Protocol > Research Protocol
Kosack CS, Halton J, Greig J, Shanks L, Spijker S
1 July 2018
PRIMARY OBJECTIVE OF STUDY
• To demonstrate the extent of change in patient management through the availability of digital X-ray with teleradiology consultation.
SECONDARY OBJECTIVES OF STUDY
• To demonstrate the extent of change in patient diagnosis through the availability of digital X-ray with teleradiology consultation.
• To demonstrate the extent of change in patient diagnosis and management in the subgroup of patients with chest pathologies through the availability of digital X-ray with teleradiology consultation.
• To estimate if the extent of change in diagnosis and management is different in patients < 5 years of age versus ≥5 years of age.
• To demonstrate the extent of change in patient management through the availability of digital X-ray with teleradiology consultation.
SECONDARY OBJECTIVES OF STUDY
• To demonstrate the extent of change in patient diagnosis through the availability of digital X-ray with teleradiology consultation.
• To demonstrate the extent of change in patient diagnosis and management in the subgroup of patients with chest pathologies through the availability of digital X-ray with teleradiology consultation.
• To estimate if the extent of change in diagnosis and management is different in patients < 5 years of age versus ≥5 years of age.
Journal Article > ResearchFull Text
Bull World Health Organ. 21 June 2012; Volume 90 (Issue 9); DOI:10.2471/BLT.11.099473
Coulborn RM, Panunzi I, Spijker S, Brant WE, Trivino Duran L, et al.
Bull World Health Organ. 21 June 2012; Volume 90 (Issue 9); DOI:10.2471/BLT.11.099473
Malawi has one of the world's highest rates of human immunodeficiency virus (HIV) infection (10.6%), and southern Malawi, where Thyolo district is located, bears the highest burden in the country (14.5%). Tuberculosis, common among HIV-infected people, requires radiologic diagnosis, yet Malawi has no radiologists in public service. This hinders rapid and accurate diagnosis and increases morbidity and mortality.
Journal Article > ResearchFull Text
Clin Radiol. 21 February 2017; Volume 72 (Issue 6); DOI:10.1016/j.crad.2017.01.008
Kosack CS, Spijker S, Halton J, Bonnet MMB, Nicholas S, et al.
Clin Radiol. 21 February 2017; Volume 72 (Issue 6); DOI:10.1016/j.crad.2017.01.008
To assess the impact of introducing a chest radiograph reading and recording system (CRRS) with a short training session, on the accuracy and inter-reader variability of tuberculosis (TB) interpretation of chest radiographs (CXRs) by a group of non-expert readers in a human immunodeficiency virus (HIV)-positive cohort.
Journal Article > CommentaryFull Text
Pediatr Radiol. 23 May 2014; Volume 44 (Issue 6); DOI:10.1007/s00247-014-2925-0
Spijker S
Pediatr Radiol. 23 May 2014; Volume 44 (Issue 6); DOI:10.1007/s00247-014-2925-0
Protocol > Research Protocol
Kosack CS, Mesic A, Spijker S, Bonnet MMB, Joekes E
1 July 2018
Study objective
3.1 Primary objective
To determine if the application of a tick-sheet after four hour training on its use and on CXR
interpretation, improves the interpretation accuracy of CXRs for active TB, by nonspecialists,
in an HIV-positive cohort.
3.2 Secondary objective
To determine whether the application of a tick-sheet reduces the inter-reader variability of
CXR interpretation in a group of non-specialists by comparing the inter-reader agreement
before and after intervention.
3.1 Primary objective
To determine if the application of a tick-sheet after four hour training on its use and on CXR
interpretation, improves the interpretation accuracy of CXRs for active TB, by nonspecialists,
in an HIV-positive cohort.
3.2 Secondary objective
To determine whether the application of a tick-sheet reduces the inter-reader variability of
CXR interpretation in a group of non-specialists by comparing the inter-reader agreement
before and after intervention.
Journal Article > ResearchFull Text
Pediatr Radiol. 23 May 2014; Volume 44 (Issue 6); DOI:10.1007/s00247-014-2928-x
Spijker S
Pediatr Radiol. 23 May 2014; Volume 44 (Issue 6); DOI:10.1007/s00247-014-2928-x