Skip to main content
Erschienen in: Emergency Radiology 5/2011

01.10.2011 | Original Article

Understanding errors in diagnostic radiology: proposal of a classification scheme and application to emergency radiology

verfasst von: James M. Provenzale, Peter G. Kranz

Erschienen in: Emergency Radiology | Ausgabe 5/2011

Einloggen, um Zugang zu erhalten

Abstract

Errors in image interpretation are a common problem in diagnostic radiology. Although many published articles provide trainees with the means to correctly interpret imaging studies, they do not provide a framework for understanding why and how errors occur. In this article, we propose a classification system that allows categorization of errors, which we hope can serve as a basis for peer review, self-education, and quality improvement programs. Our scheme incorporates elements of a classification system proposed by previous authors but also includes novel categories. In this article, we show the usefulness of our scheme by applying it to a specific, and particularly problematic, diagnosis in emergency radiology, namely that of dural sinus thrombosis.
Literatur
1.
Zurück zum Zitat Enoch JM (1960) Natural Tendencies in Visual Search of a Complex Display. In: Symposium on Visual Search Techniques. Publication 712. National Academy of Sciences-National Research Council, Washington, D. C Enoch JM (1960) Natural Tendencies in Visual Search of a Complex Display. In: Symposium on Visual Search Techniques. Publication 712. National Academy of Sciences-National Research Council, Washington, D. C
3.
Zurück zum Zitat Pinto A, Brunese L (2010) Spectrum of diagnostic errors in radiology. World J Radiol 2:377–383PubMedCrossRef Pinto A, Brunese L (2010) Spectrum of diagnostic errors in radiology. World J Radiol 2:377–383PubMedCrossRef
4.
Zurück zum Zitat Renfrew DL, Franken EA Jr, Berbaum KS, Weigelt FH, Abu-Yousef MM (1992) Error in radiology: classification and lessons in 182 cases presented at a problem case conference. Radiology 183:145–150PubMed Renfrew DL, Franken EA Jr, Berbaum KS, Weigelt FH, Abu-Yousef MM (1992) Error in radiology: classification and lessons in 182 cases presented at a problem case conference. Radiology 183:145–150PubMed
5.
Zurück zum Zitat Hinman JM, Provenzale JM (2002) Hypointense thrombus on T2-weighted MR imaging: a potential pitfall in the diagnosis of dural sinus thrombosis. Eur J Radiol 41:147–152PubMedCrossRef Hinman JM, Provenzale JM (2002) Hypointense thrombus on T2-weighted MR imaging: a potential pitfall in the diagnosis of dural sinus thrombosis. Eur J Radiol 41:147–152PubMedCrossRef
6.
Zurück zum Zitat Dormont D, Sag K, Biondi A, Wechsler B, Marsault C (1995) Gadolinium-enhanced MR of chronic dural sinus thrombosis. AJNR 16:1347–1352PubMed Dormont D, Sag K, Biondi A, Wechsler B, Marsault C (1995) Gadolinium-enhanced MR of chronic dural sinus thrombosis. AJNR 16:1347–1352PubMed
7.
Zurück zum Zitat Keiper MD, Ng SES, Grossman RI (1995) Subcortical hemorrhage: marker for Radiographically occult cerebral vein thrombosis on CT. J Comput Assist Tomogr 19:527–531PubMedCrossRef Keiper MD, Ng SES, Grossman RI (1995) Subcortical hemorrhage: marker for Radiographically occult cerebral vein thrombosis on CT. J Comput Assist Tomogr 19:527–531PubMedCrossRef
8.
Zurück zum Zitat Virapongse C, Cazenave C, Quisling R, Sarwar M, Hunter S (1987) The empty delta sign: frequency and significance in 76 cases of dural sinus thrombosis. Radiology 162:779–785PubMed Virapongse C, Cazenave C, Quisling R, Sarwar M, Hunter S (1987) The empty delta sign: frequency and significance in 76 cases of dural sinus thrombosis. Radiology 162:779–785PubMed
9.
Zurück zum Zitat Provenzale JM, Joseph GJ, Barboriak DP (1998) Dural sinus thrombosis: findings on CT and MR imaging and diagnostic pitfalls. AJR 170:777–783PubMed Provenzale JM, Joseph GJ, Barboriak DP (1998) Dural sinus thrombosis: findings on CT and MR imaging and diagnostic pitfalls. AJR 170:777–783PubMed
10.
Zurück zum Zitat Tang PH, Chai J, Chan YH, Chng SM, Lim CC (2008) Superior sagittal sinus thrombosis: subtle signs on neuroimaging. Ann Acad Med Singapore 37:397–401PubMed Tang PH, Chai J, Chan YH, Chng SM, Lim CC (2008) Superior sagittal sinus thrombosis: subtle signs on neuroimaging. Ann Acad Med Singapore 37:397–401PubMed
11.
Zurück zum Zitat Rodallec MH, Krainik A, Feydy A et al (2006) Cerebral venous thrombosis and multidetector CT angiography: tips and tricks. Radiographics 26(suppl 1):S5–S18PubMedCrossRef Rodallec MH, Krainik A, Feydy A et al (2006) Cerebral venous thrombosis and multidetector CT angiography: tips and tricks. Radiographics 26(suppl 1):S5–S18PubMedCrossRef
Metadaten
Titel
Understanding errors in diagnostic radiology: proposal of a classification scheme and application to emergency radiology
verfasst von
James M. Provenzale
Peter G. Kranz
Publikationsdatum
01.10.2011
Verlag
Springer-Verlag
Erschienen in
Emergency Radiology / Ausgabe 5/2011
Print ISSN: 1070-3004
Elektronische ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-011-0974-3

Weitere Artikel der Ausgabe 5/2011

Emergency Radiology 5/2011 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.