{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:24:58Z","timestamp":1777940698690,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hospital care for most neurological patients occurs in district general hospitals (DGHs). The COVID-19 pandemic displaced our DGH weekly neuroradiology meeting to an email service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Neuroradiological discrepancies among selected neurological patients were compared between face-to-face (f2f) meetings and an e-mail service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 734 consecutively selected patients there was no statistically significant differences in outcomes \u2013 frequency of clinically unimportant discrepancies (10.3% e-mail vs 12.8% f2f,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.300) or frequency of clinically important discrepancies (16.0% e-mail vs 15.6% f2f,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.889). Among all imaged patients assessed by a neurologist, clinically important discrepancies were estimated to be 4.2% (95% CI: 3.5%\u20135.0%), with little annual variation (Chi-square for trend,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.156).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study shows that DGH general radiology provides good quality reporting of neuroimaging, and neurologists provide a pivotal role in identifying patients who require neuroradiology second opinions. During the COVID-19 pandemic, an e-mail service maintained neuroimaging quality assurance in a DGH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14782715251329141","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T05:37:00Z","timestamp":1742449020000},"page":"88-93","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A neuroradiology e-mail service for a district general hospital in the COVID-19 era"],"prefix":"10.1177","volume":"55","author":[{"given":"Mary T","family":"McCullagh","sequence":"first","affiliation":[{"name":"Department of Neurology, Altnagelvin Hospital, Derry, Northern Ireland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferghal","family":"McVerry","sequence":"additional","affiliation":[{"name":"Department of Neurology, Altnagelvin Hospital, Derry, Northern Ireland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Royal Victoria Hospital, Belfast, Northern Ireland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niall","family":"MacKenzie","sequence":"additional","affiliation":[{"name":"Radiology, Altnagelvin Hospital, Derry, Northern Ireland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Thompson","sequence":"additional","affiliation":[{"name":"Radiology, Altnagelvin Hospital, Derry, Northern Ireland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2387-2816","authenticated-orcid":false,"given":"Mark O","family":"McCarron","sequence":"additional","affiliation":[{"name":"Department of Neurology, Altnagelvin Hospital, Derry, Northern Ireland, UK"},{"name":"Queen\u2019s University of Belfast, Belfast, Northern Ireland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,20]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"Covid-19 pandemic and the social determinants of health","volume":"372","author":"Paremoer L","year":"2021","unstructured":"Paremoer L, Nandi S, Serag H, et al Covid-19 pandemic and the social determinants of health. BMJ 2021; 372: n129.","journal-title":"BMJ"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.608070"},{"key":"e_1_3_2_4_2","unstructured":"Fuller G. Getting It Right First Time Neurology. GIRFT programme national specialty report. 2021. https:\/\/www.gettingitrightfirsttime.co.uk"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.18-3-206"},{"key":"e_1_3_2_6_2","first-page":"19","article-title":"A Neurology Advanced Referral Management System (NARMS) reduces face-to-face consultations by over sixty percent","volume":"92","author":"McConville J","year":"2023","unstructured":"McConville J, Hunter A, Fulton A, et al A Neurology Advanced Referral Management System (NARMS) reduces face-to-face consultations by over sixty percent. Ulster Med J 2023; 92: 19\u201323.","journal-title":"Ulster Med J"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.71.1.63"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2002.001651"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcl012"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000001163"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004411"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.4997\/JRCPE.2014.104"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.09090831"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2704"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-016-0534-1"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-022-08789-1"},{"key":"e_1_3_2_17_2","article-title":"Acute neurological admissions in Northern Ireland: amount, hospital type and admission specialty using GIRFT methodology","volume":"94","author":"McVerry F","year":"2023","unstructured":"McVerry F, Hunt S, Looney D, et al Acute neurological admissions in Northern Ireland: amount, hospital type and admission specialty using GIRFT methodology. J Neurol Neurosurg Psychiatry 2023; 94: A92.1\u2013A92.","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.15.14905"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)91953-8"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-018-5801-8"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-018-5873-5"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2007.12.002"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.00676"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2020.102444"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14782715251329141","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14782715251329141","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14782715251329141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:57:50Z","timestamp":1777701470000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14782715251329141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,20]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/14782715251329141"],"URL":"https:\/\/doi.org\/10.1177\/14782715251329141","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,20]]}}}