Most Missed Cases: Invasive Fungal Sinusitis

Follow along as our expert subspecialist reviews this case of invasive fungal sinusitis demonstrated on a computed tomography study of the maxillofacial region. Invasive fungal sinusitis is a disease of the paranasal sinuses and nasal cavity that typically affects immunocompromised patients, and can cause significant morbidity and mortality.
This case of invasive fungal sinusitis was interpreted by a total 197 residents, with the most frequently occurring score (i.e., median) being a 1 out of 10, and an average score of 3.05 out of 10.
Overall, the average number of points lost out of 10 because of observational error was 6.02. At the same time, 0.88 points were lost due to interpretive errors on the part of the residents.
We define an effective report to be one which achieves scores between 7 and 10. In terms of letter grades, this would be A & B. In this “most missed” case 21% of residents produced effective reports.
We define a report having a critical error to be one with scores between 0 and 2. In terms of letter grades, this would be F & D. In this “most missed” case 73% of residents produced reports with critical error(s).
View the full DICOM set and final report here: bit.ly/3AWIT9t
Learn more about invasive fungal rhinosinusitis here: bit.ly/34f7KJI
View more cases about invasive fungal sinusitis here: bit.ly/3LbC7kL
Claim 0.5 AMA PRA Category 1 CME Credit™ per case by reviewing this case and others available in our Decision Support critical care case library. Use WIDIonline to fill in your knowledge gaps by reviewing our educational curriculum on this subject.
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Intro 0:00
Case Statistics 0:05
Missed Case: Invasive Fungal Sinusitis 1:02
Teaching Points 5:05
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