Errors in MDCT diagnosis of acute mesenteric ischemia
- PDF / 2,820,365 Bytes
- 15 Pages / 595.276 x 790.866 pts Page_size
- 78 Downloads / 202 Views
SPECIAL SECTION: INTESTINAL ISCHEMIA
Errors in MDCT diagnosis of acute mesenteric ischemia Antonio Pinto1 · Monica Marina Lanzetta2 · Gloria Addeo2 · Maria Cristina Bonini2 · Giulia Grazzini2 · Vittorio Miele2 Received: 30 April 2020 / Revised: 17 August 2020 / Accepted: 30 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract The causes of diagnostic errors during daily medical practice can be several, mainly attributable to perceptual, interpretive and communication factors. The eventuality of radiological error is much more amplified in the emergency setting where a high number of complex multidetector-row computed tomography (MDCT) images must be evaluated quickly and critical time decisions need to be taken. In particular, in this context, the diagnosis of vascular intestinal diseases represents a crucial and difficult challenge in case of acute abdominal pain given the importance of being able to identify patient with high suspicious for intestinal ischemia and for a specific patient to judge if his ischemia is reversible or irreversible. Awareness of potential biases which can lead to diagnostic errors together with an extensive knowledge of the imaging features of these pathologies can lead to promptly recognize them with fewer mistakes, improving patients’ outcome. This article reviews the MDCT findings of acute intestinal ischemia and acute colonic ischemia and analyzes the main types of diagnostic errors, underlining the importance of being familiarized with them to avoid misdiagnosis. Keywords Multidetector computed tomography · Acute mesenteric ischemia · Acute colonic ischemia · Diagnostic errors
Introduction A diagnostic error can be defined as the deviation from the true result, regardless of whether it may or may not cause consequent harm to the patient [1, 2]. It represents a daily risk in medical practice, particularly in emergency departments where the complex working environment favors the chance of errors and a correct diagnosis of the patient’s disease should be provided as soon as possible [3]. Radiology is one of the medical fields more liable to diagnostic errors which depend both on the Radiologist himself and on other concomitant external contributory factors that can occur independently of training or experience levels and can affect the correctness of the diagnosis such as incomplete patient’s clinical history, unavailability of past medical studies, poor clinical orientation, busy and blundering * Gloria Addeo [email protected] 1
Department of Radiology, CTO Hospital, Azienda Ospedaliera dei Colli, Naples, Italy
Department of Emergency Radiology, Azienda Ospedaliero Universitaria Careggi, L.go G.A. Brambilla, 3, 50134 Florence, Italy
2
reading rooms. Radiological errors can be determined by several causes, regardless of the diagnostic imaging techniques used [4, 5]; the main types are reported in Table 1. The most common error is perceptual and occurs during the phase of interpretation of images, when the radiologist fails
Data Loading...
