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The relationship between the technologists' quality assessment and the physicians' confidence in assessing ischemia was stronger than the relationship between the technologists' quality assessment and the physicians' confidence in assessing infarction.
We also found that the relationship between the technologists' quality assessment and the physicians' confidence in assessing ischemia was stronger than the relationship between the technologists' quality assessment and the physicians' confidence in assessing infarction.
We modeled the influence of the technologists' quality assessment on the physicians' confidence in rating ischemia and infarction (very sure versus less sure or equivocal).
ROC analyses revealed that for both endpoints (ischemia, infarction) and all physicians, the optimal cutoff point for performing a repeat acquisition was a technologists' quality assessment between categories 2 and 3.
Receiver operating characteristic (ROC) curve analysis was performed on the technologists' quality assessment to estimate the data-driven optimal threshold for maximizing the physicians' confidence in rating myocardial ischemia and infarction.
A sub-analysis was performed for the interrelationships between the technologists' quality assessment and the physicians' confidence in rating myocardial ischemia and infarction, for the different reconstruction methods (FBP, Gothenburg and Malmö and OSEM, Odense).
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Most testing was done by nurses, with laboratory technologists providing quality control.
Also, in Malmö, four technologists assessed image quality as compared to three from Gothenburg and Odense.
"If you hire high quality technologists or business people or a COO, those things make a difference," Chopra says.
The technologists judged image quality on a scale ranging from 1 to 5; 1 being worst (Figure 1), and judged the first and the repeated acquisition images separately and in random order.
A striking implication of the current results is the poor performance of microscopy, even in the hands of well-trained technologists with adequate quality assurance.
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