背景:主要目的是评估肿瘤影像学亚专科放射科医师的CT报告是否比普通放射科医师的报告对肿瘤转诊反应更好。次要目标是评估高级和初级肿瘤学家之间的评分差异。回顾性选择了200份与肿瘤患者有关的放射学报告,其中100份分别由亚专业放射科医师和普通放射科医师撰写。分别。高级和初级肿瘤学家分别使用Likert量表从1到5对所有CT报告进行评分(1=非常差,5=优秀)以下信息:解剖细节;发现的解释;需要进一步解释;结论的适当性;总体满意度。使用Mann-WhitneyU检验对分配给普通放射科医师和亚专业放射科医师的报告的评级进行了比较。通过Gwet系数评估了两位肿瘤学家之间的一致性。
结果:对于从高级肿瘤学家获得的五个项目中的两个项目,亚专科放射科医师报告的肿瘤学家评分明显较高(p<0.01);亚专科报告的两个肿瘤学家的平均值普遍较高(p<0.001).高级和初级肿瘤学家在普通和亚专业放射科医生的报告评级中的协议要么中等到实质性(0.5986-0.6788),要么基本到几乎完美(0.6958-0.8358)。
结论:根据一位高级和初级肿瘤学家的说法,由亚专业放射科医师在肿瘤成像中进行的CT报告更清晰,更准确,与普通放射科医生撰写的报告相比,在解释和结论方面更合适。同样,来自亚专科放射科医师报告的肿瘤科医师的总体满意度较高.
BACKGROUND: The main objective was to assess whether CT
reports of radiologists subspecialized in oncologic imaging respond better to oncological referrals than
reports from general radiologists. The secondary objective was to assess differences in ratings between a senior and junior oncologist. Two hundred radiological
reports pertaining to oncological patients were retrospectively selected of which 100 each were written by subspecialized radiologists and general radiologists, respectively. The senior and junior oncologists each rated all CT
reports using a Likert scale from 1 to 5 (1 = very poor, 5 = excellent) for the following information: anatomical details; interpretation of findings; need for further explanations; appropriateness of conclusions; overall satisfaction. Comparisons between ratings assigned to reports from generalist radiologists and subspecialty radiologists were performed using the Mann-Whitney U test. Agreement between both oncologists was assessed through Gwet\'s coefficient.
RESULTS: For all but two of the five items obtained from the senior oncologist, oncologists\' ratings were significantly higher for subspecialty radiologists\' reports (p < 0.01); mean values from both oncologists were generally higher for subspecialty
reports (p < 0.001). Agreement between the senior and junior oncologist in the rating of reports from general and subspecialty radiologists was either moderate to substantial (0.5986-0.6788) or substantial to almost perfect (0.6958-0.8358).
CONCLUSIONS: According to a senior and junior oncologist, CT reports performed by subspecialized radiologists in oncologic imaging are clearer, more accurate, and more appropriate in the interpretation and conclusions compared to reports written by general radiologists. Likewise, the overall satisfaction of the oncologist from a subspecialized radiologist report is higher.