An assessment of radiology resident competency in identifying suppurative retropharyngeal lymphadenitis: an examination using the WIDI SIM platform.

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Emergency Radiology Pub Date : 2024-04-01 Epub Date: 2024-02-10 DOI:10.1007/s10140-024-02210-8

Abheek Raviprasad, Kevin Pierre, Dahyun Kang, Jordan Turetsky, Rajvi Thakkar, Bayar Batmunh, Ronald Quisling, John Rees, Linda Lanier, Roberta M Slater, Christopher L Sistrom, Priya G Sharma, Dhanashree A Rajderkar, Anthony A Mancuso

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引用次数: 0

Abstract

Background and purpose: Suppurative retropharyngeal lymphadenitis is a retropharyngeal space infection almost exclusively seen in the young (4-8 years old) pediatric population. It can be misdiagnosed as a retropharyngeal abscess, leading to unnecessary invasive treatment procedures. This retrospective study aims to assess radiology residents' ability to independently identify CT imaging findings and make a definitive diagnosis of suppurative retropharyngeal lymphadenitis in a simulated call environment.

Materials and methods: The Wisdom in Diagnostic Imaging Emergent/Critical Care Radiology Simulation (WIDI SIM) is a computer-aided emergency imaging simulation proven to be a reliable method for assessing resident preparedness for independent radiology call. The simulation included 65 cases across various imaging modalities of varying complexity, including normal studies, with one case specifically targeting suppurative retropharyngeal adenitis identification. Residents' free text responses were manually scored by faculty members using a standardized grading rubric, with errors subsequently classified by type.

Results: A total of 543 radiology residents were tested in three separate years on the imaging findings of suppurative retropharyngeal lymphadenitis using the Wisdom in Diagnostic Imaging simulation web-based testing platform. Suppurative retropharyngeal lymphadenitis was consistently underdiagnosed by radiology residents being tested for call readiness irrespective of the numbers of years in training. On average, only 3.5% of radiology residents were able to correctly identify suppurative retropharyngeal lymphadenitis on a contrast-enhanced computed tomography (CT).

Conclusions: Our findings underscore a potential gap in radiology residency training related to the accurate identification of suppurative retropharyngeal lymphadenitis, highlighting the potential need for enhanced educational efforts in this area.

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评估放射科住院医师识别化脓性咽后淋巴结炎的能力：使用 WIDI SIM 平台进行检查。

背景和目的：化脓性咽后淋巴结炎是一种咽后间隙感染，几乎仅见于幼儿（4-8 岁）。它可能被误诊为咽后脓肿，导致不必要的侵入性治疗程序。本回顾性研究旨在评估放射科住院医师在模拟呼叫环境中独立识别 CT 成像结果并明确诊断化脓性咽后淋巴结炎的能力：Wisdom in Diagnostic Imaging Emergent/Critical Care Radiology Simulation（WIDI SIM）是一种计算机辅助的紧急成像模拟，已被证明是评估住院医师独立进行放射科呼叫准备情况的可靠方法。该模拟包括 65 个病例，涉及不同复杂程度的各种成像模式，其中包括正常检查，还有一个病例专门针对化脓性咽后腺炎的识别。住院医师的自由文本回答由教员使用标准化评分标准进行人工评分，随后按错误类型进行分类：结果：共有 543 名放射科住院医师在三个不同的年份接受了使用 Wisdom in Diagnostic Imaging 仿真网络测试平台进行的化脓性咽后淋巴腺炎影像学检查结果测试。无论接受培训的年限长短，接受应召准备测试的放射科住院医师对化脓性咽后淋巴结炎的诊断率始终偏低。平均只有 3.5% 的放射科住院医师能在对比增强计算机断层扫描（CT）上正确识别化脓性咽后淋巴结炎：我们的研究结果凸显了放射科住院医师培训在准确识别化脓性咽后淋巴结炎方面的潜在差距，强调了加强该领域教育工作的潜在必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.60

自引率

4.50%

发文量

期刊介绍： To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!