On the Use of Medical Records for Characterizing Brain Lesions (Report)

On the Use of Medical Records for Characterizing Brain Lesions (Report)

In studies of neurogenic communication disorders, medical records commonly are used to characterize brain lesions, to make decisions regarding participant inclusion, and to draw general conclusions regarding brain-behavior relationships. The validity of using existing medical records has not been directly evaluated. The purpose of this article is to draw attention to the potential problems with relying exclusively on medical records to characterize neurological lesions. Examples from a study of language in adults with right hemisphere brain damage are used to highlight discrepancies between imaging reports taken from existing medical records and structural images obtained at the time of the study. The discussion of factors that may contribute to discrepancies between the imaging reports includes the scanning method and protocol used, interrater reliability for reading neuroradiologic images, the effect of time, and neurological changes associated with normal aging. **********

On the Use of Medical Records for Characterizing Brain Lesions (Report)

On the Use of Medical Records for Characterizing Brain Lesions (Report) | | 4.5