{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:23Z","timestamp":1787169743591,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>The aim of this study is to evaluate the accuracy levels of the emergency physicians (EPs) managing the patient in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal computed tomography (CT) scans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>The EPs interpreted the CT scans of patients who visited the emergency department because of nontraumatic causes. Then, a radiology instructor made final assessments of these CT scans. Based on the interpretation of the radiology instructor, the false-positive rate, false-negative rate, sensitivity, specificity, positive predictive value, negative predictive value, and kappa coefficient (\u03ba) of the EPs\u2019 interpretations of the CT scans were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 268 thoracics and 185 abdominal CT scans were assessed in our study. The overall sensitivity and specificity of the EPs\u2019 interpretation of the thoracic CT scans were 90% and 89%, respectively, whereas the abdominal CT interpretation was 88% and 86%, respectively. There was excellent concordance between the EPs and the radiology instructor with regard to the diagnoses of pneumothorax, pulmonary embolism, pleural effusion, parenchymal pathology, and masses (\u03ba: 0.90, \u03ba: 0.87, \u03ba: 0.71, \u03ba: 0.79, and \u03ba: 0.91, respectively) and to the diagnoses of intraabdominal free fluid, intraabdominal free gas, aortic pathology, splenic pathology, gallbladder pathology, mesenteric artery embolism, appendicitis, gynecological pathology, and renal pathology (\u03ba: 1, \u03ba: 0.92, \u03ba: 0.96, \u03ba: 0.88, \u03ba: 0.80, \u03ba: 0.79, \u03ba: 0.89, \u03ba: 0.88, and \u03ba: 0.82, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>The EPs are successful in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal CT scans.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/2452-2473.342804","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T05:47:36Z","timestamp":1649656056000},"page":"89-95","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Accuracy of emergency physicians\u2019 interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases"],"prefix":"10.4103","volume":"22","author":[{"given":"Omer Faruk","family":"Karakoyun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalan","family":"Kozaci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Avci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huseyin","family":"Uzunay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240909","doi-asserted-by":"crossref","first-page":"230","DOI":"10.7196\/SAMJ.2018.v108i3.12635","article-title":"High positive computed tomography yields in the emergency department might not be a positive finding","volume":"108","author":"Swartzberg","year":"2018","journal-title":"S Afr Med J"},{"key":"R2-5-20240909","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1749-7922-9-40","article-title":"Establishment and implementation of an effective rule for the interpretation of computed tomography scans by emergency physicians in blunt trauma","volume":"9","author":"Ikegami","year":"2014","journal-title":"World J Emerg Surg"},{"key":"R3-5-20240909","doi-asserted-by":"crossref","first-page":"2331","DOI":"10.1016\/j.ajem.2016.08.044","article-title":"CT interpretations in multiply injured patients: Comparison of emergency physicians and on-call radiologists","volume":"34","author":"Kartal","year":"2016","journal-title":"Am J Emerg Med"},{"key":"R4-5-20240909","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1067\/j.cpradiol.2017.12.010","article-title":"Common resident errors when interpreting computed tomography of the abdomen and pelvis: A review of types, pitfalls, and strategies for improvement","volume":"48","author":"Wildman-Tobriner","year":"2019","journal-title":"Curr Probl Diagn Radiol"},{"key":"R5-5-20240909","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s10140-009-0795-9","article-title":"The DePICTORS Study: Discrepancies in preliminary interpretation of CT scans between on-call residents and staff","volume":"16","author":"Walls","year":"2009","journal-title":"Emerg Radiol"},{"key":"R6-5-20240909","doi-asserted-by":"crossref","first-page":"523","DOI":"10.2214\/AJR.07.2307","article-title":"Preliminary radiology resident interpretations versus final attending radiologist interpretations and the impact on patient care in a community hospital","volume":"189","author":"Ruchman","year":"2007","journal-title":"AJR Am J Roentgenol"},{"key":"R7-5-20240909","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.clinimag.2014.03.001","article-title":"Interobserver agreement between radiologists and radiology residents and emergency physicians in the detection of PE using CTPA","volume":"38","author":"Hochhegger","year":"2014","journal-title":"Clin Imaging"},{"key":"R8-5-20240909","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1136\/emj.2008.071688","article-title":"Emergency physician interpretation of head CT in trauma and suspected subarachnoid haemorrhage-is it viable? An audit of current practice","volume":"27","author":"Harding","year":"2010","journal-title":"Emerg Med J"},{"key":"R9-5-20240909","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.3346\/jkms.2012.27.10.1255","article-title":"Evaluating the accuracy of emergency medicine resident interpretations of abdominal CTs in patients with non-traumatic abdominal pain","volume":"27","author":"Kang","year":"2012","journal-title":"J Korean Med Sci"},{"key":"R10-5-20240909","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.4103\/njcp.njcp_22_18","article-title":"Comparing the interpretation of emergency department computed tomography between emergency physicians and attending radiologists: A multicenter study","volume":"21","author":"Guven","year":"2018","journal-title":"Niger J Clin Pract"},{"key":"R11-5-20240909","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1007\/s10140-017-1542-2","article-title":"Abdominal and pelvic CT scan interpretation of emergency medicine physicians compared with radiologists\u2019 report and its impact on patients\u2019 outcome","volume":"24","author":"Bagheri-Hariri","year":"2017","journal-title":"Emerg Radiol"},{"key":"R12-5-20240909","doi-asserted-by":"crossref","first-page":"W180","DOI":"10.2214\/AJR.19.21386","article-title":"The increasing use of emergency department imaging in the United States: Is it appropriate?","volume":"213","author":"Selvarajan","year":"2019","journal-title":"AJR Am J Roentgenol"},{"key":"R13-5-20240909","doi-asserted-by":"crossref","first-page":"C140","DOI":"10.12968\/hmed.2019.80.10.C140","article-title":"Identifying emergency pathology on abdominopelvic CT for non-radiologists","volume":"80","author":"Evans","year":"2019","journal-title":"Br J Hosp Med (Lond"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.342804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:12:43Z","timestamp":1787166763000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.342804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/2452-2473.342804","relation":{},"ISSN":["2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}