dc.contributor.author | Nair, A | en_US |
dc.contributor.author | Screaton, NJ | en_US |
dc.contributor.author | Holemans, JA | en_US |
dc.contributor.author | Jones, D | en_US |
dc.contributor.author | Clements, L | en_US |
dc.contributor.author | Barton, B | en_US |
dc.contributor.author | Gartland, N | en_US |
dc.contributor.author | Duffy, SW | en_US |
dc.contributor.author | Baldwin, DR | en_US |
dc.contributor.author | Field, JK | en_US |
dc.contributor.author | Hansell, DM | en_US |
dc.contributor.author | Devaraj, A | en_US |
dc.date.accessioned | 2018-03-14T13:29:40Z | |
dc.date.available | 2017-05-18 | en_US |
dc.date.issued | 2018-01 | en_US |
dc.date.submitted | 2018-03-14T13:11:12.332Z | |
dc.identifier.other | 10.1007/s00330-017-4903-z | |
dc.identifier.uri | https://link.springer.com/article/10.1007/s00330-017-4903-z | |
dc.identifier.uri | http://qmro.qmul.ac.uk/xmlui/handle/123456789/35603 | |
dc.description.abstract | OBJECTIVES: To compare radiologists' performance reading CTs independently with their performance using radiographers as concurrent readers in lung cancer screening. METHODS: 369 consecutive baseline CTs performed for the UK Lung Cancer Screening (UKLS) trial were double-read by radiologists reading either independently or concurrently with a radiographer. In concurrent reading, the radiologist reviewed radiographer-identified nodules and then detected any additional nodules. Radiologists recorded their independent and concurrent reading times. For each radiologist, sensitivity, average false-positive detections (FPs) per case and mean reading times for each method were calculated. RESULTS: 694 nodules in 246/369 (66.7%) studies comprised the reference standard. Radiologists' mean sensitivity and average FPs per case both increased with concurrent reading compared to independent reading (90.8 ± 5.6% vs. 77.5 ± 11.2%, and 0.60 ± 0.53 vs. 0.33 ± 0.20, respectively; p < 0.05 for 3/4 and 2/4 radiologists, respectively). The mean reading times per case decreased from 9.1 ± 2.3 min with independent reading to 7.2 ± 1.0 min with concurrent reading, decreasing significantly for 3/4 radiologists (p < 0.05). CONCLUSIONS: The majority of radiologists demonstrated improved sensitivity, a small increase in FP detections and a statistically significantly reduced reading time using radiographers as concurrent readers. KEY POINTS: • Radiographers as concurrent readers could improve radiologists' sensitivity in lung nodule detection. • An increase in false-positive detections with radiographer-assisted concurrent reading occurred. • The false-positive detection rate was still lower than reported for computer-aided detection. • Concurrent reading with radiographers was also faster than single reading. • The time saved per case using concurrently reading radiographers was relatively modest. | en_US |
dc.description.sponsorship | The UKLS has received funding from the National Institute for Health Research, Health Technology Assessment (NIHR HTA). | en_US |
dc.format.extent | 226 - 234 | en_US |
dc.language | eng | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Eur Radiol | en_US |
dc.rights | Creative Commons Attribution License | |
dc.subject | Diagnostic imaging | en_US |
dc.subject | Lung neoplasm | en_US |
dc.subject | Mass screening | en_US |
dc.subject | Multidetector computed tomography | en_US |
dc.subject | Pulmonary nodule | en_US |
dc.subject | Clinical Competence | en_US |
dc.subject | Humans | en_US |
dc.subject | Lung Neoplasms | en_US |
dc.subject | Medical Laboratory Personnel | en_US |
dc.subject | Radiologists | en_US |
dc.subject | Reproducibility of Results | en_US |
dc.subject | Sensitivity and Specificity | en_US |
dc.subject | Time | en_US |
dc.subject | Tomography, X-Ray Computed | en_US |
dc.subject | United Kingdom | en_US |
dc.title | The impact of trained radiographers as concurrent readers on performance and reading time of experienced radiologists in the UK Lung Cancer Screening (UKLS) trial. | en_US |
dc.type | Article | |
dc.rights.holder | 2017 The Authors. | |
dc.identifier.doi | 10.1007/s00330-017-4903-z | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/28643093 | en_US |
pubs.issue | 1 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published | en_US |
pubs.volume | 28 | en_US |
dcterms.dateAccepted | 2017-05-18 | en_US |