{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:45:56Z","timestamp":1792003556208,"version":"4.4.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Emerg Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the rate of discrepancies between community radiologists\u2019 interpretations of trauma studies and those of the emergency radiologists at an academic level 1 trauma center and to assess the impact on patient management provided by emergency radiologist overreads.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A search of our institutional Radiology Information System (RIS) was performed to find outside overread interpretations that were performed by emergency radiologists at our institution in a 1-year period (January 1, 2023-December 31, 2023). For these patients, the outside report was obtained and compared to the emergency radiologist overread report. Discrepancies between reports were divided into major and minor discrepancies. A major discrepancy was defined as a change in interpretation that resulted in altered patient management (including interventional radiology procedure or surgery). A minor discrepancy was defined as a change in interpretation that did not alter patient management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study cohort consisted of 301 imaging exams performed on 135 patients. The mean age was 52.3 years (range 19\u201397 years), included 68 males (63.7%), and a mean Injury Severity Score (ISS) of 13 (range 1\u201351). Patients were transferred from 29 different facilities from around our state. The most common mechanism of injury was fall (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009128, 42.5%) followed by motor vehicle collisions (MVC,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009103, 34.2%) and assaults (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925, 8.3%). Major discrepancies were found in 26 exams (8.6%) affecting 25 patients (18.5%), of which 7 required surgery or an interventional radiology procedure. Minor discrepancies were found in 49 exams (16.3%) affecting 42 patients (31.1%). In total, some discrepancy was found in 75 (24.9%) of exams affecting 62 patients (49.6%). There is a statistically significant association with a discrepancy following MVC compared to the other mechanisms of injury (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0228).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We found that nearly a quarter (24.9%) of overread imaging exams affecting nearly half (49.6%) of transferred trauma patients had a discrepancy in the original report, resulting in a change in management in 18.5% of patients, with over a quarter (26.9%) of major discrepancies requiring surgery or interventional radiology procedures. Motor vehicle collisions were associated with an increased likelihood of a discrepancy. Our findings continue to support the value of reinterpretation of outside imaging exams by dedicated emergency radiologists in the setting of trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10140-025-02421-7","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T02:56:49Z","timestamp":1764298609000},"page":"305-310","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Discrepancies between community interpretations and emergency radiology re-interpretation of imaging exams on trauma patients transferred to a level 1 trauma center"],"prefix":"10.1007","volume":"33","author":[{"given":"Allison","family":"Crone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josh","family":"VanZant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Boutselis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8544-0616","authenticated-orcid":false,"given":"Scott D.","family":"Steenburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"2421_CR1","doi-asserted-by":"publisher","first-page":"107","DOI":"10.2214\/AJR.13.10617","volume":"203","author":"MT Lu","year":"2014","unstructured":"Lu MT, Tellis WM, Arvin DE (2014) Providing formal reports for outside imaging and the rate of repeat imaging. AJR Am J Roentgenol 203:107\u2013111","journal-title":"AJR Am J Roentgenol"},{"key":"2421_CR2","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1007\/s10140-012-1047-y","volume":"19","author":"JD Robinson","year":"2012","unstructured":"Robinson JD, McNeeley MF (2012) Transfer patient imaging: a survey of members of the American society of emergency radiology. Emerg Radiol 19:447\u2013454","journal-title":"Emerg Radiol"},{"key":"2421_CR3","doi-asserted-by":"publisher","first-page":"1222","DOI":"10.1016\/j.jacr.2018.05.037","volume":"15","author":"AB Rosenkrantz","year":"2018","unstructured":"Rosenkrantz AB, Duszak R, Babb JS, Glover M, Kang S (2018) Discrepancy rates and clinical impact of imaging secondary interpretations: a systematic review and meta-analysis. 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