Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study

Journal article


Piper, K., Mitchell, M., Griffin, K., Morgan,T., Thomas, A., Pittock, L., Woznitza, N. and Faruqui, R. 2020. Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study. Radiography. https://doi.org/10.1016/j.radi.2020.10.016
AuthorsPiper, K., Mitchell, M., Griffin, K., Morgan,T., Thomas, A., Pittock, L., Woznitza, N. and Faruqui, R.
Abstract

Introduction: This study assessed agreement between MRI reporting radiographers and a consultant radiologist compared with an index neuroradiologist when reporting MRI head (brain/internal auditory meati [IAMs]) examinations. The effect on patient management of any discordant reports was also examined.

Methods: Two trained MRI reporting radiographers (RRs), a consultant radiologist (CR) and an index neuroradiologist (INR) reported on a random sample of 210 MRI examinations. The radiographers reported during clinical practice and the radiologists in clinical practice conditions. Two independent consultant physicians (neuro-rehabilitation and neuropsychiatry) compared these reports with the index neuroradiologist report for agreement and the clinical importance of discrepant reports.

Results: Overall observer agreement between the RRs and CR was comparable in relation to agreement with the INR: RR; 93/210 (44.3%); and the CR; 83/210 (39.4%) for all head MRI examinations (p = 0.32). For brain examinations the difference was similar: RR; 64/180 (35.6%); and CR; 54/190 (30.0%), p = 0.26. Agreement rates for the IAMs examinations were identical, 29/30 (97.7%). For all head MRI examinations (n = 210) there was a very small observed difference of <0.5% in mean agreement between the reporting radiographers and the consultant radiologist (p = 0.92) for examinations where a major disagreement would have been likely to have led to a change in patient management.

Conclusion: MRI reporting radiographers reported during clinical practice on MRI head examinations to a level of agreement comparable with a consultant radiologist.

Implications for practice: This is an area in which radiographers could provide additional reporting roles to the reporting service to increase capacity. Wider potential benefits include cost-effectiveness and role development/retention of radiographers.

KeywordsMagnetic resonance imaging ; Head; Brain; Agreement; Radiographers; Radiologists; MRI
Year2020
JournalRadiography
PublisherElsevier
ISSN1078-8174
1532-2831
Digital Object Identifier (DOI)https://doi.org/10.1016/j.radi.2020.10.016
Official URLhttp://doi.org/10.1016/j.radi.2020.10.016
FunderCanterbury Christ Church University (RKE ERC funded)
Publication dates
Online18 Nov 2020
Publication process dates
Deposited18 Nov 2020
Accepted27 Oct 2020
Accepted author manuscript
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