Pilot study of a new comprehensive radiology report categorization (RADCAT) system in the emergency department

Pilot study of a new comprehensive radiology report categorization (RADCAT) system in the... 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Emergency Radiology Springer Journals

Pilot study of a new comprehensive radiology report categorization (RADCAT) system in the emergency department

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by American Society of Emergency Radiology
Subject
Medicine & Public Health; Imaging / Radiology; Emergency Medicine
ISSN
1070-3004
eISSN
1438-1435
D.O.I.
10.1007/s10140-017-1565-8
Publisher site
See Article on Publisher Site

Abstract

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

Journal

Emergency RadiologySpringer Journals

Published: Nov 8, 2017

References

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