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Congress: ECR25
Poster Number: C-20435
Type: Poster: EPOS Radiologist (educational)
Authorblock: D. I. Krimli, S. Shihata, A. A. Felemban, M. I. Alsayed, O. H. Alaslani, B. A. Bannan, Z. Alsabban, Z. Zia; Jeddah/SA
Disclosures:
Danah Ismail Krimli: Nothing to disclose
Salah Shihata: Nothing to disclose
Abdulbari Abdulkaliq Felemban: Nothing to disclose
Mohammed Ibrahim Alsayed: Nothing to disclose
Ohoud Hameed Alaslani: Nothing to disclose
Badr Abdulmajied Bannan: Nothing to disclose
Zehour Alsabban: Nothing to disclose
Zergham Zia: Nothing to disclose
Keywords: Abdomen, Cardiovascular system, Emergency, CT, MR, Ultrasound, Computer Applications-Detection, diagnosis, Quality assurance
Background

A retrospective review of all emergency on-call studies at a tertiary care institution over 8 weeks was conducted. Inclusion criteria included after-hours emergency cases with finalized report changes, while outpatient or inpatient studies were excluded.  

The Automated Critical Result Notification System (ACRNS) flagged discrepancies between provisional and finalized reports. Four board-certified radiologists independently reviewed cases using the 2016 ACR RadPeer scoring system, which categorizes discrepancies as follows:  

  • 1: Concurrence.  
  • 2a/3a: Non-significant discrepancy (e.g., stable postoperative changes).  
  • 2b/3b: Clinically significant discrepancy (e.g., missed pulmonary embolism).  

Cases were categorized into neuroimaging (brain/spine) or chest/abdomen studies

GALLERY