Minds treating brains: understanding the interpretation of non-contrast CT ASPECTS in acute ischemic stroke

被引：19
作者：
Wilson, Alexis T. [1 ]
Dey, Sadanand [1 ]
Evans, James W. [1 ]
Najm, Mohamed [1 ]
Qiu, Wu [1 ]
Menon, Bijoy K. [1 ,2 ,3 ]
机构：
[1] Univ Calgary, Dept Clin Neurosci, Calgary, AB, Canada
[2] Univ Calgary, Dept Radiol, Calgary, AB, Canada
[3] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada
来源：
EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2018年 / 16卷 / 02期
关键词：
Stroke; computed tomography; medical imaging; brain imaging; image interpretation;
D O I：
10.1080/14779072.2018.1421069
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Introduction: The Alberta Stroke Program Early CT Score on non-contrast CT is a key component of prognostication and treatment selection in acute stroke care. Previous findings show that the reliability of this scale must be improved to maximize its clinical utility. Areas covered: This review discusses technical, patient-level, and reader-level sources of variability in ASPECTS reading; relevant concepts in the psychology of medical image perception; and potential interventions likely to improve inter-and intra-rater reliability. Expert commentary: Approaching variability in medical decision making from a psychological perspective will afford cognitively informed insights into the development of interventions and training techniques aimed at improving this issue.
引用
收藏
页码：143 / 153
页数：11
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