title: Effect of diagnostic predictions combined with clinical information on avoiding perceptual errors of computed tomography.
abstract: OBJECTIVE
  We hypothesized that even with appropriate clinical information, abnormal CT findings can still be missed if correct diagnostic predictions are not made.
  
  
  METHODS
  Of 388 total students (97 5th-year medical students × 4), students who detected abnormalities without clinical information were eliminated. The remaining students (hereafter, subjects) obtained clinical information, made diagnostic predictions, and reevaluated images. The proportion of failures in detecting abnormalities was compared between the correct prediction group and the incorrect prediction group. In the correct prediction group, the relationship between failures of detection and the ranking of the correct diagnosis was also examined.
  
  
  RESULTS
  A total of 341 subjects were assessed. The proportion of subjects who failed to detect abnormalities in the correct prediction group (47.7 %, 93/195) was significantly lower (P < 0.001) than in the incorrect prediction group (85.6 %, 125/146). In the correct prediction group, the proportion of subjects who failed to detect abnormalities was significantly lower (P = 0.004) when the correct diagnosis was ranked first (38.5 %, 42/109) compared with lower rankings (59.3 %, 51/86).
  
  
  CONCLUSIONS
  Making appropriate diagnostic predictions and estimating the possibility of them based on clinical information is important to avoid missing abnormal CT findings.
authors.affiliation: Department of General Medicine, Chiba University Hospital, 1-8-1 Inohana Chuo-ku, Chiba City, Chiba, 260-8677, Japan, shngszkthk@yahoo.co.jp.
authors.forename: Shingo
authors.initials: S
authors.lastname: Suzuki
authors.forename: Masatomi
authors.initials: M
authors.lastname: Ikusaka
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Ohira
authors.forename: Masahito
authors.initials: M
authors.lastname: Miyahara
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Noda
authors.forename: Hideki
authors.initials: H
authors.lastname: Kajiwara
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Shikino
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kondo
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards / Q000706:statistics & numerical data*; D003933:Diagnosis; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000592:standards / Q000706:statistics & numerical data*; D007564:Japan / Q000453:epidemiology; D008297:Male; D015588:Observer Variation; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D013337:Students, Medical / Q000706:statistics & numerical data*; D014057:Tomography, X-Ray Computed
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