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Case based simulation in MRI for suspected appendicitis in children

Published:September 21, 2017DOI:https://doi.org/10.1016/j.clinimag.2017.09.012

      Highlights

      • We found a significant increase in self-reported diagnostic competence to levels above the threshold from advanced beginner to competent
      • By creating a simulation setting from readily available cases and software, radiologists were able to increase exposure and practice their interpretative skills on a realistic environment
      • Reinterpreting cases might facilitate adoption of new technologies and allow departments with lower volumes to disseminate knowledge faster and improve training
      • This study opens the possibility of developing a full curriculum of pediatric MRI applications that improve diagnostic confidence

      Abstract

      Purpose

      To establish the effect on diagnostic confidence of a simulation setting, in which radiologists re-interpret anonymized pediatric MRI cases.

      Materials

      In this IRB-approved study, participants completed surveys rating confidence before and after interpreting 10 MRI cases for suspected appendicitis in children.

      Results

      18 radiologists (4 faculty, 5 fellows, and 9 residents) correctly identified an average of 7.44 cases (range 5–9). Self-described confidence regarding technique and interpretation increased from 2.0 (SD 0.77) and 2.33 (SD 0.69) to 2.83 (SD 0.71) and 2.94 (SD 0.73), respectively.

      Conclusion

      Simulated interpretation of pediatric MRI in suspected appendicitis results in increased self-describe confidence without requiring additional capital/equipment expenses.

      Keywords

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