The 60-Film Set with 8-index for Examining Physicians’ Proficiency in Reading Pneumoconiosis Chest X-rays

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Author(s)

Abstract

The 60-film set was developed by experts (Expert Group) for examining 8 indices: sensitivity (X<sub>1</sub>) and specificity (X<sub>2</sub>) for pneumoconiosis, sensitivity(X<sub>3</sub>) and specificity for (X<sub>4</sub>) large opacities, sensitivity (X<sub>5</sub>) and specificity (X<sub>6</sub>) for pleural plaque, profusion increment consistency for small opacities (X<sub>7</sub>), and shape differentiation for small opacities (X<sub>8</sub>) of physicians’ reading skills on pneumoconiosis X-ray according to ILO 2000 Classification. The aim of this study was to assess the appropriateness of the exam film set for evaluating physicians’ reading skills. 29 physicians (A1-Group) and 24 physicians (A2-Group) attended the 1st and 2nd “Asian Intensive Reader of Pneumoconioses” (AIR Pneumo) training course, respectively, and 22 physicians (B-Group) attended Brazilian training course. After training, they took examination of reading 60-film exam set. The examinees’ reading results in terms of 8 indices were compared between the examinee groups and the Expert Group by parametric unpaired <i>t</i>-test. The Examinee Group consisting of A1-Group, A2-Group and B-Group was inferior to the Expert Group in all indices. There was no significant difference for X<sub>7</sub> of A1-Group, X<sub>7</sub> and X<sub>8</sub> of A2-Group (<i>p</i>>0.05) compared with the Expert Group. There was a significant difference in X<sub>8</sub> at <i>p</i><0.05 between A1-Group and A2-Group, in X<sub>3</sub> at <i>p</i><0.05 between A1-Group and B-Group, in both X<sub>1</sub> and in X<sub>3</sub> at <i>p</i><0.05 between A2-Group and B-Group. Accordingly, the 60-film set providing 8 indices designed might be a good method for evaluation of the physicians’ reading proficiency at different training settings. <br>

Journal

  • Industrial Health

    Industrial Health 50(2), 84-94, 2012

    National Institute of Occupational Safety and Health

Codes

  • NII Article ID (NAID)
    130004828659
  • NII NACSIS-CAT ID (NCID)
    AA00672955
  • Text Lang
    ENG
  • ISSN
    0019-8366
  • NDL Article ID
    023571990
  • NDL Call No.
    Z51-F156
  • Data Source
    NDL  J-STAGE 
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