Assessing Fracture Detection: A Comparison of Minimal-Resource and Standard-Resource Plain Radiographic Interpretations
<b>Background:</b> The accuracy of fracture diagnosis through radiographic imaging largely depends on image quality and the interpreter’s experience. In resource-limited settings (minimal-resource settings), imaging quality is often lower than in standard-resource facilities, potentially...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-03-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/15/7/876 |
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| Summary: | <b>Background:</b> The accuracy of fracture diagnosis through radiographic imaging largely depends on image quality and the interpreter’s experience. In resource-limited settings (minimal-resource settings), imaging quality is often lower than in standard-resource facilities, potentially affecting diagnostic accuracy. <b>Objective:</b> This study aims to compare the diagnostic accuracy of plain radiograph interpretations between minimal-resource and standard-resource methods and assess the influence of interpreter experience on diagnostic precision. <b>Methods:</b> This cross-sectional study is based on secondary data from patients’ medical records at the Dr. Zainoel Abidin General Hospital (RSUDZA) Banda Aceh, Indonesia. Comparisons between minimal-resource and standard-resource interpretations were made and validated using a reference standard (gold standard). Statistical analyses included diagnostic testing, Chi-square tests, and ROC curve analysis to evaluate sensitivity, specificity, and accuracy. <b>Results:</b> The findings indicate that standard-resource radiographs have significantly higher accuracy than minimal-resource radiographs (<i>p</i> < 0.05). Radiologists demonstrated the highest diagnostic accuracy compared to general practitioners and radiology residents. <b>Conclusions:</b> The standard-resource method is superior in detecting fractures compared to the minimal-resource method. Enhancing imaging quality and providing additional training for medical personnel are essential to improve diagnostic accuracy in resource-limited settings. |
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| ISSN: | 2075-4418 |