CTA in acute stroke: short intensive training intervention is highly effective in improving radiologists' performance

Elena Adela Cora; Gary A. Ford; Darren Flynn; P. Gonsalves; Philip M. White

doi:10.1016/j.crad.2017.04.015

CTA in acute stroke: short intensive training intervention is highly effective in improving radiologists' performance

Elena Adela Cora, Gary A. Ford, Darren Flynn, P. Gonsalves, Philip M. White^*

^*Corresponding author for this work

Nursing Midwifery and Health Department

Research output: Contribution to journal › Article › peer-review

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Abstract

Aim To determine whether focussed radiology training in reporting stroke computed tomography angiography (CTA) improved diagnostic performance of general radiology specialty trainees staffing regional on call rotas. Materials and methods A validated case archive (VCA) consisting of 50 hyperacute stroke CTA cases was developed for a full day course on CTA interpretation. Training days were organised ensuring all local trainees had a chance to attend. The rate of major and minor amendments by neuroradiology consultants were reviewed in 252 on-call radiology trainee reports. Results Before training, radiology trainees had a total discrepancy (reporting error) rate of 37%: 12% major, 25% minor. Following CTA training, the total discrepancy rate was not significantly reduced (34%) but there was a substantial reduction in major discrepancies to 4% (p=0.037; odds ratio = 3.30, 95% confidence interval [CI]: 1.08 to 10.12). Conclusion An intensive training course based on a hyperacute stroke VCA significantly reduced major discrepancies in stroke CTA interpretation for radiology trainees. The ability of radiology trainees to recognise large vessel occlusions and other significant findings improved.

Original language	English
Pages (from-to)	871-877
Number of pages	7
Journal	Clinical Radiology
Volume	72
Issue number	10
Early online date	30 May 2017
DOIs	https://doi.org/10.1016/j.crad.2017.04.015
Publication status	Published - 1 Oct 2017

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title = "CTA in acute stroke: short intensive training intervention is highly effective in improving radiologists' performance",

abstract = "Aim To determine whether focussed radiology training in reporting stroke computed tomography angiography (CTA) improved diagnostic performance of general radiology specialty trainees staffing regional on call rotas. Materials and methods A validated case archive (VCA) consisting of 50 hyperacute stroke CTA cases was developed for a full day course on CTA interpretation. Training days were organised ensuring all local trainees had a chance to attend. The rate of major and minor amendments by neuroradiology consultants were reviewed in 252 on-call radiology trainee reports. Results Before training, radiology trainees had a total discrepancy (reporting error) rate of 37%: 12% major, 25% minor. Following CTA training, the total discrepancy rate was not significantly reduced (34%) but there was a substantial reduction in major discrepancies to 4% (p=0.037; odds ratio = 3.30, 95% confidence interval [CI]: 1.08 to 10.12). Conclusion An intensive training course based on a hyperacute stroke VCA significantly reduced major discrepancies in stroke CTA interpretation for radiology trainees. The ability of radiology trainees to recognise large vessel occlusions and other significant findings improved.",

author = "Cora, {Elena Adela} and Ford, {Gary A.} and Darren Flynn and P. Gonsalves and White, {Philip M.}",

note = "Funding information: The authors thank Dr Richard Francis for the advisory help provided for the statistical analysis, and Dr R. Ramaswamy, Dr D. Minks, Dr J. Hall, and Dr A. Gholkar for their help with delivering the training days. The radiology training centre in the North East was funded by Health Education North East to provide radiology simulation training to the radiology specialty trainees of the region. This work was subsidised by a grant for the STABILISE trial — funded jointly by Newcastle University Biomedical Research Centre and Microvention Terumo Inc (BH136733).",

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doi = "10.1016/j.crad.2017.04.015",

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T2 - short intensive training intervention is highly effective in improving radiologists' performance

AU - Cora, Elena Adela

AU - Ford, Gary A.

AU - Flynn, Darren

AU - Gonsalves, P.

AU - White, Philip M.

N1 - Funding information: The authors thank Dr Richard Francis for the advisory help provided for the statistical analysis, and Dr R. Ramaswamy, Dr D. Minks, Dr J. Hall, and Dr A. Gholkar for their help with delivering the training days. The radiology training centre in the North East was funded by Health Education North East to provide radiology simulation training to the radiology specialty trainees of the region. This work was subsidised by a grant for the STABILISE trial — funded jointly by Newcastle University Biomedical Research Centre and Microvention Terumo Inc (BH136733).

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Aim To determine whether focussed radiology training in reporting stroke computed tomography angiography (CTA) improved diagnostic performance of general radiology specialty trainees staffing regional on call rotas. Materials and methods A validated case archive (VCA) consisting of 50 hyperacute stroke CTA cases was developed for a full day course on CTA interpretation. Training days were organised ensuring all local trainees had a chance to attend. The rate of major and minor amendments by neuroradiology consultants were reviewed in 252 on-call radiology trainee reports. Results Before training, radiology trainees had a total discrepancy (reporting error) rate of 37%: 12% major, 25% minor. Following CTA training, the total discrepancy rate was not significantly reduced (34%) but there was a substantial reduction in major discrepancies to 4% (p=0.037; odds ratio = 3.30, 95% confidence interval [CI]: 1.08 to 10.12). Conclusion An intensive training course based on a hyperacute stroke VCA significantly reduced major discrepancies in stroke CTA interpretation for radiology trainees. The ability of radiology trainees to recognise large vessel occlusions and other significant findings improved.

AB - Aim To determine whether focussed radiology training in reporting stroke computed tomography angiography (CTA) improved diagnostic performance of general radiology specialty trainees staffing regional on call rotas. Materials and methods A validated case archive (VCA) consisting of 50 hyperacute stroke CTA cases was developed for a full day course on CTA interpretation. Training days were organised ensuring all local trainees had a chance to attend. The rate of major and minor amendments by neuroradiology consultants were reviewed in 252 on-call radiology trainee reports. Results Before training, radiology trainees had a total discrepancy (reporting error) rate of 37%: 12% major, 25% minor. Following CTA training, the total discrepancy rate was not significantly reduced (34%) but there was a substantial reduction in major discrepancies to 4% (p=0.037; odds ratio = 3.30, 95% confidence interval [CI]: 1.08 to 10.12). Conclusion An intensive training course based on a hyperacute stroke VCA significantly reduced major discrepancies in stroke CTA interpretation for radiology trainees. The ability of radiology trainees to recognise large vessel occlusions and other significant findings improved.

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CTA in acute stroke: short intensive training intervention is highly effective in improving radiologists' performance

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