肌肉骨骼放射学的错误:我所学到的。

IF 1.1 4区 医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Seminars in Musculoskeletal Radiology Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI:10.1055/s-0045-1802975
Marcelo Bordalo
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引用次数: 0

摘要

错误是医疗实践中不可避免的方面,放射学也不例外。在肌肉骨骼放射学中,解剖学的复杂性、细微的影像学发现和认知偏差对诊断准确性构成了重大挑战。本文研究了诊断性认知和感知错误的个人经验,确定了通过基于案例的分析来减轻未来错误的关键教训和策略。它强调了反复出现的主题,如过度依赖先前的报告,未能考虑相互矛盾的临床证据,以及过早的诊断结论。改进的关键策略是结构化的推理过程、积极的假设检验、持续教育和培养协作学习的文化。人工智能在放射学中的集成也被强调为提高诊断准确性和简化工作流程的有价值的工具。通过主动解决错误并采用循证策略,放射科医生可以营造一个积极、支持性的环境,优先考虑持续学习、清晰沟通和卓越诊断。这篇文章作为一个提醒,错误,虽然不可避免,提供了机会,专业成长和系统改进的病人护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Errors in Musculoskeletal Radiology: What I Have Learned.

Errors are an unavoidable aspect of medical practice, and radiology is no exception. In musculoskeletal radiology, the complexity of anatomy, subtle imaging findings, and cognitive biases contribute to significant challenges in diagnostic accuracy. This article examines personal experiences with diagnostic cognitive and perceptual errors, identifying key lessons learned and strategies to mitigate future mistakes through case-based analysis. It highlights recurring themes such as overreliance on prior reports, failure to consider contradictory clinical evidence, and premature diagnostic conclusions. Key strategies for improvement are structured reasoning processes, active hypothesis testing, continuous education, and fostering a culture of collaborative learning. The integration of artificial intelligence in radiology is also emphasized as a valuable tool to enhance diagnostic accuracy and streamline workflows.By addressing errors proactively and adopting evidence-based strategies, radiologists can cultivate a positive, supportive environment that prioritizes continuous learning, clear communication, and diagnostic excellence. This article serves as a reminder that errors, although inevitable, offer opportunities for professional growth and systemic improvement in patient care.

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来源期刊
CiteScore
2.50
自引率
7.10%
发文量
112
审稿时长
>12 weeks
期刊介绍: Seminars in Musculoskeletal Radiology is a review journal that is devoted to musculoskeletal and associated imaging techniques. The journal''s topical issues encompass a broad spectrum of radiological imaging including body MRI imaging, cross sectional radiology, ultrasound and biomechanics. The journal also covers advanced imaging techniques of metabolic bone disease and other areas like the foot and ankle, wrist, spine and other extremities. The journal''s content is suitable for both the practicing radiologist as well as residents in training.
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