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14.08.2017 | Commentary | Ausgabe 1/2018

Journal of Digital Imaging 1/2018

Interpretation and Diplomacy Aspects of Authority and Care in Imaging Reports

Zeitschrift:
Journal of Digital Imaging > Ausgabe 1/2018
Autor:
Werner A. Golder
Wichtige Hinweise

Key Points

• The clinician has a flair for different ways of expressing.
• Numerous readers take note of even subtle distinctions of the choice of words.
• The reaction of the recipient is influenced by the terminology.
• Radiologists translate their observations in a personal manner.
• The diagnostic message is more than a declaratory decree.

Abstract

Whereas the creativity and intellectual power of the radiologist are measured against his/her written report, the value of the message will not only be judged by the precision of the medical statement. The same result can be attributed to different words. Numerous common and accidental factors exert influence on the decision on what is said and what is not said, how it is assessed and what is ignored. The less certain a diagnosis is and the less favourable its possible consequences are, the more subtleties and periphrases are to be expected within the report. The decision on the nature and the volume of the written report will not only be taken by the time of recording, but is likewise prepared by the knowledge of the patient’s history and symptoms, the personal relationship to him/her as well as by a set of conditions throughout the inspection of the images. The intuition that accompanies the information transfer in imaging diagnostics does not only explain the differences in volume and depth of diagnosis and differential diagnosis, but also the range of diagnostic and therapeutic recommendations.

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