuroradiologists

L.S. Babiarz and D.M. Yousem
American Journal of Neuroradiology January 2012, 33 (1) 37-42; DOI: https://doi.org/10.3174/ajnr.A2704
L.S. Babiarz
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D.M. Yousem
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Tables

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    Table 1:

    Five-point scale used in scoring discrepancies between the original report and the second opinion reading of a study

    Point ScaleVerbal Descriptor
    1No change
    2Detection discrepancy, not clinically significant
    3Interpretation discrepancy, not clinically significant
    4Detection discrepancy, clinically significant
    5Interpretation discrepancy, clinically significant
    • View popup
    Table 2:

    Final distribution of discrepancy scores

    ScoreNo. of Studies% Total
    187687.6
    2757.5
    3292.9
    4141.4
    560.6
    1, 2, and 398098.0
    4 and 5202.0
    Total1000100.0
    • View popup
    Table 3:

    Discrepant cases (scores of 4 or 5)

    Discrepancy CategoryDiscrepancy Score (4 or 5)Imaging Study Type
    Vasculara5MR brain
    Vasculara4CT angiogram
    Vasculara4MR brain
    Vasculara4MR brain
    Vasculara4MR brain
    Vasculara4MR brain
    Vasculara4MR venogram
    Congenital5CT brain
    Congenital5CT brain
    Neoplasmb5CT brain
    Neoplasmb5MR brain
    Neoplasmb5MR brain
    Neoplasmb4CT brain
    Neoplasmb4CT brain
    Neoplasmb4MR brain
    Neoplasmb4MR brain
    Neoplasmb4MR neck
    Neoplasmb4MR spine
    Artifacts5CT brain
    Artifacts4CT brain
    • ↵a Aneurysms or venous clots.

    • ↵b New lesions or the extent of disease progression.

    • View popup
    Table 4:

    Individual discrepancy rates

    ReviewerTotal Studies ReadScores of 4 and 5Discrepancy Rate
    A2627.7%
    B1616.3%
    C2214.5%
    D4524.4%
    E4924.1%
    F5923.4%
    G6023.3%
    H11132.7%
    I5811.7%
    J6811.5%
    K6911.4%
    L11410.9%
    M14410.7%
    N400.0%
    O8400.0%
    P6500.0%
    Q200.0%
    R400.0%
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American Journal of Neuroradiology: 33 (1)
American Journal of Neuroradiology
Vol. 33, Issue 1
1 Jan 2012
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L.S. Babiarz, D.M. Yousem
Quality Control in Neuroradiology: Discrepancies in Image Interpretation among Academic Neuroradiologists
American Journal of Neuroradiology Jan 2012, 33 (1) 37-42; DOI: 10.3174/ajnr.A2704

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Quality Control in Neuroradiology: Discrepancies in Image Interpretation among Academic Neuroradiologists
L.S. Babiarz, D.M. Yousem
American Journal of Neuroradiology Jan 2012, 33 (1) 37-42; DOI: 10.3174/ajnr.A2704
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