Skip to main content
Erschienen in: European Radiology 10/2017

13.03.2017 | Magnetic Resonance

Structured reporting of MRI of the shoulder – improvement of report quality?

verfasst von: Sebastian Gassenmaier, Marco Armbruster, Florian Haasters, Tobias Helfen, Thomas Henzler, Sedat Alibek, Dominik Pförringer, Wieland H. Sommer, Nora N. Sommer

Erschienen in: European Radiology | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To evaluate the effect of structured reports (SRs) in comparison to non-structured narrative free text (NRs) shoulder MRI reports and potential effects of both types of reporting on completeness, readability, linguistic quality and referring surgeons’ satisfaction.

Methods

Thirty patients after trauma or with suspected degenerative changes of the shoulder were included in this study (2012–2015). All patients underwent shoulder MRI for further assessment and possible surgical planning. NRs were generated during clinical routine. Corresponding SRs were created using a dedicated template. All 60 reports were evaluated by two experienced orthopaedic shoulder surgeons using a questionnaire that included eight questions.

Results

Eighty per cent of the SRs were fully complete without any missing key features whereas only 45% of the NRs were fully complete (p < 0.001). The extraction of information was regarded to be easy in 92% of the SRs and 63% of the NRs. The overall quality of the SRs was rated better than that of the NRs (p < 0.001).

Conclusions

Structured reporting of shoulder MRI improves the readability as well as the linguistic quality of radiological reports, and potentially leads to a higher satisfaction of referring physicians.

Key Points

Structured MRI reports of the shoulder improve readability.
Structured reporting facilitates information extraction.
Referring physicians prefer structured reports to narrative free text reports.
Structured MRI reports of the shoulder can reduce radiologist re-consultations.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Sinitsyn VE, Komarova MA, Mershina EA (2014) Radiology report: past, present and future. Vestn Rentgenol Radiol 3:35–40 Sinitsyn VE, Komarova MA, Mershina EA (2014) Radiology report: past, present and future. Vestn Rentgenol Radiol 3:35–40
2.
Zurück zum Zitat Sierra AE, Bisesi MA, Rosenbaum TL, Potchen EJ (1992) Readability of the radiologic report. Investig Radiol 27:236–239CrossRef Sierra AE, Bisesi MA, Rosenbaum TL, Potchen EJ (1992) Readability of the radiologic report. Investig Radiol 27:236–239CrossRef
3.
Zurück zum Zitat Soekhoe JK, Groenen MJ, van Ginneken AM et al (2007) Computerized endoscopic reporting is no more time-consuming than reporting with conventional methods. Eur J Intern Med 18:321–325CrossRefPubMed Soekhoe JK, Groenen MJ, van Ginneken AM et al (2007) Computerized endoscopic reporting is no more time-consuming than reporting with conventional methods. Eur J Intern Med 18:321–325CrossRefPubMed
4.
Zurück zum Zitat Douglas PS, Hendel RC, Cummings JE et al (2009) ACCF/ACR/AHA/ASE/ASNC/HRS/NASCI/RSNA/SAIP/SCAI/SCCT/SCMR 2008 Health policy statement on structured reporting in cardiovascular imaging. J Am Coll Cardiol 53:76–90CrossRefPubMed Douglas PS, Hendel RC, Cummings JE et al (2009) ACCF/ACR/AHA/ASE/ASNC/HRS/NASCI/RSNA/SAIP/SCAI/SCCT/SCMR 2008 Health policy statement on structured reporting in cardiovascular imaging. J Am Coll Cardiol 53:76–90CrossRefPubMed
5.
6.
Zurück zum Zitat Sobel JL, Pearson ML, Gross K et al (1996) Information content and clarity of radiologists' reports for chest radiography. Acad Radiol 3:709–717CrossRefPubMed Sobel JL, Pearson ML, Gross K et al (1996) Information content and clarity of radiologists' reports for chest radiography. Acad Radiol 3:709–717CrossRefPubMed
7.
Zurück zum Zitat Khorasani R, Bates DW, Teeger S, Rothschild JM, Adams DF, Seltzer SE (2003) Is terminology used effectively to convey diagnostic certainty in radiology reports? Acad Radiol 10:685–688CrossRefPubMed Khorasani R, Bates DW, Teeger S, Rothschild JM, Adams DF, Seltzer SE (2003) Is terminology used effectively to convey diagnostic certainty in radiology reports? Acad Radiol 10:685–688CrossRefPubMed
9.
Zurück zum Zitat Naik SS, Hanbidge A, Wilson SR (2001) Radiology reports: examining radiologist and clinician preferences regarding style and content. AJR Am J Roentgenol 176:591–598CrossRefPubMed Naik SS, Hanbidge A, Wilson SR (2001) Radiology reports: examining radiologist and clinician preferences regarding style and content. AJR Am J Roentgenol 176:591–598CrossRefPubMed
10.
Zurück zum Zitat Bosmans JM, Weyler JJ, De Schepper AM, Parizel PM (2011) The radiology report as seen by radiologists and referring clinicians: results of the COVER and ROVER surveys. Radiology 259:184–195CrossRefPubMed Bosmans JM, Weyler JJ, De Schepper AM, Parizel PM (2011) The radiology report as seen by radiologists and referring clinicians: results of the COVER and ROVER surveys. Radiology 259:184–195CrossRefPubMed
11.
Zurück zum Zitat Bosmans JM, Peremans L, Menni M, De Schepper AM, Duyck PO, Parizel PM (2012) Structured reporting: if, why, when, how-and at what expense? Results of a focus group meeting of radiology professionals from eight countries. Insights Imaging 3:295–302CrossRefPubMedPubMedCentral Bosmans JM, Peremans L, Menni M, De Schepper AM, Duyck PO, Parizel PM (2012) Structured reporting: if, why, when, how-and at what expense? Results of a focus group meeting of radiology professionals from eight countries. Insights Imaging 3:295–302CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Johnson AJ, Chen MY, Swan JS, Applegate KE, Littenberg B (2009) Cohort study of structured reporting compared with conventional dictation. Radiology 253:74–80CrossRefPubMed Johnson AJ, Chen MY, Swan JS, Applegate KE, Littenberg B (2009) Cohort study of structured reporting compared with conventional dictation. Radiology 253:74–80CrossRefPubMed
13.
Zurück zum Zitat Brook OR, Brook A, Vollmer CM, Kent TS, Sanchez N, Pedrosa I (2015) Structured reporting of multiphasic CT for pancreatic cancer: potential effect on staging and surgical planning. Radiology 274:464–472CrossRefPubMed Brook OR, Brook A, Vollmer CM, Kent TS, Sanchez N, Pedrosa I (2015) Structured reporting of multiphasic CT for pancreatic cancer: potential effect on staging and surgical planning. Radiology 274:464–472CrossRefPubMed
14.
Zurück zum Zitat Schwartz LH, Panicek DM, Berk AR, Li Y, Hricak H (2011) Improving communication of diagnostic radiology findings through structured reporting. Radiology 260:174–181CrossRefPubMedPubMedCentral Schwartz LH, Panicek DM, Berk AR, Li Y, Hricak H (2011) Improving communication of diagnostic radiology findings through structured reporting. Radiology 260:174–181CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Larson DB, Towbin AJ, