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Research Article

Risk Factors for Perceptual-versus-Interpretative Errors in Diagnostic Neuroradiology

S.H. Patel, C.L. Stanton, S.G. Miller, J.T. Patrie, J.N. Itri and T.M. Shepherd
American Journal of Neuroradiology August 2019, 40 (8) 1252-1256; DOI: https://doi.org/10.3174/ajnr.A6125
S.H. Patel
aFrom the Departments of Radiology and Medical Imaging (S.H.P.)
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C.L. Stanton
cDepartment of Radiology (C.L.S., S.G.M., T.M.S.), New York University Langone Medical Center, New York, New York
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S.G. Miller
cDepartment of Radiology (C.L.S., S.G.M., T.M.S.), New York University Langone Medical Center, New York, New York
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J.T. Patrie
bPublic Health Sciences (J.T.P.), University of Virginia Health System, Charlottesville, Virginia
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J.N. Itri
dDepartment of Radiology (J.N.I.), Wake Forest Baptist Health, Winston-Salem, North Carolina
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T.M. Shepherd
cDepartment of Radiology (C.L.S., S.G.M., T.M.S.), New York University Langone Medical Center, New York, New York
eCenter for Advanced Imaging Innovation and Research (T.M.S.), New York, New York.
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REFERENCES

  1. 1.↵
    1. Makary MA,
    2. Daniel M
    . Medical error-the third leading cause of death in the US. BMJ 2016;353:i2139 doi:10.1136/bmj.i2139 pmid:27143499
    FREE Full Text
  2. 2.↵
    1. Bruno MA,
    2. Walker EA,
    3. Abujudeh HH
    . Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Radiographics 2015;35:1668–76 doi:10.1148/rg.2015150023 pmid:26466178
    CrossRefPubMed
  3. 3.↵
    1. Brook OR,
    2. O'Connell AM,
    3. Thornton E, et al
    . Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics 2010;30:1401–10 doi:10.1148/rg.305105013 pmid:20622192
    CrossRefPubMed
  4. 4.↵
    1. Fitzgerald R
    . Error in radiology. Clin Radiol 2001;56:938–46 doi:10.1053/crad.2001.0858 pmid:11795921
    CrossRefPubMedWeb of Science
  5. 5.↵
    1. Itri JN,
    2. Tappouni RR,
    3. McEachern RO, et al
    . Fundamentals of diagnostic error in imaging. Radiographics 2018;38:1845–65 doi:10.1148/rg.2018180021 pmid:30303801
    CrossRefPubMed
  6. 6.↵
    1. Donald JJ,
    2. Barnard SA
    . Common patterns in 558 diagnostic radiology errors. J Med Imaging Radiat Oncol 2012;56:173–78 doi:10.1111/j.1754-9485.2012.02348.x pmid:22498190
    CrossRefPubMed
  7. 7.↵
    1. Kabadi SJ,
    2. Krishnaraj A
    . Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. J Am Coll Radiol 2017;14:459–66 doi:10.1016/j.jacr.2016.08.033 pmid:27884632
    CrossRefPubMed
  8. 8.↵
    1. Renfrew DL,
    2. Franken EA Jr.,
    3. Berbaum KS, et al
    . Error in radiology: classification and lessons in 182 cases presented at a problem case conference. Radiology 1992;183:145–50 doi:10.1148/radiology.183.1.1549661 pmid:1549661
    CrossRefPubMedWeb of Science
  9. 9.↵
    1. Cooper VF,
    2. Goodhartz LA,
    3. Nemcek AA Jr., et al
    . Radiology resident interpretations of on-call imaging studies: the incidence of major discrepancies. Acad Radiol 2008;15:1198–204 doi:10.1016/j.acra.2008.02.011 pmid:18692761
    CrossRefPubMed
  10. 10.↵
    1. Erly WK,
    2. Berger WG,
    3. Krupinski E, et al
    . Radiology resident evaluation of head CT scan orders in the emergency department. AJNR Am J Neuroradiol 2002;23:103–07 pmid:11827881
    Abstract/FREE Full Text
  11. 11.↵
    1. Filippi CG,
    2. Schneider B,
    3. Burbank HN, et al
    . Discrepancy rates of radiology resident interpretations of on-call neuroradiology MR imaging studies. Radiology 2008;249:972–79 doi:10.1148/radiol.2493071543 pmid:19011191
    CrossRefPubMed
  12. 12.↵
    1. Funaki B,
    2. Szymski GX,
    3. Rosenblum JD
    . Significant on-call misses by radiology residents interpreting computed tomographic studies: perception versus cognition. Emerg Radiol 1997;4:290–94 doi:10.1007/BF01461735
    CrossRef
  13. 13.↵
    1. Goradia D,
    2. Blackmore CC,
    3. Talner LB, et al
    . Predicting radiology resident errors in diagnosis of cervical spine fractures. Acad Radiol 2005;12:888–93 doi:10.1016/j.acra.2005.04.004 pmid:16039542
    CrossRefPubMedWeb of Science
  14. 14.↵
    1. Guimaraes CV,
    2. Leach JL,
    3. Jones BV
    . Trainee misinterpretations on pediatric neuroimaging studies: classification, imaging analysis, and outcome assessment. AJNR Am J Neuroradiol 2011;32:1591–99 doi:10.3174/ajnr.A2567 pmid:21835948
    Abstract/FREE Full Text
  15. 15.↵
    1. Hillier JC,
    2. Tattersall DJ,
    3. Gleeson FV
    . Trainee reporting of computed tomography examinations: do they make mistakes and does it matter? Clin Radiol 2004;59:159–62, discussion 157–58 pmid:14746785
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Lal NR,
    2. Murray UM,
    3. Eldevik OP, et al
    . Clinical consequences of misinterpretations of neuroradiologic CT scans by on-call radiology residents. AJNR Am J Neuroradiol 2000;21:124–29 pmid:10669236
    Abstract/FREE Full Text
  17. 17.↵
    1. Meyer RE,
    2. Nickerson JP,
    3. Burbank HN, et al
    . Discrepancy rates of on-call radiology residents' interpretations of CT angiography studies of the neck and circle of Willis. AJR Am J Roentgenol 2009;193:527–32 doi:10.2214/AJR.08.2169 pmid:19620452
    CrossRefPubMed
  18. 18.↵
    1. Miyakoshi A,
    2. Nguyen QT,
    3. Cohen WA, et al
    . Accuracy of preliminary interpretation of neurologic CT examinations by on-call radiology residents and assessment of patient outcomes at a level I trauma center. J Am Coll Radiol 2009;6:864–70 doi:10.1016/j.jacr.2009.07.021 pmid:19945042
    CrossRefPubMed
  19. 19.↵
    1. Strub WM,
    2. Leach JL,
    3. Tomsick T, et al
    . Overnight preliminary head CT interpretations provided by residents: locations of misidentified intracranial hemorrhage. AJNR Am J Neuroradiol 2007;28:1679–82 doi:10.3174/ajnr.A0653 pmid:17885236
    Abstract/FREE Full Text
  20. 20.↵
    1. Walls J,
    2. Hunter N,
    3. Brasher PM, et al
    . The DePICTORS Study: discrepancies in preliminary interpretation of CT scans between on-call residents and staff. Emerg Radiol 2009;16:303–08 doi:10.1007/s10140-009-0795-9 pmid:19184142
    CrossRefPubMed
  21. 21.↵
    1. Wysoki MG,
    2. Nassar CJ,
    3. Koenigsberg RA, et al
    . Head trauma: CT scan interpretation by radiology residents versus staff radiologists. Radiology 1998;208:125–28 doi:10.1148/radiology.208.1.9646802 pmid:9646802
    CrossRefPubMedWeb of Science
  22. 22.↵
    1. Erly WK,
    2. Ashdown BC,
    3. Lucio RW 2nd., et al
    . Evaluation of emergency CT scans of the head: is there a community standard? AJR Am J Roentgenol 2003;180:1727–30 doi:10.2214/ajr.180.6.1801727 pmid:12760951
    CrossRefPubMedWeb of Science
  23. 23.↵
    1. Jordan MJ,
    2. Lightfoote JB,
    3. Jordan JE
    . Quality outcomes of reinterpretation of brain CT imaging studies by subspecialty experts in neuroradiology. J Natl Med Assoc 2006;98:1326–28 pmid:16916131
    PubMed
  24. 24.↵
    1. Loevner LA,
    2. Sonners AI,
    3. Schulman BJ, et al
    . Reinterpretation of cross-sectional images in patients with head and neck cancer in the setting of a multidisciplinary cancer center. AJNR Am J Neuroradiol 2002;23:1622–26 pmid:12427610
    Abstract/FREE Full Text
  25. 25.↵
    1. Zan E,
    2. Yousem DM,
    3. Carone M, et al
    . Second-opinion consultations in neuroradiology. Radiology 2010;255:135–41 doi:10.1148/radiol.09090831 pmid:20308451
    CrossRefPubMed
  26. 26.↵
    1. González RG,
    2. Schwamm LH
    . Imaging acute ischemic stroke. Handb Clin Neurol 2016;135:293–315 doi:10.1016/B978-0-444-53485-9.00016-7 pmid:27432672
    CrossRefPubMed
  27. 27.↵
    1. Higer HP,
    2. Pedrosa P,
    3. Schuth M
    . MR imaging of cerebral tumors: state of the art and work in progress. Neurosurg Rev 1989;12:91–106 doi:10.1007/BF01741480 pmid:2674770
    CrossRefPubMed
  28. 28.↵
    1. Young IR,
    2. Hall AS,
    3. Pallis CA, et al
    . Nuclear magnetic resonance imaging of the brain in multiple sclerosis. Lancet 1981;2:1063–66 pmid:6118521
    PubMedWeb of Science
  29. 29.↵
    1. Krupinski EA
