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The pediatric intensivists (PI) at the bedside are often the first physicians to interpret a radiograph and frequently base diagnostic and therapeutic interventions on their interpretations.
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A board-certified musculoskeletal radiologist (JAS) interpreted all radiographs blinded to clinical and experimental information, according to the modified Sharp-van der Heijde score (SHS) system [ 24, 25].
Union was defined by radiological assessment and a clinician masked to the patient's smoking status interpreted all radiographs.
Radiographs have their limitations when interpreting a three-dimensional pathologic process.
It is important to avoid the temptation (beloved by plaintiffs' lawyers) to apply the principle "radiologists have a duty to interpret radiographs correctly" to specific instances ("radiologists have a duty to interpret this particular radiograph correctly").
It is also, however, evident that radiographs are not perfect for this purpose if ED doctors need to interpret the radiographs without the support of a radiologist.
The maximum possible score is 38 Three observers who interpret chest radiographs from CF patients on a regular basis were involved in the study (one radiologist with a special interest in chest imaging, one radiology resident with an interest in chest imaging and one paediatric pulmonology fellow with previous research experience in chest radiograph scoring in CF).
It allowed us to interpret standard radiographs more precisely and more correctly.
To our knowledge no previous studies have evaluated the accuracy with which board-certified PI interpret chest radiographs.
Clinical suspicion and evidence from positive results of other diagnostic tests may have prompted the physicians to interpret chest radiographs as positive for TB.
All the above-mentioned studies have also used radiographs as a gold standard despite the fact that ED doctors may need to interpret radiographs without the support of a radiologist.
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Justyna Jupowicz-Kozak
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