What am I looking at? Graduate student accuracy in identification of anatomic structures/landmarks on swallow imaging.

IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Anatomical Sciences Education Pub Date : 2024-10-23 DOI:10.1002/ase.2527
Christy Fleck, Katie Allen
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Abstract

Speech-language pathologists need to accurately identify structures/landmarks on swallow imaging. Foundational learning begins in graduate training. This study aimed to determine graduate student accuracy at identifying anatomical structures/landmarks during swallow evaluations and to determine if accuracy was predicted by type of imaging, anatomical structure, case type (i.e., normal/abnormal). Researchers recruited first-year graduate speech-language pathology students. Each participant reviewed five static images from lateral radiographic swallow studies and five static images from endoscopic swallow studies across 10 cases. Participants identified key anatomic structures and landmarks by clicking on the structure/landmark within a web-based platform. Two experienced speech-language pathologists reviewed and coded participant responses for accuracy. Sixteen graduate speech-language pathology students participated in a within-subjects design. Overall participant accuracy in identification of structure/landmarks was 69% (range 46%-88%). Binomial logistic regression was performed to study the effects of anatomical structure, case type (i.e., normal/abnormal), and image type on likelihood of participant accuracy in identifying anatomical structures (X2(4) = 143.65, p < 0.001). Only anatomical structure was statistically significant (X2(4) = 187.729, p < 0.001). The model explained 23.2% (Nagelkerke's R squared) of the variance in accuracy and correctly classified 78.4% of cases. Sensitivity was 92.1%, specificity was 47.3%, positive predictive value was 79.84%, and negative predictive value was 72.50%. The area under the ROC curve was 0.754, 95% CI [0.716, 0.791]. Graduate student's ability to correctly identify structures/landmarks overall was lower than desired and accuracy varied per structure. Results have implications for improving graduate student training for identification of structures/landmarks on swallow imaging.

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我在看什么?研究生在吞咽成像上识别解剖结构/标志的准确性。
言语病理学家需要准确识别吞咽影像上的结构/地标。基础学习始于研究生培训。本研究旨在确定研究生在吞咽评估过程中识别解剖结构/地标记的准确性,并确定准确性是否会受到成像类型、解剖结构、病例类型(即正常/异常)的影响。研究人员招募了一年级言语病理学研究生。每位参与者查看了 10 个病例中的 5 幅侧位放射吞咽研究静态图像和 5 幅内窥镜吞咽研究静态图像。参与者通过点击网络平台上的结构/地标来识别关键的解剖结构和地标。两名经验丰富的语言病理学家对参与者的回答进行审核和编码,以确保准确性。16 名语言病理学研究生参与了课题内设计。参与者识别结构/地标的总体准确率为 69%(范围为 46%-88%)。为了研究解剖结构、病例类型(即正常/异常)和图像类型对参与者识别解剖结构准确率的影响,进行了二项式逻辑回归(X2(4) = 143.65, p 2(4) = 187.729, p
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来源期刊
Anatomical Sciences Education
Anatomical Sciences Education Anatomy/education-
CiteScore
10.30
自引率
39.70%
发文量
91
期刊介绍: Anatomical Sciences Education, affiliated with the American Association for Anatomy, serves as an international platform for sharing ideas, innovations, and research related to education in anatomical sciences. Covering gross anatomy, embryology, histology, and neurosciences, the journal addresses education at various levels, including undergraduate, graduate, post-graduate, allied health, medical (both allopathic and osteopathic), and dental. It fosters collaboration and discussion in the field of anatomical sciences education.
期刊最新文献
Refocusing graduate gross anatomy training: Curating future content experts. Anatomical Sciences Education Vol. 17, Issue 8, 2024 Cover Image Editorial Board and Table of Contents Comparing assisting technologies for proficiency in cardiac morphology: 3D printing and mixed reality versus CT slice images for morphological understanding of congenital heart defects by medical students. Effect of peer facilitation in anatomy small group curriculum on academic performance and retention: A pilot study.
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