Objective: To assess interobserver agreement between thoracic radiologists, radiology residents, and emergency physicians in diagnosing pulmonary embolism (PE).

Materials And Methods: Emergency physicians, radiology residents, and thoracic radiologists evaluated 123 computed tomography pulmonary angiography images. Interobserver agreement was analysed using kappa statistics.

Results: Very good agreements were observed between thoracic radiologists and radiology residents (0.81 and 0.82). Fair and moderate agreements (0.39 and 0.42) were demonstrated between emergency physicians and thoracic radiologists.

Conclusions: Important differences in interobserver agreement were found, with emergency physicians tending to overdiagnose PE.

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http://dx.doi.org/10.1016/j.clinimag.2014.03.001DOI Listing

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