Follow along as our expert subspecialist reviews this case of suspected cauda equina syndrome as demonstrated on a magnetic resonance imaging study. Cauda equina syndrome occurs when there is compression of the lumbar and sacral nerve roots of the cauda equina, which control the function of the bladder and bowel. It is important to identify the etiology of this condition.

Over the last 10 years, the Department of Radiology at the University of Florida College of Medicine has conducted a simulation-based evaluation of radiology resident competence in critical care imaging.

351 residents interpreted this case of cauda equina syndrome as one of 65 cases during an 8-hour simulated on-call shift, with a median score of 2 out of 10 and an overall average score of 2.26 out of 10.

On average, 7.22 points out of 10 were lost due to missed observations. At the same time, 0.38 points were lost due to interpretive errors.

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 11% 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 84% of residents produced reports with critical error(s).

View the full DICOM set and final report here: https://bit.ly/3NtSrye

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.

WIDI Online: https://widionline.xray.ufl.edu/
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WIDI SIM is a critical care radiology SIMulation consisting of 65 cases across all subspecialties and modalities, including normals, given over an eight hour “shift” experience.

For more information on WIDI SIM: https://widi.xray.ufl.edu/widi-resear...

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Intro 0:00
Case Statistics 0:14
Missed Case: Cauda Equina Syndrome 1:04
Teaching Points 6:27

#neuroradiology #caudaequinasyndrome #adhesivearachnoiditis