Enabling the Next-Generation Radiology Report: Description of Two New                    System Standards

Chen, James Y.; Schmidt, Teri M. Sippel; Carr, Chris; Kahn, Charles Η.

doi:10.1148/rg.2017160106

Cited by 14 publications

(10 citation statements)

References 16 publications

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“…A technical paper on Management of Radiology Report Templates (MRRT) illustrates the application of templates in the exchange of information in a clinical scenario of critical findings. Findings are coded to facilitate processing and automated notification of the referring physician [20]. Although the purpose and methodology differ from our study, we support the notion that technical solutions may improve efficiency and quality.…”

Section: Comparison With the Literaturesupporting

confidence: 66%

Contextual Structured Reporting in Radiology: Implementation and Long-Term Evaluation in Improving the Communication of Critical Findings

et al. 2020

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Structured reporting contributes to the completeness of radiology reports and improves quality. Both the content and the structure are essential for successful implementation of structured reporting. Contextual structured reporting is tailored to a specific scenario and can contain information retrieved from the context. Critical findings detected by imaging need urgent communication to the referring physician. According to guidelines, the occurrence of this communication should be documented in the radiology reports and should contain when, to whom and how was communicated. In free-text reporting, one or more of these required items might be omitted. We developed a contextual structured reporting template to ensure complete documentation of the communication of critical findings. The WHEN and HOW items were included automatically, and the insertion of the WHO-item was facilitated by the template. A pre-and post-implementation study demonstrated a substantial improvement in guideline adherence. The template usage improved in the long-term postimplementation study compared with the short-term results. The two most often occurring categories of critical findings are "infection / inflammation" and "oncology", corresponding to the a large part of urgency level 2 (to be reported within 6 h) and level 3 (to be reported within 6 days), respectively. We conclude that contextual structured reporting is feasible for required elements in radiology reporting and for automated insertion of context-dependent data. Contextual structured reporting improves guideline adherence for communication of critical findings.

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Section: Comparison With the Literaturesupporting

confidence: 66%

Contextual Structured Reporting in Radiology: Implementation and Long-Term Evaluation in Improving the Communication of Critical Findings

et al. 2020

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“…The strengths of SR have been extensively demonstrated by the major scientific societies, which have supported several initiatives, aimed at promoting the diffusion of SR, including the creation of RSNA standardized templates, the translation of RSNA templates into European languages, and the ESR papers published on SR [ 21 , 22 ]. In this study, the panel of radiologists expert in abdominal imaging demonstrated a high degree of agreement regarding the definition of various points of the staging and restaging structured report.…”

Section: Discussionmentioning

confidence: 99%

Structured Reporting of Rectal Cancer Staging and Restaging: A Consensus Proposal

Granata

Grassi

Cappabianca

et al. 2021

Cancers

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Background: Structured reporting (SR) in oncologic imaging is becoming necessary and has recently been recognized by major scientific societies. The aim of this study was to build MRI-based structured reports for rectal cancer (RC) staging and restaging in order to provide clinicians all critical tumor information. Materials and Methods: A panel of radiologist experts in abdominal imaging, called the members of the Italian Society of Medical and Interventional Radiology, was established. The modified Delphi process was used to build the SR and to assess the level of agreement in all sections. The Cronbach’s alpha (Cα) correlation coefficient was used to assess the internal consistency of each section and to measure the quality analysis according to the average inter-item correlation. The intraclass correlation coefficient (ICC) was also evaluated. Results: After the second Delphi round of the SR RC staging, the panelists’ single scores and sum of scores were 3.8 (range 2–4) and 169, and the SR RC restaging panelists’ single scores and sum of scores were 3.7 (range 2–4) and 148, respectively. The Cα correlation coefficient was 0.79 for SR staging and 0.81 for SR restaging. The ICCs for the SR RC staging and restaging were 0.78 (p < 0.01) and 0.82 (p < 0.01), respectively. The final SR version was built and included 53 items for RC staging and 50 items for RC restaging. Conclusions: The final version of the structured reports of MRI-based RC staging and restaging should be a helpful and promising tool for clinicians in managing cancer patients properly. Structured reports collect all Patient Clinical Data, Clinical Evaluations and relevant key findings of Rectal Cancer, both in staging and restaging, and can facilitate clinical decision-making.

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“…In 2018, in adherence with the RSNA (Radiological Society of North America) and ESR structured reporting initiative, SIRM launched the Italian initiative aimed at creating a repository of structured reports, available to its members, to be used in clinical practice [15,16]. The initiative has been primarily focused on oncologic imaging, and a panel of experts, recruited from the SIRM study sections or chapters, has been set up.…”

Section: Methodsmentioning

confidence: 99%

Structured reporting of chest CT in COVID-19 pneumonia: a consensus proposal

et al. 2020

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Objectives: The need of a standardized reporting scheme and language, in imaging of COVID-19 pneumonia, has been welcomed by major scientific societies. The aim of the study was to build the reporting scheme of chest CT in COVID-19 pneumonia. Methods: A team of experts, of the Italian Society of Medical and Interventional Radiology (SIRM), has been recruited to compose a consensus panel. They used a modified Delphi process to build a reporting scheme and expressed a level of agreement for each section of the report. To measure the internal consistency of the panelist ratings for each section of the report, a quality analysis based on the average inter-item correlation was performed with Cronbach's alpha (Cα) correlation coefficient. Results: The overall mean score of the experts and the sum of score were 3.1 (std.dev. ± 0.11) and 122 in the second round, and improved to 3.75 (std.dev. ± 0.40) and 154 in the third round. The Cronbach's alpha (Cα) correlation coefficient was 0.741 (acceptable) in the second round and improved to 0.789 in the third round. The final report was built in the management of radiology report template (MRRT) and includes n = 4 items in the procedure information, n = 5 items in the clinical information, n = 16 in the findings, and n = 3 in the impression, with overall 28 items. Conclusions: The proposed structured report could be of help both for expert radiologists and for the less experienced who are faced with the management of these patients. The structured report is conceived as a guideline, to recommend the key items/findings of chest CT in COVID-19 pneumonia.

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Enabling the Next-Generation Radiology Report: Description of Two New System Standards

Cited by 14 publications

References 16 publications

Contextual Structured Reporting in Radiology: Implementation and Long-Term Evaluation in Improving the Communication of Critical Findings

Contextual Structured Reporting in Radiology: Implementation and Long-Term Evaluation in Improving the Communication of Critical Findings

Structured Reporting of Rectal Cancer Staging and Restaging: A Consensus Proposal

Structured reporting of chest CT in COVID-19 pneumonia: a consensus proposal

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