Gruber, M., Dinges, J., Mueller, D., Baum, T., Rummeny, E. J. and Bauer, J. (2013). Impact of Specific Training in Detecting Osteoporotic Vertebral Fractures on Routine Chest Radiographs. Rofo-Fortschr. Gebiet Rontgenstrahlen Bildgeb. Verfahr., 185 (11). S. 1077 - 1084. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-9010
Full text not available from this repository.Abstract
Purpose: Vertebral fractures are the most common complication of osteoporosis. Routine chest radiographs are a potential screening method, but a significant under-reporting has been described previously. The purpose of this study was to evaluate the effect of a specific training on the detection rate of vertebral fractures of a radiology resident. Materials and Methods: 936 routine lateral chest radiographs of postmenopausal women were evaluated by a radiology resident (R1) during clinical routine. After the evaluation of 470 radiographs (pre-training group), R1 underwent a specific training based on the teaching initiative of the IOF/ESSR. Afterwards the remaining 466 radiographs were evaluated (post-training group). As a standard of reference, all radiographs were reviewed by two radiologists in consensus (R2 + 3). A semi-quantitative method (spinal fracture index, SFI) was used to assess vertebral fractures. Results: Kappa-values as statistical measure of agreement between R1 and R2 + 3 for the detection of vertebral fractures (Genant Severity > 0) increased from kappa = 0.311 (95 % CI: 0.217 - 0.405; fair agreement) in the pre-training group to. = 0,882 (95 % CI: 0,835 - 0,929; almost perfect agreement) in the post-training group. Similar results were observed for severe fractures (Genant Severity > 1). Especially fractures with Genant Severity 1 were not detected by R1 before training. Conclusion: A brief training is essential to increase the awareness of radiologists to correctly report osteoporotic vertebral fractures and may help to initiate appropriate therapy in patients with vertebral fractures.
Item Type: | Journal Article | ||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-472188 | ||||||||||||||||||||||||||||
DOI: | 10.1055/s-0033-1335230 | ||||||||||||||||||||||||||||
Journal or Publication Title: | Rofo-Fortschr. Gebiet Rontgenstrahlen Bildgeb. Verfahr. | ||||||||||||||||||||||||||||
Volume: | 185 | ||||||||||||||||||||||||||||
Number: | 11 | ||||||||||||||||||||||||||||
Page Range: | S. 1077 - 1084 | ||||||||||||||||||||||||||||
Date: | 2013 | ||||||||||||||||||||||||||||
Publisher: | GEORG THIEME VERLAG KG | ||||||||||||||||||||||||||||
Place of Publication: | STUTTGART | ||||||||||||||||||||||||||||
ISSN: | 1438-9010 | ||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/47218 |
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