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Film-reading ability of radiographers in detecting gastric cancer during screening using X-ray examination

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Abstract

Purpose

The aim of this study was to evaluate the film-reading ability of radiographers in detecting gastric cancer during screening X-ray examinations.

Materials and methods

A test set of 100 patients (50 negative and 50 positive; mean age 62 years, range 33–78 years) given a stomach X-ray examination were selected from those who underwent gastric cancer screening in Osaka, Japan, between 2000 and 2003. Eleven radiographers and four radiologists scored the test set on a five-point scale. A receiver operating characteristic (ROC) analysis was performed, and the area under the ROC curve (AUC) was defined as a measure of film-reading ability to detect cancer.

Results

No significant difference (two-tailed P = 0.962, Welch’s t-test) was observed between averaged AUC values from radiographers (0.76, range 0.85–0.62) and radiologists (0.75, range 0.86–0.62).

Conclusion

Film-reading ability of radiographers in detecting gastric cancer during screening X-ray examinations was not significantly different from that of radiologists. Our results suggest that radiographers can assist radiologists to detect gastric cancer during screening.

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References

  1. Cheyne N, Field-Boden Q, Wilson I, Hall R. The radiographer and frontline diagnosis. Radiography 1987;53:114.

    CAS  PubMed  Google Scholar 

  2. Price RC, Miller LR, Mellor F. Longitudinal changes in extended roles in radiography: a new perspective. Radiography 2002;8:223–234.

    Article  Google Scholar 

  3. Nickerson C, Cush S. New way of working the NHS breast cancer screening programme: second report on implementation. NHS breast cancer screening publications. Sheffield, UK: National Health Service; 2004.

    Google Scholar 

  4. Pauli R, Hammond S, Cooke J, Ansell J. Radiographers as film readers in screening mammography: an assessment of competence under test and screening conditions. Br J Radiol 1996;69:10–14.

    Article  CAS  PubMed  Google Scholar 

  5. Wivell G, Denton ER, Eve CB, Inglis JC, Harvey I. Can radiographers read screening mammograms? Clin Radiol 2003;58:63–67.

    Article  CAS  PubMed  Google Scholar 

  6. Brealey S, Scally A, Hahn S, Thomas N, Godfrey C, Coomarasamy A. Accuracy of radiographer plain radiograph reporting in clinical practice: a meta-analysis. Clin Radiol 2005;60:232–241.

    Article  CAS  PubMed  Google Scholar 

  7. Brealey S, King DG, Crowe MTI, Crawshaw I, Ford L, Warnock NG, et al. Accident and emergency and general practitioner plain radiograph reporting by radiographers and radiologist: a quasi-randomized controlled trial. Br J Radiol 2003;76:57–61.

    Article  CAS  PubMed  Google Scholar 

  8. Sonex EP, Tasker AD, Coulden RA. The role of preliminary interpretation of chest radiographs by radiographers in the management of acute medical problems within a cardiothoracic center. Br J Radiol 2001;74:230–233.

    Google Scholar 

  9. Brandt A, Andronikou S, Wieselthaler N, Louw B, Kilborn T, Dekker G, et al. Accuracy of radiographer reporting of paediatric brain CT. Pediatr Radiol 2007;37:291–296.

    Article  PubMed  Google Scholar 

  10. Goto H, Kato J, Hoshi H. Analysis of film readers of screening gastric X-ray examination in Gifu Prefecture. J Gastroenterol Mass Surv 2002;40:521–526 (in Japanese).

    Google Scholar 

  11. Kusano K. The present situation of education for reading doctor of indirect fluorogastrography. J Gastroenterol Mass Surv 2003;41:30–35 (in Japanese).

    Google Scholar 

  12. Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma, 2nd English edition. Gastric Cancer 1998;1:10–24.

    Article  PubMed  Google Scholar 

  13. Committee of Photofluorography. Standardized method of gastric photofluorography. J Gastroenterol Mass Surv 1984;62:3–5 (in Japanese).

