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J R Soc Med. 1998 March; 91(3): 129–132.
PMCID: PMC1296560

Digital radiology in skeletal trauma: assessment of casualty officers' performance.

Abstract

Radiographic images can now be produced without the requirement of film processing and development, and can be displayed rapidly on a computer monitor. We assessed junior doctors' performance in interpreting images from 25 patients being investigated for possible fracture and also compared the diagnostic abilities of casualty officers with those of radiology specialist registrars. For interpretation of images viewed at a workstation or as filmed laser images, respectively, sensitivities were 75% and 78%, and specificities were 65% and 76%. These differences were not significant. There was a tendency for radiology specialist registrars to be less specific when reviewing images at a workstation. The demonstration that there is no loss in diagnostic quality when casualty officers interpret fracture images in a purely digitally acquired and viewed format forms a robust basis for economic evaluation of the technology.

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Selected References

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  • Wilson AJ, Hodge JC. Digitized radiographs in skeletal trauma: a performance comparison between a digital workstation and the original film images. Radiology. 1995 Aug;196(2):565–568. [PubMed]
  • Schaefer-Prokop CM, Prokop M. Storage phosphor radiography. Eur Radiol. 1997;7 (Suppl 3):S58–S65. [PubMed]
  • Kundel HL, Seshadri SB, Langlotz CP, Lanken PN, Horii SC, Nodine CF, Polansky M, Feingold E, Brikman I, Bozzo M, et al. Prospective study of a PACS: information flow and clinical action in a medical intensive care unit. Radiology. 1996 Apr;199(1):143–149. [PubMed]
  • Ackerman SJ, Gitlin JN, Gayler RW, Flagle CD, Bryan RN. Receiver operating characteristic analysis of fracture and pneumonia detection: comparison of laser-digitized workstation images and conventional analog radiographs. Radiology. 1993 Jan;186(1):263–268. [PubMed]
  • Kagetsu NJ, Zulauf DR, Ablow RC. Clinical trial of digital teleradiology in the practice of emergency room radiology. Radiology. 1987 Nov;165(2):551–554. [PubMed]
  • Goldberg MA, Rosenthal DI, Chew FS, Blickman JG, Miller SW, Mueller PR. New high-resolution teleradiology system: prospective study of diagnostic accuracy in 685 transmitted clinical cases. Radiology. 1993 Feb;186(2):429–434. [PubMed]
  • Kagetsu NJ, Ablow RC. Teleradiology for the emergency room. Ann N Y Acad Sci. 1992 Dec 17;670:293–297. [PubMed]
  • Goodman LR, Foley WD, Wilson CR, Rimm AA, Lawson TL. Digital and conventional chest images: observer performance with Film Digital Radiography System. Radiology. 1986 Jan;158(1):27–33. [PubMed]
  • Slasky BS, Gur D, Good WF, Costa-Greco MA, Harris KM, Cooperstein LA, Rockette HE. Receiver operating characteristic analysis of chest image interpretation with conventional, laser-printed, and high-resolution workstation images. Radiology. 1990 Mar;174(3 Pt 1):775–780. [PubMed]
  • Wegryn SA, Piraino DW, Richmond BJ, Schluchter MD, Uetani M, Freed HA, Meziane MA, Belhobek GA. Comparison of digital and conventional musculoskeletal radiography: an observer performance study. Radiology. 1990 Apr;175(1):225–228. [PubMed]
  • Busch HP. Digital radiography for clinical applications. Eur Radiol. 1997;7 (Suppl 3):S66–S72. [PubMed]
  • Murphey MD, Bramble JM, Cook LT, Martin NL, Dwyer SJ., 3rd Nondisplaced fractures: spatial resolution requirements for detection with digital skeletal imaging. Radiology. 1990 Mar;174(3 Pt 1):865–870. [PubMed]
  • Hayrapetian A, Aberle DR, Huang HK, Fiske R, Morioka C, Valentino D, Boechat MI. Comparison of 2048-line digital display formats and conventional radiographs: an ROC study. AJR Am J Roentgenol. 1989 May;152(5):1113–1118. [PubMed]
  • Holland P, Davies AM, Morris E, Fowler J, Wellings R, Tyrrell PN. Real-time digital contrast enhancement and magnification in the assessment of acute elbow injuries. Br J Radiol. 1991 Jul;64(763):591–595. [PubMed]
  • Langen HJ, Klein HM, Wein B, Stargardt A, Günther RW. Comparative evaluation of digital radiography versus conventional radiography of fractured skulls. Invest Radiol. 1993 Aug;28(8):686–689. [PubMed]
  • De Simone DN, Kundel HL, Arenson RL, Seshadri SB, Brikman IS, Khalsa SS, Davey MJ, Brisbon NE. Effect of a digital imaging network on physician behavior in an intensive care unit. Radiology. 1988 Oct;169(1):41–44. [PubMed]

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