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Interpretation of Emergency Department Radiographs

A Comparison of Emergency Medicine Physicians with Radiologists, Residents with Faculty, and Film with Digital Display

John Eng1, William K. Mysko2, Gregory E. R. Weller1,3, Regis Renard1,4, Joseph N. Gitlin1, David A. Bluemke1, Donna Magid1, Gabor D. Kelen2 and William W. Scott, Jr.1

1 Department of Radiology, Johns Hopkins University School of Medicine, 600 N. Wolfe St., Baltimore, MD 21287.
2 Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
3 Present address: Department of Bioengineering, University of Pittsburgh School of Medicine, 3550 Terrace St., Pittsburgh, PA 15213.
4 Present address: Department of Orthopedics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 185 S. Orange Ave., Newark, NJ 07103.



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  		Fig. 1. —Graph of receiver operating characteristic (ROC) curves for radiograph interpretation from conventional radiographic film shows ranking of four observer groups as measured by areas under curves. Nonparametric (empiric) ROC curves are shown.

 


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  		Fig. 2. —Graph of receiver operating characteristic (ROC) curves for image interpretation with high-resolution video monitors shows ranking of four observer groups as measured by areas under curves. Ranking is same as that for radiographic film, but areas are less in all four groups. Nonparametric (empiric) ROC curves are shown.

 

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