ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2024-15-2-19-24ldt-1001Research ArticleЛЕКЦИИ И ОБЗОРЫLECTURES AND REVIEWSПодходы к классификации диагностических ошибок в лучевой диагностике: обзорApproaches to the classification of errors in radiology: a reviewhttps://orcid.org/0000-0002-6716-5593НечаевВ. А.NechaevV. A.

Нечаев Валентин Александрович — кандидат медицинских наук, заведующий центром комплексной диагностики, врач-рентгенолог

115446, Москва, Коломенский проезд, д. 4

Valentin A. Nechaev — Cand. of Sci. (Med.), Head of the Center for Complex Diagnostics, Radiologist

115446, Moscow, Kolomenskoye passage, 4

https://orcid.org/0000-0002-0635-4438ВасильевА. Ю.VasilievA. Yu.

Васильев Александр Юрьевич — доктор медицинских наук, член-корреспондент РАН, директор; профессор кафедры лучевой диагностики

127206, Москва, ул. Вучетича, д. 9а

Aleksander Yu. Vasiliev — Dr. of Sci. (Med.), Corresponding Member of the Russian Academy of Sciences, Director; Professor of the Department of Radiation Diagnostics

127206, Moscow, st. Vucheticha, 9a

Городская клиническая больница имени С. С. ЮдинаРоссияMoscow City Hospital named after S. S. YudinRussian FederationРоссийский университет медицины; Центральный научно-исследовательский институт лучевой диагностикиРоссияRussian University of Medicine; Central Radiology Research InstituteRussian Federation2024070820241521924Copyright © Нечаев В.А., Васильев А.Ю., 20242024Нечаев В.А., Васильев А.Ю.Nechaev V.A., Vasiliev A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/1001ВВЕДЕНИЕ

ВВЕДЕНИЕ: Врачи при постановке диагноза во многих случаях опираются на лучевые изображения, интерпретация которых может быть весьма вариабельна и содержать неточности, что может привести к неверной тактике лечения пациента.

ЦЕЛЬ

ЦЕЛЬ: Провести обзор различных подходов к классификации диагностических ошибок в лучевой диагностике.

МАТЕРИАЛЫ И МЕТОДЫ

МАТЕРИАЛЫ И МЕТОДЫ: Проведен поиск научных публикаций в информационно-аналитических системах PubMed, e-library, Google Scholar по ключевым словам: radiology errors, x-ray errors, diagnostic errors in radiology, ошибки в лучевой диагностике, ошибки в рентгенологии.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ: Анализ научных публикаций показал различные подходы к классификации ошибок в лучевой диагностике. Приведены основные исторические аспекты формирования первых подобных классификаций, их совершенствование со временем, отсутствие единой согласованной классификации и критические сложности их использования.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ: В приведенном обзоре литературы представлены различные подходы к классификации ошибок в лучевой диагностике, что может быть полезно для понимания причин их возникновения, а также для развития систем их выявления, анализа и предупреждения, которые в дальнейшем приведут к минимизации частоты их развития и снижению степени нанесенного ущерба.

INTRODUCTION: In many cases physicians make a diagnosis using the results of radiology. At the same time, the interpretation of medical images can be very variable in some cases, contain inaccuracies, which can lead to incorrect patient treatment tactics. OBJECTIVE: The aim of this article is to show different classification of diagnostic errors in radiology.MATERIAL AND METHODS: A search for scientific publications was carried out in the information and analytical systems PubMed, elibrary, Google Scholar using the keywords: radiology errors, x-ray errors, diagnostic errors in radiology, errors in radiation diagnostics, errors in radiology.RESULTS: An analysis of scientific publications showed different approaches to the classification of errors in radiology. The main historical aspects of the formation of the first such classifications, their improvement over time, the lack of a single agreed upon classification and the critical difficulties of their use are presented.CONCLUTIONS: This literature review presents various approaches to the classification of errors in radiation diagnostics, which can be useful for understanding the causes of their occurrence, as well as for the development of systems for their identification, analysis and prevention, which will subsequently lead to minimizing the frequency of their development and reducing the degree of damage caused.

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The authors declare that there are no conflicts of interest present.