{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:48:04Z","timestamp":1761562084755,"version":"3.37.3"},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003179","name":"Alberta Heritage Foundation for Medical Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003179","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Journal of Gastroenterology"],"published-print":{"date-parts":[[2008]]},"abstract":"<jats:p>BACKGROUND: With the increase in the use of endoscopic retrograde cholangiopancreatography (ERCP) (necessitating real-time interpretation), it is unknown whether post-ERCP radiologist reporting is still necessary or helpful.<\/jats:p><jats:p>OBJECTIVES: To determine the rate of discrepancy of results, and the rate of clinically relevant misses and additions, by the radiology report in a blinded setting.<\/jats:p><jats:p>METHODS: A retrospective analysis of the procedure and blinded postprocedure radiology reports of 100 consecutive ERCP cases was performed. A list of clinically relevant pathology and subgroups was made a priori. Discrepancies are described as proportions, with 95% CIs. The radiology yield regarding pathology that was clearly demonstrated at ERCP (bile leaks and stones removed) was calculated. Clinical follow-up was used to clarify additional abnormalities reported by radiology.<\/jats:p><jats:p>RESULTS: Clinically relevant discrepancies in report pairs occurred in 29.0% of cases (95% CI 20% to 39%), or 40.0% if discrepancies regarding bile duct dilation are considered (95% CI 30% to 50%). In 15 of 30 cases (50.0% [95% CI 31% to 69%]) in which bile duct stones were removed, the radiologist did not report a stone. The radiologist did not report five of eight bile leaks (62.5% [95% CI 24% to 91%]). In seven cases (7.0% [95% CI 2.9% to 13.9%]), an additional abnormality was noted by radiology, including a biliary stricture, bile duct and pancreatic duct stones, as well as sclerosing cholangitis. However, during a mean follow-up period of 5.6 months, it appeared that these radiology interpretations were likely incorrect. Discrepancy rates did not vary among the ERCP attendings or by radiology volume.<\/jats:p><jats:p>CONCLUSIONS: Discrepancies between endoscopists\u2019 and radiologists\u2019 ERCP reports are common. Blinded radiology interpretation frequently misses important pathology, and falsely positive additional diagnoses may be made.<\/jats:p>","DOI":"10.1155\/2008\/751950","type":"journal-article","created":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T04:04:10Z","timestamp":1458014650000},"page":"55-60","source":"Crossref","is-referenced-by-count":6,"title":["Postprocedural Interpretation of Endoscopic Retrograde Cholangiopancreatography by Radiology"],"prefix":"10.1155","volume":"22","author":[{"given":"Nitin","family":"Khanna","sequence":"first","affiliation":[{"name":"Department of Medicine (Division of Gastroenterology), University of Western Ontario, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"May","sequence":"additional","affiliation":[{"name":"Department of Medicine (Division of Gastroenterology), University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sydney","family":"Bass","sequence":"additional","affiliation":[{"name":"Department of Medicine (Division of Gastroenterology), University of Calgary, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marty","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Medicine (Division of Gastroenterology), University of Calgary, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Romagnuolo","sequence":"additional","affiliation":[{"name":"Departments of Medicine (Division of Gastroenterology and Hepatology) and of Biometry, Bioinformatics and Epidemiology, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","container-title":["Canadian Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cjgh\/2008\/751950.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cjgh\/2008\/751950.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T10:53:15Z","timestamp":1471949595000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cjgh\/2008\/751950\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008]]}},"alternative-id":["751950"],"URL":"https:\/\/doi.org\/10.1155\/2008\/751950","relation":{},"ISSN":["0835-7900"],"issn-type":[{"type":"print","value":"0835-7900"}],"subject":[],"published":{"date-parts":[[2008]]}}}