Learn from my mistakes (case series review of collection of resident mistakes)

Congress:

ECR 2018

Poster Number:

C-2466

Type:

Scientific Exhibit

Keywords:

Neuroradiology brain, CNS, CT, MR, Education, Education and training

Authors:

T. V. P. Morais, C. Pinheiro, C. T. F. Perry da Câmara, M. C. Diogo, C. Conceição; Lisbon/PT

DOI:

10.1594/ecr2018/C-2466

DOI-Link:

https://dx.doi.org/10.1594/ecr2018/C-2466

Fig. 3: Pseudosubarachnoid hemorrhage is a patient with cerebral edema. CT scan.

Fig. 5: Presence of lipiodol in the basal cisterns.

Fig. 1: Axial T2 in a 3 month child (left) and 5 years old (right).

Fig. 2: Suture (left) vs. Fracture (right)

Aims and objectives

Normal 0 21 false false false PT X-NONE X-NONE To review illustrative cases of common mistakes made by neuroradiology residents, in order help prevent future repetition of the same reading errors.

Methods and materials

Normal 0 21 false false false PT X-NONE X-NONE Pictorial review with illustrative cases of classic CT and MR perceptive and interpretive errors made by young residents of brain, spine and head and neck regions. Reasons for the misreading of the examinations will be explained.

Results

An educational review of pitfalls often encountered in the reading of neuroradiological examinations is presented. Cases include anatomical variants mistaken for pathological findings, misinterpretation of abnormal findings and other miscellaneous pitfalls. In the first category, we show the brain MRI of neonatal vs. a child with age above 2 years old. In the neonatal brain, unmyelinated white matter has a low signal intensity on T1 weighted images and high intensity on T2 weighted images. As myelination proceeds, the water content of white matter decreases, causing...

Conclusion

Normal 0 21 false false false PT X-NONE X-NONE Reporting neuroradiology examinations has a learning curve, along which many mistakes are made. A review of recurring mistakes of beginners helps alert to this entities and hopefully educate trainees.

Personal information

References

Normal 0 21 false false false PT X-NONE X-NONE 1. Blake A. Johnson; “Avoiding diagnostic pitfalls in neuroimaging”; Applied Radiology; March 2016