Effect of Template Reporting of Brain MRIs for Multiple Sclerosis on Report Thoroughness and Neurologist-Rated Quality: Results of a Prospective Quality Improvement Project

Dickerson, Elliot; Davenport, Matthew S.; Syed, Faiz; Stüve, Olaf; Cohen, Jeffrey A.; Rinker, John R.; Goldman, Myla D.; Segal, Benjamin M.; Foerster, Bradley R.

doi:10.1016/j.jacr.2016.09.037

Cited by 47 publications

(35 citation statements)

References 22 publications

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“…Structured reporting may be especially useful in highly standardized exams, e.g. cranial MRI scans in multiple sclerosis patients [14] or videofluoroscopic exams [15]. Structured reporting has also been shown to be beneficial in examinations with complex criteria which need to be provided for referring physicians (e.g.…”

Section: Introductionmentioning

confidence: 99%

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Kim

Sobez

Spiro

et al. 2020

BMC Musculoskelet Disord

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Background: In recent years, structured reporting has been shown to be beneficial with regard to report completeness and clinical decision-making as compared to free-text reports (FTR). However, the impact of structured reporting on reporting efficiency has not been thoroughly evaluted yet. The aim of this study was to compare reporting times and report quality of structured reports (SR) to conventional free-text reports of dualenergy x-ray absorptiometry exams (DXA). Methods: FTRs and SRs of DXA were retrospectively generated by 2 radiology residents and 2 final-year medical students. Time was measured from the first view of the exam until the report was saved. A random sample of DXA reports was selected and sent to 2 referring physicians for further evaluation of report quality. Results: A total of 104 DXA reports (both FTRs and SRs) were generated and 48 randomly selected reports were evaluated by referring physicians. Reporting times were shorter for SRs in both radiology residents and medical students with median reporting times of 2.7 min (residents: 2.7, medical students: 2.7) for SRs and 6.1 min (residents: 5.0, medical students: 7.5) for FTRs. Information extraction was perceived to be significantly easier from SRs vs FTRs (P < 0.001). SRs were rated to answer the clinical question significantly better than FTRs (P < 0.007). Overall report quality was rated significantly higher for SRs compared to FTRs (P < 0.001) with 96% of SRs vs 79% of FTRs receiving high or very high-quality ratings. All readers except for one resident preferred structured reporting over free-text reporting and both referring clinicians preferred SRs over FTRs for DXA. Conclusions: Template-based structured reporting of DXA might lead to shorter reporting times and increased report quality.

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Section: Introductionmentioning

confidence: 99%

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Kim

Sobez

Spiro

et al. 2020

BMC Musculoskelet Disord

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“…This seems very understandable considering that conventional free-text reports often miss relevant negatives, so that a surgeon might be unsure whether or not a certain case is resectable if, for example, the vascular involvement of the superior mesenteric artery is not explicitly mentioned. Comparable results have also been published for other oncological entities such as hepatocellular carcinoma, 12 rectal cancer, 13 as well as for nononcological conditions such as pulmonary embolism 14 and multiple sclerosis, 15 among others. In all cases the respective study showed that structured reports contained significantly more relevant information and that clinicians had a marked preference for structured radiology reports.…”

Section: Clinician's Preferences and Communicationmentioning

confidence: 86%

Structured radiology reporting on an institutional level—benefit or new administrative burden?

Santos

Kotter

2018

Annals of the New York Academy of Sciences

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Significant technical advances have been made in radiology since the first discovery of X-rays. Diagnostic techniques have become more and more complex, workflows have been digitized, and data production has increased exponentially. However, the radiology report as the main method for communicating examination results has largely remained unchanged. Growing evidence supports that more structured radiology reports offer various benefits over conventional narrative reports. Various efforts have been made to further develop and promote structured reporting. However, regardless of the potential benefits, structured reporting has still not seen widespread implementation into the clinical routine. With recent technical advances, especially new research topics such as big data and machine learning, structured reporting could prove essential for the future of radiology. New interoperable solutions are needed to facilitate the implementation of template-based structured reporting into the clinical routine.

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“…It was able to be shown even outside of oncology that structured reporting results in a relevant increase in quality. Reports for simple chest X-rays [23] as well as for complicated examinations like CT enterography [24], MRI examination of the shoulder [25], CT angiography of the pulmonary circulation [26] and MRI examination in multiple sclerosis [27] benefit greatly from the use of structured report templates. In all cases significantly more relevant information was contained in the corresponding reports and referring clinicians preferred the structured reports to the conventional free-text format.…”

Section: Structured Reportingmentioning

confidence: 99%

Structured Reporting in Clinical Routine

Santos

Hempel

Mildenberger

et al. 2018

Fortschr Röntgenstr

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Effect of Template Reporting of Brain MRIs for Multiple Sclerosis on Report Thoroughness and Neurologist-Rated Quality: Results of a Prospective Quality Improvement Project

Cited by 47 publications

References 22 publications

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Structured radiology reporting on an institutional level—benefit or new administrative burden?

Structured Reporting in Clinical Routine

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