Universität zu Köln

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

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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
Creators:	Creators Email ORCID ORCID Put Code Gruber, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dinges, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Baum, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rummeny, E. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bauer, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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
Uncontrolled Keywords:	Keywords Language ANKYLOSING-SPONDYLITIS; RISK; QUALITY Multiple languages Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47218