Guide to systematic approach of radiological studies interpretation - Quattro Method

Congress:

ECR 2019

Poster Number:

C-1388

Type:

Educational Exhibit

Keywords:

Anatomy, Professional issues, Management, CT, Conventional radiography, MR, Structured reporting, Computer Applications-General, Technical aspects, Quality assurance, Workforce

Authors:

S. M. I. Y. Shalaby¹, M. Ramzy², G. Lembarki³, H. Noreldin², H. M. Abdel Hafeez², L. Elgendy², W. Shawaf²; ¹Cairo, Ca/EG, ²Cairo/EG, ³Casablanca/MA

DOI:

10.26044/ecr2019/C-1388

DOI-Link:

https://dx.doi.org/10.26044/ecr2019/C-1388

Fig. 2: shows subtle right upper lobe apical pneumothorax that was missed initially....

Fig. 4: Absent right L1 pedicle in a patient who had history of back pain and whose...

Fig. 5: Pancoast’s tumor with left first rib destruction in a daily encountered...

Fig. 1: Fig (1), showing illustration of Quattro Method.

Fig. 8: Download a pdf file containing all Quattro...

Table 1: Chest X-Ray Checklist

Learning objectives

To revise the general search pattern and specific diagnostic checklists of many commonly daily encountered radiological studies. Illustrating pitfalls and commonly missed pathologies, and how this approach can evade that. Appreciating applied anatomical and technical aspects knowledge.

Background

For a radiological examination to be interpreted, an extensive mental processes is being implemented by the radiologist, that is expressed as a search approach , while these process differ from a radiologist to another, itshould have well-organized approaches that catches the common pathologies, not missing the rarer ones, and lessens pitfalls. Dictation templates are handy and provide a framework to check against each organ/ region in the body, but the radiologist have to be aware of what he is going to look for on the...

Findings and procedure details

We've reviewed many of the radiological studies anatomical and pathological checklists for studies interpretation. We’ve formulated a simple, handy yet bold and effective systematic approach that would make it much easier for residents as well as registrars to improve their workflow for each study interpretation. That approach system includes checklists for study technique, anatomy, pathology, and search pattern in context of the clinical question. Thus fulfilling a comprehensive thinking manner seeking diagnosis and management. As a beginning, always keep in mind to confirm the basic...

Conclusion

Through our daily practice, the systematic approach of “Quattro Method” proved to be simple to use, easy to command, and effective to avoid perception and search errors, and effective to mature observational, analytical and critical skills. The checklists provided -covering most of the daily practice different radiological studies- are as effective, and that have been always reflected in the radiological reports we’ve produced. The clinical radiologist is pivotal in steering the clinician in providing appropriate management. Radiology report is mostly the final product of radiologist’s...

Personal information

Contact: Dr. Sherif Mohsen Shalaby, Msc [email protected] Egypt Radiologist @ NIDE, Dar Al Fouad Hospitals (DAFH), ERMED. Dr. Marwa Ramzy Hamdy, MSc Radiologist @ NIDE [email protected] Authors: Sherif Mohsen Shalaby, Marwa Ramzy, Ghizlane Lembarki, Hedaya Noreldin, Hend Abdelhafeez, Lamis Elgendy, Wael Shawaf. To download the checklists as text tables, please head to:All QUATTRO CHECKLISTS QR Code:

References

Ellen M. Kok. et al. Systematic viewing in radiology: seeing more, missing less? Adv Health Sci Educ Theory Pract. 2016; 21: 189–205. Ounali S. Jaffer, lmran Khan, David A. Introduction to Musculoskeletal Imaging Elias Paul S. Sidhu. In:FRCR 28 Viva: A Case-Based Approach Germany: Thieme Publishing Group; 2013. p. 86-87. Som PM, Curtin HD. Head and neck imaging. Vol.2. St. Louis ; London: Mosby, 1996. E K Hughes, J P Hughes, G Madani. Interpretation of Computed Tomography of the Petrous Temporal Bone. Rila Publications Ltd....