Titlebook: Errors in Imaging; Haris Chrysikopoulos Book 2020 Springer Nature Switzerland AG 2020 Radiology.Discrepancies.Mistakes.Biases.Education

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Interdict

Perception and Cognition in Medical Imaging,rts of the image. Our visual behavior is intertwined with our cognitive labor of data analysis and data synthesis, and is supported by our experience and fund of knowledge. Our attention is easily drawn to any obvious patterns and any obvious isolated findings. At the same time we can direct our gaz

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Definition of Errors in Imaging,rent difficulty in interpreting medical images, especially if we cannot obtain confirmation of the diagnosis. So we need a working definition of errors in imaging. An error is a missed diagnosis, an inaccurate or incomplete diagnosis, the omission to specify follow-up imaging or additional studies,

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Categories of Errors in Imaging,communication with the referring physician. Failure to detect the abnormality is the most frequent error type. Misinterpretation of a finding leads to underdiagnosis or overdiagnosis. Blind spots are anatomic areas that do not usually flag our attention, becoming thus a convergence point for biases,

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The Radiology Report,ng physician. Thus the way we construct or dictate our report should satisfy the requirements above, of course within the constraints of uncertainty of each individual case. By “information” I mean the answer to the clinical question, and the inclusion of other, significant or incidental findings. B

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Mechanisms of Errors,itations of individuals, specifically biases. In order to make decisions quickly we tend to simplify and speed up the intake and the processing of information. Thus we may lean heavily towards one finding or one diagnosis, even if we are misdirected and wrong. The result is that we disregard, downpl

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Expertise and Competence,s in order to advance their practice. This chapter presents the related topics of expertise and competence. By “expertise” I mean the mastery of detection and interpretation skills”. By “competence” I mean the mastery or a high level of operation of non-interpretive skills, such as team working, kno

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Mechanisms of Errors,ay, or even reject a finding or a diagnosis, even if they are significant or correct. The two most important biases in imaging are “satisfaction of search” and “premature closing.” Both of them are discussed in great detail in this chapter. Additional important biases are presented as well.