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Jul 12
2010
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Imagerie thoracique !Posted by Anuj Mishra in Radiography , Chest |
Chest radiography is the most frequently performed diagnostic examination in the public hospitals and private practices.
Almost 150 million chest X-rays are performed every year in US.
This practice is based on a very simple misbelief and everyone thinks rather naively that :
- If a lesion is present in the lungs, it will show up on the x-ray,
- If a lesion shows up on the x-ray, it will be detected by the physician,
- If the lesion is detected by the physician, it will be correctly interpreted, and
- If the lesion is interpreted correctly, the right diagnosis will be made.
Large scale studies, spanning over 20 years, have shown that:
- 20 to 30% of radiographs considered as NORMAL are in fact PATHOLOGICAL (= FALSE NEGATIVES)
- And 1 to 20% of radiographs considered as PATHOLOGICAL are in fact NORMAL (= FALSE POSITIVES)
The perception of pulmonary lesions is influenced by numerous and complex factors.














Feedback from clinician is very importantn"Disease dont follow textboooks nowsda...
