Effects of 1 year of training on the performance of ultrasonographic image interpretation: A preliminary evaluation using images of Sjogren syndrome patients

  • Kise, Yoshitaka (Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry) ;
  • Moystad, Anne (Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo) ;
  • Bjornland, Tore (Department of Oral Surgery and Oral Medicine, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo) ;
  • Shimizu, Mayumi (Department of Oral and Maxillofacial Radiology, Kyushu University Hospital) ;
  • Ariji, Yoshiko (Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry) ;
  • Kuwada, Chiaki (Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry) ;
  • Nishiyama, Masako (Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry) ;
  • Funakoshi, Takuma (Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry) ;
  • Yoshiura, Kazunori (Department of Oral and Maxillofacial Radiology, Faculty of Dental Science, Kyushu University) ;
  • Ariji, Eiichiro (Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry)
  • Received : 2020.10.27
  • Accepted : 2020.12.05
  • Published : 2021.06.30


Purpose: This study investigated the effects of 1 year of training on imaging diagnosis, using static ultrasonography (US) salivary gland images of Sjögren syndrome patients. Materials and Methods: This study involved 3 inexperienced radiologists with different levels of experience, who received training 1 or 2 days a week under the supervision of experienced radiologists. The training program included collecting patient histories and performing physical and imaging examinations for various maxillofacial diseases. The 3 radiologists (observers A, B, and C) evaluated 400 static US images of salivary glands twice at a 1-year interval. To compare their performance, 2 experienced radiologists evaluated the same images. Diagnostic performance was compared between the 2 evaluations using the area under the receiver operating characteristic curve (AUC). Results: Observer A, who was participating in the training program for the second year, exhibited no significant difference in AUC between the first and second evaluations, with results consistently comparable to those of experienced radiologists. After 1 year of training, observer B showed significantly higher AUCs than before training. The diagnostic performance of observer B reached the level of experienced radiologists for parotid gland assessment, but differed for submandibular gland assessment. For observer C, who did not complete the training, there was no significant difference in the AUC between the first and second evaluations, both of which showed significant differences from those of the experienced radiologists. Conclusion: These preliminary results suggest that the training program effectively helped inexperienced radiologists reach the level of experienced radiologists for US examinations.



We thank Helen Jeays, BDSc AE, from Edanz Group ( for editing a draft of this manuscript.


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