    Google Scholar 

  14. Hanley J, McNeil B. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29–36.

    CAS  PubMed  Google Scholar 

  15. Mossman D, Somoza E. ROC curves, test accuracy, and the description of diagnostic tests. J Neuropsychiatry Clin Neurosci 1991;3:330–333.

    CAS  PubMed  Google Scholar 

  16. Vida S, Des Rosiers P, Carrier L, Gaulthier S. Depression in Alzheimer’s disease: receiver operating characteristic analysis of the Cornell Scale for Depression in Dementia and the Hamilton Depression Scale. J Geriatr Psychiatry Neurol 1994;7: 159–162.

    CAS  PubMed  Google Scholar 

  17. DeLong ER, DeLong DM, Clark-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 1988;44:837–845.

    Article  CAS  PubMed  Google Scholar 

  18. Metz CE. Some practical issues of experimental design and data analysis in radiological ROC studies. Invest Radiol 1989;24:234–245.

    Article  CAS  PubMed  Google Scholar 

  19. Rockette HE, Gur D, Metz CE. The use of continuous and discrete confidence judgments in receiver operating characteristic studies of diagnostic imaging techniques. Invest Radiol 1992;27:169–172.

    Article  CAS  PubMed  Google Scholar 

  20. Quality Control Study Group. The quality control guidelines for gastric cancer mass-screening. Presented at the Kanto and Koshinetsu districts conference of the Japanese Society of Gastroenterological Mass Survey, Tokyo, 1983 (in Japanese).

  21. Kawashima T, Miki N, Yamazaki H, Oshima A, Okano Y, Morii T, et al. Newly designed diagnostic criteria in the gastric mass screening using indirect X-ray. J Gastroenterol Mass Surv 1990;88:37–39 (in Japanese).

    Google Scholar 

  22. Nationwide Statistics Committee for Japan Society of Gastroenterological Mass Survey. Nationwide statistics of mass screening for digestive organ in 2003. J Gastroenterol Mass Surv 2006;44:29–48 (Japanese).

    Google Scholar 

  23. Gur D, Rockette HE, Armfield DR, Blachar A, Bogan JK, Brancatelli G, et al. Prevalence effect in a laboratory environment. Radiology 2003;228:10–14.

    Article  PubMed  Google Scholar 

  24. Sumkin JH, Klaman HM, Graham M, Ruskauff T, Gennari RC, King JL, et al. Prescreening mammography by technologists: a preliminary assessment. AJR Am J Roentgenol 2003;180:253–256.

    PubMed  Google Scholar 

  25. Consolidated Guidance on Standards for the NHS Breast Screening Programme. NHSBSP Publ. No. 60 (Version 2). Sheffield, UK: NHSBSP; 2005. Available at: http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbsp60v2.pdf. Accessed March 1, 2009.

  26. College of Radiographers. The medical image interpretation and clinical reporting by non-radiologists: the role of the radiographer. London, UK: College of Radiographers; 2005.

    Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Kaizuka City Hospital, 3-10-20 Hori, Kaizuka, Osaka, 597-0015, Japan

    Hidetoshi Yatake

  2. Department of Radiological Technology, Graduate School of Health Sciences, Okayama University, Okayama, Japan

    Hidetoshi Yatake, Yoshihiro Takeda & Rumi Gotanda

  3. Department of Radiology, Osaka Cancer Prevention and Detection Center, Osaka, Japan

    Hideo Yamazaki & Chikazumi Kuroda

  4. Faculty of Health Care Sciences, Himeji Dokkyo University, Himeji, Japan

    Toshizo Katsuda

Authors
  1. Hidetoshi Yatake
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  2. Yoshihiro Takeda
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  3. Toshizo Katsuda
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  4. Rumi Gotanda
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  5. Hideo Yamazaki
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  6. Chikazumi Kuroda
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Correspondence to Hidetoshi Yatake.

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Yatake, H., Takeda, Y., Katsuda, T. et al. Film-reading ability of radiographers in detecting gastric cancer during screening using X-ray examination. Jpn J Radiol 27, 291–296 (2009). https://doi.org/10.1007/s11604-009-0339-y

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  • DOI: https://doi.org/10.1007/s11604-009-0339-y

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