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10.1016/j.radi.2020.06.010

http://scihub22266oqcxt.onion/10.1016/j.radi.2020.06.010
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32591286!7301077!32591286
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suck abstract from ncbi


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pmid32591286      Radiography+(Lond) 2021 ; 27 (1): 90-94
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  • Reporting radiographers interpretation and use of the British Society of Thoracic Imaging s coding system when reporting COVID-19 chest x-rays #MMPMID32591286
  • Stevens BJ
  • Radiography (Lond) 2021[Feb]; 27 (1): 90-94 PMID32591286show ga
  • INTRODUCTION: The United Kingdom (UK) has experienced one of the worst initial waves of the COVID-19 pandemic. Clinical signs help guide initial diagnosis, though definitive diagnosis is made using the laboratory technique reverse transcription polymerase chain reaction (RT-PCR). The chest x-ray (CXR) is used as the primary imaging investigation in the United Kingdom (UK) for patients with suspected COVID-19. In some hospitals these CXRs may be reported by a radiographer. METHODS: Retrospective review of CXR reports by radiographers for suspected COVID-19 patients attending the Emergency Department (ED) of a hospital in the UK. Interpretation and use of the British Society of Thoracic Imaging (BSTI) coding system was assessed. Report description and code use were cross-checked. Report and code usage were checked against the RT-PCR result to determine accuracy. Report availability was checked against the availability of the RT-PCR result. A confusion matrix was utilised to determine performance. The data were analysed manually using Excel. RESULTS: Sample size was 320 patients; 54.1% male patients (n = 173), 45.9% female patients (n = 147). The correct code matched report descriptions in 316 of the 320 cases (98.8%). In 299 of the 320 cases (93.4%), the reports were available before the RT-PCR swab result. CXR sensitivity for detecting COVID-19 was 85% compared to 93% for the initial RT-PCR. CONCLUSION: Reporting radiographers can adequately utilise and apply the BSTI classification system when reporting COVID-19 CXRs. They can recognise the classic CXR appearances of COVID-19 and those with normal appearances. Future best practice includes checking laboratory results when reporting CXRs with ambiguous appearances. IMPLICATIONS FOR PRACTICE: Utilisation of reporting radiographers to report CXRs in any future respiratory pandemic should be considered a service-enabling development.
  • |*Radiography, Thoracic[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*diagnostic imaging[MESH]
  • |Clinical Coding/*standards[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Radiographic Image Interpretation, Computer-Assisted/*standards[MESH]
  • |Research Design/standards[MESH]
  • |Retrospective Studies[MESH]
  • |Societies, Medical[MESH]
  • |United Kingdom[MESH]


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