Fractures and liver lesions top list of residents' ER misses
Researchers used a customized search engine to quickly find that most discordant resident versus attending physician preliminary reports involved fractures, liver/kidney lesions, pulmonary nodules, and gastrointestinal wall thickening.
Researchers used a customized search engine to quickly find that most discordant resident versus attending physician preliminary reports involved fractures, liver/kidney lesions, pulmonary nodules, and gastrointestinal wall thickening.
"To avoid future misses, residents need to know what they are missing. Attending physicians want to know which areas deserve a second glance, while program directors want to know how to adapt curricula for future learning," said lead author Dr. Dean McNaughton, a radiologist from the University of Iowa, in a scientific poster.
The study focused on 33,000 CT, MRI, ultrasound, and nuclear medicine exams in the emergency room during 2006-2007. The authors analyzed matches generated by the automated search for the keywords "not include" contained in the "report disagree" template, giving them 336 misses.
A missed finding was associated with one or more other abnormal findings in 185 of the 336 misses (55%). Fractures-mostly involving facial bones, transverse processes, or ribs-accounted for 59 misses (18%). Other common misses were hypo- or hyperdense lesions (26), usually in the liver or kidney; pulmonary nodules (20); and gastrointestinal wall thickening or fat stranding (15).
MRI Study at ARRS Raises Questions About Disparities in Detection of MASLD
May 3rd 2025New research revealed that Hispanic Americans with evidence of hepatic steatosis on MRI but no formal diagnosis of MASLD had over a fourfold higher risk of developing hepatocellular carcinoma in comparison to those who had a formal diagnosis of MASLD.
