La radiologia medica

, Volume 120, Issue 9, pp 795–801 | Cite as

Errors in neuroradiology

  • Ferdinando CaranciEmail author
  • Enrico Tedeschi
  • Giuseppe Leone
  • Alfonso Reginelli
  • Gianluca Gatta
  • Antonio Pinto
  • Ettore Squillaci
  • Francesco Briganti
  • Luca Brunese


Approximately 4 % of radiologic interpretation in daily practice contains errors and discrepancies that should occur in 2–20 % of reports. Fortunately, most of them are minor degree errors, or if serious, are found and corrected with sufficient promptness; obviously, diagnostic errors become critical when misinterpretation or misidentification should significantly delay medical or surgical treatments. Errors can be summarized into four main categories: observer errors, errors in interpretation, failure to suggest the next appropriate procedure, failure to communicate in a timely and a clinically appropriate manner. Misdiagnosis/misinterpretation percentage should rise up in emergency setting and in the first moments of the learning curve, as in residency. Para-physiological and pathological pitfalls in neuroradiology include calcification and brain stones, pseudofractures, and enlargement of subarachnoid or epidural spaces, ventricular system abnormalities, vascular system abnormalities, intracranial lesions or pseudolesions, and finally neuroradiological emergencies. In order to minimize the possibility of error, it is important to be aware of various presentations of pathology, obtain clinical information, know current practice guidelines, review after interpreting a diagnostic study, suggest follow-up studies when appropriate, communicate significant abnormal findings appropriately and in a timely fashion directly with the treatment team.


Neuroradiology Errors CT MRI 


Compliance with ethical standards

This article does not contain any studies with animals performed by any of the authors. Additional informed consent was obtained from all individual participants whose identifying information is included in this article.

Conflict of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© Italian Society of Medical Radiology 2015

Authors and Affiliations

  • Ferdinando Caranci
    • 1
    Email author
  • Enrico Tedeschi
    • 1
  • Giuseppe Leone
    • 1
  • Alfonso Reginelli
    • 2
  • Gianluca Gatta
    • 2
  • Antonio Pinto
    • 3
  • Ettore Squillaci
    • 4
  • Francesco Briganti
    • 1
  • Luca Brunese
    • 5
  1. 1.Unit of Neuroradiology, Department of Advanced Biomedical SciencesFederico II University of NaplesNaplesItaly
  2. 2.Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of RadiologySecond University of NaplesCasertaItaly
  3. 3.Department of RadiologyCardarelli HospitalNaplesItaly
  4. 4.Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and RadiotherapyUniversity of Rome Tor VergataRomeItaly
  5. 5.Department of Health ScienceUniversity of MoliseCampobassoItaly

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