Accuracy of Brain MRI Interpretation of Emergency Medicine Specialists versus Radiologist and Neurologist in Suspected Acute Ischemic Stroke Patients; a Diagnostic Accuracy Study

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Abdollahi Atefeh; Aarabi Sepideh; SAFAIE ARASH; NASER MOGHADASI ABDORREZA; Vahedi Mohammad Sadegh; POURGHORBAN RAMIN

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Journal Paper

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Journal: Archives of Neuroscience Year:2021 | Volume:8 | Issue:2 Page(s): 0-0

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Title

Accuracy of Brain MRI Interpretation of Emergency Medicine Specialists versus Radiologist and Neurologist in Suspected Acute Ischemic Stroke Patients; a Diagnostic Accuracy Study

Author(s)

Keywords

Accuracy

Brain

Emergency Medicine

Magnetic Resonance Imaging

Radiographic Image Interpretation

Stroke

Abstract

Background: Despite numerous Brain Magnetic Resonance Imaging (MRI) utilization in the emergency department (ED), certainly, imaging alone is not enough, and it is necessary to have a correct interpretation by a physician who has sufficient skills in this regard. Objectives: Here, we decided to investigate the Accuracy of interpreting Brain MRI of suspected acute ischemic Stroke (AIS) patients conducted by Emergency Medicine physicians (EMPs) in comparison with a radiologist and a neurologist. Methods: This diagnostic Accuracy study was conducted from April to November 2019 in Tehran, Iran. All attending EMPs of one major educational, medical center, a radiologist, and a neurologist also participated. A set of Brain MRI stereotypes related to patients suspected of having a AIS was randomly selected. By reviewing the Brain MRI interpretation of EMPs, once in comparison with the radiologist and once in comparison with the neurologist, misinterpretations (presence or absence of findings compatible with the diagnosis of AIS) were extracted. Results: Brain MRI stereotypes of 287 suspected AIS patients were interpreted of these patients, 160 cases (55. 7%) were male. The mean age of the study patients was 65. 0-14. 1 (range of 18 to 98) years. The value of the agreement for diagnosis between EMPs and neurologists was 0. 684 (95% CI: 0. 580 to 0. 787). Considering the neurologist as the gold standard, the Accuracy of AIS diagnosis by the EMPs was 0. 85% (95% CI: 79. 3 to 89. 6). The agreement value for diagnosis between EMPs and radiologist was 0. 673 (95% CI: 0. 553 to 0. 794). Considering the radiologist as the gold standard, the Accuracy of AIS diagnosis by the EMPs was 86. 3% (95% CI: 79. 8 to 91. 3). The agreement value for diagnosis in these two groups was 0. 752 (95% CI: 0. 627 to 0. 877). Conclusions: The findings of the current study revealed that the Accuracy of Brain MRI interpretation performed by the EMPs, compared with both neurologist and radiologist was proper.

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References

Correction to: Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/ American Stroke Association

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APA: Copy

Abdollahi, Atefeh, Aarabi, Sepideh, SAFAIE, ARASH, NASER MOGHADASI, ABDORREZA, Vahedi, Mohammad Sadegh, & POURGHORBAN, RAMIN. (2021). Accuracy of Brain MRI Interpretation of Emergency Medicine Specialists versus Radiologist and Neurologist in Suspected Acute Ischemic Stroke Patients; a Diagnostic Accuracy Study. ARCHIVES OF NEUROSCIENCE, 8(2), 0-0. SID. https://sid.ir/paper/693641/en

Vancouver: Copy

Abdollahi Atefeh, Aarabi Sepideh, SAFAIE ARASH, NASER MOGHADASI ABDORREZA, Vahedi Mohammad Sadegh, POURGHORBAN RAMIN. Accuracy of Brain MRI Interpretation of Emergency Medicine Specialists versus Radiologist and Neurologist in Suspected Acute Ischemic Stroke Patients; a Diagnostic Accuracy Study. ARCHIVES OF NEUROSCIENCE[Internet]. 2021;8(2):0-0. Available from: https://sid.ir/paper/693641/en

IEEE: Copy

Atefeh Abdollahi, Sepideh Aarabi, ARASH SAFAIE, ABDORREZA NASER MOGHADASI, Mohammad Sadegh Vahedi, and RAMIN POURGHORBAN, “Accuracy of Brain MRI Interpretation of Emergency Medicine Specialists versus Radiologist and Neurologist in Suspected Acute Ischemic Stroke Patients; a Diagnostic Accuracy Study,” ARCHIVES OF NEUROSCIENCE, vol. 8, no. 2, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/693641/en

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