{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T19:56:52Z","timestamp":1790452612720,"version":"4.1.0"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>\n                    The aim of this study was to determine the rate, important findings, and risk factors related to discrepancies between on-call residents\u2019 and attending radiologists\u2019 interpretations of abdominal examinations. We identified 1132 eligible patients with abdominal radiology findings that were preliminary interpreted by on-call residents between February 2016 and September 2019. The preliminary interpretations were compared with the final interpretations by abdominal attending radiologists, including clinical data. The preliminary interpretations were analyzed by three radiologists in consensus, who categorized the reports according to organs, important findings (i.e., active bleeding, bowel obstruction, organ ischemia or infarction, and organ rupture), clinical outcomes, and discrepancies with respect to final interpretations. Multiple logistic regression analysis was used to evaluate the risk factors for important discrepant findings. Of 1132 patients, the bowel (\n                    <jats:italic>n<\/jats:italic>\n                    = 567, 50.1%) was the most common organ interpreted by on-call residents, followed by gallbladder\/bile duct\/pancreas (\n                    <jats:italic>n<\/jats:italic>\n                    = 139, 12.3%) and liver (\n                    <jats:italic>n<\/jats:italic>\n                    = 116, 10.2%). Of 1132, 359 patients (31.7%) had disease with 379 important findings: active bleeding (\n                    <jats:italic>n<\/jats:italic>\n                    = 222), organ rupture (\n                    <jats:italic>n<\/jats:italic>\n                    = 77), bowel obstruction (\n                    <jats:italic>n<\/jats:italic>\n                    = 52), bowel ischemia (\n                    <jats:italic>n<\/jats:italic>\n                    = 24), and organ infarction (\n                    <jats:italic>n<\/jats:italic>\n                    = 4). Sixty-four patients (5.6%) showed discrepancies, and 30 (2.6%) showed 32 important discrepant findings comprising 14 active bleeding, 10 bowel obstructions, 6 organ ruptures, and 2 cases of bowel ischemia. Of the 64 discrepant patients, 33 underwent delayed surgery (\n                    <jats:italic>n<\/jats:italic>\n                    = 18, 28.1%) or interventional treatment (\n                    <jats:italic>n<\/jats:italic>\n                    = 15, 23.4%). In multivariable analysis, bowel obstruction (adjusted odds ratio, 2.52;\n                    <jats:italic>p<\/jats:italic>\n                    = 0.049) was an independent risk factor for determining discrepancy between preliminary and final interpretations. The rate of overall and important discrepancies between on-call residents\u2019 and final interpretations was low. However, given that the bowel was the most frequently interpreted organ, bowel obstruction was identified as a risk factor for discrepant interpretations. The identified risk factor and findings may be useful for residents to minimize discrepancies.\n                  <\/jats:p>","DOI":"10.1371\/journal.pone.0274313","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T16:57:25Z","timestamp":1662742645000},"page":"e0274313","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Interpretation discrepancies of abdominal imaging by on-call radiology residents: Evaluation of risk factors"],"prefix":"10.1371","volume":"17","author":[{"given":"Su Jeong","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Joong","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9935-2863","authenticated-orcid":true,"given":"So Hyun","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Joon","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Sup","family":"Shim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,9,9]]},"reference":[{"issue":"9","key":"pone.0274313.ref001","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1016\/j.acra.2008.02.011","article-title":"Radiology Resident Interpretations of On-call Imaging Studies: The Incidence of Major Discrepancies","volume":"15","author":"VF Cooper","year":"2008","journal-title":"Academic Radiology"},{"issue":"2","key":"pone.0274313.ref002","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.acra.2006.11.001","article-title":"Preliminary Reports in the Emergency Department: Is a Subspecialist Radiologist More Accurate Than a Radiology Resident?","volume":"14","author":"Morgan MB Branstetter BFIV","year":"2007","journal-title":"Academic Radiology"},{"issue":"2","key":"pone.0274313.ref003","doi-asserted-by":"crossref","first-page":"367","DOI":"10.2214\/ajr.181.2.1810367","article-title":"Preliminary Interpretations of After-Hours CT and Sonography by Radiology Residents Versus Final Interpretations by Body Imaging Radiologists at a Level 1","volume":"181","author":"E Carney","year":"2003","journal-title":"Trauma Center. 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