[Evaluation system in assessing radiological examinations of clinical significance for the patient].
OBJECTIVE
The purpose of this study was to test a scoring system and its utility for the assessment of the clinical significance of radiological examinations.


METHODS
The reports of all diagnostic studies obtained in patients with a clinical suspicion of pancreatitis, urinary tract obstruction, biliary or gallbladder diseases, ileus and gastrointestinal perforation were scored prospectively in 4 categories from 0 to 3. These categories were related to the ability to establish a definite diagnosis, to exclude suspected disease, to influence further diagnostic work-up and therapeutic decision-making.


RESULTS
This scoring system showed significant differences of the efficacy of different imaging modalities in these 5 clinical settings.


CONCLUSIONS
This scoring system was helpful to determine the clinical significance of radiological examinations.
Pokieser
P
P
Ludwig-Boltzmann-Institut für radiologisch-physikalische Tumordiagnostik, Universitätsklinik für Radiodiagnostik Wien.
Wohlschlager
H
H
Hirschl
M M
MM
Seidler
D
D
Böhm
P
P
Kettenbach
J
J
Helbich
T
T
Laggner
A
A
Scheiber
V
V
Mostbeck
G H
GH
D000328:Adult; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004630:Emergencies; D005069:Evaluation Studies as Topic; D005260:Female; D005767:Gastrointestinal Diseases / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000000981:diagnostic imaging; D011446:Prospective Studies; D011786:Quality Control; D011859:Radiography / Q000592:standards; D014570:Urologic Diseases / Q000000981:diagnostic imaging