dc.contributor.author | Kjelle, Elin | |
dc.contributor.author | Schanche, Ann Kristin | |
dc.contributor.author | Hafskjold, Linda | |
dc.date.accessioned | 2021-04-07T12:55:02Z | |
dc.date.available | 2021-04-07T12:55:02Z | |
dc.date.created | 2020-07-16T16:47:43Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Kjelle, E., Schanche, A. K., & Hafskjold, L. (2021). To keep or reject, that is the question-A survey on radiologists and radiographers’ assessments of plain radiography images. Radiography, 27(1), 115-119. | en_US |
dc.identifier.issn | 1078-8174 | |
dc.identifier.uri | https://hdl.handle.net/11250/2736670 | |
dc.description.abstract | Introduction: This study aimed to survey radiographers and radiologists' assessment of plain radiographs to identify the imaging clinicians’ differences in acceptance of image quality.
Method: An online, questionnaire was distributed among radiographers (n = 116) and radiologists (n = 76) in a hospital trust in Norway, including 30 clinical cases (one image and a short referral text) that were divided into 3 categories; keep, could keep and reject, based on European guidelines. When rejecting, the respondents identified the main reason by ticking a list (positioning, collimation, centering, artifact or exposure error). Group differences were explored using 2-tailed chi-squared test. Inter-subjectivity was measured using Cohen's kappa for multi-rater sample.
Results: In total, 36% of the radiographers (n = 42) and 14% of the radiologists (n = 14) responded to the survey. Total response rate was 30% (56/192). Analysis showed significant difference between radiographers and radiologists in the categories of Reject (χ2 = 6.3, df = 1, p = 0.01), and Could keep (χ2 = 6.3, df = 1, p = 0.01), identifying radiologists as keeping more images compared to radiographers. Agreement among radiographers (Cohen's κ: 0,39; 95% CI: 0.30–0.48; p < 0.001) and radiologists (Cohen's κ: 0,23; 95% CI: 0.09–0.37; p < 0.001) respectively, is fair. The most common reason for rejecting an image is suboptimal positioning. Suboptimal collimation constituted 15% of the rejected images among radiographers, compared to 5% among radiologists. Centering, artifacts and exposure error showed quite similar rates as reasons for rejection.
Conclusion: Radiographers and radiologists seem to agree on the assessment of good quality images, however, radiographers seem more reluctant to accept images of lower quality than radiologists.
Implications for practice: Further research on reasons for differences in image quality assessment between radiographers and radiologists is needed. This could enable reduction in reject rates and increase image quality in conventional X-ray examinations. | en_US |
dc.language.iso | eng | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | To keep or reject, that is the question - A survey on radiologists and radiographers’ assessments of plain radiography images | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2020 The College of Radiographers. Published by Elsevier Ltd. | en_US |
dc.source.pagenumber | 115-119 | en_US |
dc.source.volume | 27 | en_US |
dc.source.journal | Radiography | en_US |
dc.source.issue | 1 | en_US |
dc.identifier.doi | https://doi.org/10.1016/j.radi.2020.06.020 | |
dc.identifier.cristin | 1819637 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |