• Clinical imaging · Jan 2014

    CT of acute appendicitis: can diagnostic accuracy serve as a practical performance metric for readers specialized in abdominal imaging?

    • Lisa L Chu, Emily M Webb, Joseph W Stengel, Benjamin M Yeh, Ying Lu, and Fergus V Coakley.
    • Department of Radiology University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA, 94143-0628.
    • Clin Imaging. 2014 Jan 1; 38 (1): 56-9.

    PurposeTo investigate diagnostic accuracy for acute appendicitis at computed tomography (CT) as a performance metric for radiologists specialized in abdominal imaging.Materials And MethodsWe retrospectively identified six attending abdominal imagers who each independently interpreted over 100 CT studies for suspected acute appendicitis.ResultsThe mean number of studies per reader was 311 (range, 129-386). Mean reader diagnostic accuracy was 95.0% (range, 91.4-97.1%). Only one had a diagnostic accuracy (91.4%) that was significantly lower than all others.ConclusionDiagnostic accuracy for acute appendicitis at CT may be an impractical performance metric for radiologists specialized in abdominal imaging.© 2014.

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