The Development of a Standard Set of Chest Radiographs to Test a Radiologist??s Expertise

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Abstract
Six test sets of normal and abnormal chest radiographs were presented to 8 radiologists for their interpretation. Based upon their responses to these tests, it was determined that some radiologists consistently overread, some underread and others do neither. From an analysis of the radiologist''s responses, cases from the 2 best test sets could be combined to produce a standard test set of 50-60 chest radiographs representing a variety of pulmonary diseases. This test then could measure a radiologist''s proficiency at interpretating the normal and abnormal chest, and those who consistently differ with their colleagues would be so informed.

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