Purpose The purpose of this study was to describe a new, physicians was substantial (κ =0.73, p < 0.0001) and agree- broadly applicable radiology report categorization ment for each category was substantial (all κ >0.60, (RADCAT) system that was developed collaboratively be- p < 0.0001). The lowest agreement was observed with tween radiologists and emergency department (ED) physi- RADCAT-3 (κ >0.61, p < 0.0001) and the highest agreement cians, and to establish its usability and performance by inter- with RADCAT-1 (κ > 0.85, p < 0.0001). A high trend in observer variation. agreement was observed for radiologists and ED physicians Methods In collaboration with our ED colleagues, we devel- and their combination (all W >0.90, p <0.0001). oped the RADCAT system for all imaging studies performed Conclusions Our RADCAT system is understandable be- in our level-1 trauma center, including five categories that tween radiologists and ED physicians for categorizing a wide span the spectrum of normal through emergent life- range of imaging studies, and warrants further assessment and threatening findings. During a pilot phase, four radiologists validation. Based upon these pilot results, we plan to adopt used the system real-time to categorize a minimum of 400 this RADCAT scheme
Emergency Radiology – Springer Journals
Published: Nov 8, 2017
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