Evidence map›Paper›PMID 29796918›Full record

ArticleEuropean radiology2018

Computer-based self-training for CT colonography with and without CAD.

Lapo Sali, Silvia Delsanto, Daniela Sacchetto, Loredana Correale, Massimo Falchini, Andrea Ferraris, Giovanni Gandini, Giulia Grazzini, Franco Iafrate, Gabriella Iussich and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Local Recurrences in Rectal Cancer: MRI vs. CT.Diagnostics (Basel, Switzerland) · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Lapo SaliDepartment of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, Viale Morgani 50, 50134, Florence, Italy. lapo.sali@unifi.it.ORCID http://orcid.org/0000-0002-3366-1660
Silvia Delsantoim3D S.p.A., Via Livorno 60, 10153, Turin, Italy.
Daniela Sacchettoim3D S.p.A., Via Livorno 60, 10153, Turin, Italy.
Loredana Correaleim3D S.p.A., Via Livorno 60, 10153, Turin, Italy.
Massimo FalchiniDepartment of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, Viale Morgani 50, 50134, Florence, Italy.
Andrea FerrarisDepartment of Surgical Science, University of Turin, 10124, Turin, Italy.
Giovanni GandiniDepartment of Surgical Science, University of Turin, 10124, Turin, Italy.
Giulia GrazziniDepartment of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, Viale Morgani 50, 50134, Florence, Italy.
Franco IafrateRadiology Unit, Department of Radiological Sciences, Oncology and Pathology, University of Rome "Sapienza", Viale del Policlinico 155, 00161, Rome, Italy.
Gabriella IussichRadiology Unit, Sant'Anna Hospital, Via Sant'Anna 1, 6924, Sorengo, Switzerland.
Lia Morraim3D S.p.A., Via Livorno 60, 10153, Turin, Italy.
Andrea LaghiDepartment of Radiological Sciences, Oncology and Pathology, University of Rome "Sapienza", Sant'Andrea University Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Mario MascalchiDepartment of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, Viale Morgani 50, 50134, Florence, Italy.
Daniele ReggeDepartment of Surgical Science, University of Turin, 10124, Turin, Italy.
University of Florence · ITUniversity of Turin · ITCandiolo Cancer Institute · ITPoliclinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether (1) computer-based self-training for CT colonography (CTC) improves interpretation performance of novice readers; (2) computer-aided detection (CAD) use during training affects learning.

methodsInstitutional review board approval and patients' informed consent were obtained for all cases included in this study. Twenty readers (17 radiology residents, 3 radiologists) with no experience in CTC interpretation were recruited in three centres. After an introductory course, readers performed a baseline assessment test (37 cases) using CAD as second reader. Then they were randomized (1:1) to perform either a computer-based self-training (150 cases verified at colonoscopy) with CAD as second reader or the same training without CAD. The same assessment test was repeated after completion of the training programs. Main outcome was per lesion sensitivity (≥ 6 mm). A generalized estimating equation model was applied to evaluate readers' performance and the impact of CAD use during training.

resultsAfter training, there was a significant improvement in average per lesion sensitivity in the unassisted phase, from 74% (356/480) to 83% (396/480) (p < 0.001), and in the CAD-assisted phase, from 83% (399/480) to 87% (417/480) (p = 0.021), but not in average per patient sensitivity, from 93% (390/420) to 94% (395/420) (p = 0.41), and specificity, from 81% (260/320) to 86% (276/320) (p = 0.15). No significant effect of CAD use during training was observed on per patient sensitivity and specificity, nor on per lesion sensitivity.

conclusionsA computer-based self-training program for CTC improves readers' per lesion sensitivity. CAD as second reader does not have a significant impact on learning if used during training. KEY POINTS: • Computer-based self-training for CT colonography improves per lesion sensitivity of novice readers. • Self-training program does not increase per patient specificity of novice readers. • CAD used during training does not have significant impact on learning.

Indexed as

AlgorithmsAdultClinical CompetenceColonic PolypsColonography, Computed TomographicColonoscopyColorectal NeoplasmsDiagnosis, Computer-AssistedDiagnosis, DifferentialEducation, Medical, GraduateFemaleHumansMaleMiddle AgedRadiologyReproducibility of ResultsCT colonographyEducationLearningVirtual colonoscopy

Identifiers

PMID29796918
OpenAlexW2804620110

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.