    . The role of perception in imaging: past and future. Semin Nucl Med 2011;41:392–400 doi:10.1053/j.semnuclmed.2011.05.002 pmid:21978443
    CrossRefPubMed
  30. 30.↵
    1. Bahrami S,
    2. Yim CM
    . Quality initiatives: blind spots at brain imaging. Radiographics 2009;29:1877–96 doi:10.1148/rg.297095123 pmid:19734470
    CrossRefPubMed
  31. 31.↵
    1. Mullins ME,
    2. Lev MH,
    3. Schellingerhout D, et al
    . Influence of availability of clinical history on detection of early stroke using unenhanced CT and diffusion-weighted MR imaging. AJR Am J Roentgenol 2002;179:223–28 doi:10.2214/ajr.179.1.1790223 pmid:12076941
    CrossRefPubMed
  32. 32.↵
    1. Knake S,
    2. Triantafyllou C,
    3. Wald LL, et al
    . 3T phased array MRI improves the presurgical evaluation in focal epilepsies: a prospective study. Neurology 2005;65:1026–31 doi:10.1212/01.wnl.0000179355.04481.3c pmid:16217054
    CrossRefPubMed
  33. 33.↵
    1. Krupinski EA,
    2. Berbaum KS,
    3. Caldwell RT, et al
    . Long radiology workdays reduce detection and accommodation accuracy. J Am Coll Radiol 2010;7:698–704 doi:10.1016/j.jacr.2010.03.004 pmid:20816631
    CrossRefPubMed
  34. 34.↵
    1. Krupinski EA,
    2. Berbaum KS,
    3. Caldwell RT, et al
    . Do long radiology workdays affect nodule detection in dynamic CT interpretation? J Am Coll Radiol 2012;9:191–98 doi:10.1016/j.jacr.2011.11.013 pmid:22386166
    CrossRefPubMed
  35. 35.↵
    1. Maldonado MD,
    2. Batchala P,
    3. Ornan D, et al
    . Features of diffuse gliomas that are misdiagnosed on initial neuroimaging: a case control study. J Neurooncol 2018;140:107–13 doi:10.1007/s11060-018-2939-9 pmid:29959694
    CrossRefPubMed
  36. 36.↵
    1. Lee CS,
    2. Nagy PG,
    3. Weaver SJ, et al
    . Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol 2013;201:611–17 doi:10.2214/AJR.12.10375 pmid:23971454
    CrossRefPubMed
  37. 37.↵
    1. Lauritzen PM,
    2. Andersen JG,
    3. Stokke MV, et al
    . Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. BMJ Qual Saf 2016;25:595–603 doi:10.1136/bmjqs-2015-004536 pmid:27013638
    Abstract/FREE Full Text
  38. 38.↵
    1. Lauritzen PM,
    2. Stavem K,
    3. Andersen JG, et al
    . Double reading of current chest CT examinations: clinical importance of changes to radiology reports. Eur J Radiol 2016;85:199–204 doi:10.1016/j.ejrad.2015.11.012 pmid:26724666
    CrossRefPubMed
  39. 39.↵
    1. Busby LP,
    2. Courtier JL,
    3. Glastonbury CM
    . Bias in radiology: the how and why of misses and misinterpretations. Radiographics 2018;38:236–47 doi:10.1148/rg.2018170107 pmid:29194009
    CrossRefPubMed
  40. 40.↵
    1. Babiarz LS,
    2. Yousem DM
    . Quality control in neuroradiology: discrepancies in image interpretation among academic neuroradiologists. AJNR Am J Neuroradiol 2012;33:37–42 doi:10.3174/ajnr.A2704 pmid:22033725
    Abstract/FREE Full Text
  41. 41.↵
    1. Krupinski EA
    . Current perspectives in medical image perception. Atten Percept Psychophys 2010;72:1205–17 doi:10.3758/APP.72.5.1205 pmid:20601701
    CrossRefPubMed
  42. 42.↵
    1. Itri JN,
    2. Patel SH
    . Heuristics and cognitive error in medical imaging. AJR Am J Roentgenol 2018;210:1097–105 doi:10.2214/AJR.17.18907 pmid:29528716
    CrossRefPubMed
  43. 43.↵
    1. Patel SH,
    2. Ambrosino MM,
    3. McGuinness G
    . The challenging case conference: initial observations and feedback. J Am Coll Radiol 2012;9:666–68 doi:10.1016/j.jacr.2012.04.010 pmid:22954551
    CrossRefPubMed
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S.H. Patel, C.L. Stanton, S.G. Miller, J.T. Patrie, J.N. Itri, T.M. Shepherd
Risk Factors for Perceptual-versus-Interpretative Errors in Diagnostic Neuroradiology
American Journal of Neuroradiology Aug 2019, 40 (8) 1252-1256; DOI: 10.3174/ajnr.A6125

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Risk Factors for Perceptual-versus-Interpretative Errors in Diagnostic Neuroradiology
S.H. Patel, C.L. Stanton, S.G. Miller, J.T. Patrie, J.N. Itri, T.M. Shepherd
American Journal of Neuroradiology Aug 2019, 40 (8) 1252-1256; DOI: 10.3174/ajnr.A6125
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