{"title":"The “Hungry Judge” effect on prostate MRI reporting: Chronobiological trends from 35’004 radiologist interpretations","authors":"","doi":"10.1016/j.ejrad.2024.111665","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>To investigate the associations between the hour of the day and Prostate Imaging–Reporting and Data System (PI-RADS) scores assigned by radiologists in prostate MRI reports.</p></div><div><h3>Materials and methods</h3><p>Retrospective single-center collection of prostate MRI reports over an 8-year period. Mean PI-RADS scores assigned between 0800 and 1800 h were examined with a regression model.</p></div><div><h3>Results</h3><p>A total of 35′004 prostate MRI interpretations by 26 radiologists were included. A significant association between the hour of day and mean PI-RADS score was identified (<span><math><mrow><msub><mi>β</mi><mn>2</mn></msub></mrow></math></span> = 0.005, p < 0.001), with malignant scores more frequently assigned later in the day.</p></div><div><h3>Conclusion</h3><p>These findings suggest chronobiological factors may contribute to variability in radiological assessments. Though the magnitude of the effect is small, this may potentially add variability and impact diagnostic accuracy.</p></div>","PeriodicalId":12063,"journal":{"name":"European Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Radiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0720048X24003814","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Aim
To investigate the associations between the hour of the day and Prostate Imaging–Reporting and Data System (PI-RADS) scores assigned by radiologists in prostate MRI reports.
Materials and methods
Retrospective single-center collection of prostate MRI reports over an 8-year period. Mean PI-RADS scores assigned between 0800 and 1800 h were examined with a regression model.
Results
A total of 35′004 prostate MRI interpretations by 26 radiologists were included. A significant association between the hour of day and mean PI-RADS score was identified ( = 0.005, p < 0.001), with malignant scores more frequently assigned later in the day.
Conclusion
These findings suggest chronobiological factors may contribute to variability in radiological assessments. Though the magnitude of the effect is small, this may potentially add variability and impact diagnostic accuracy.
期刊介绍:
European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field.
Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.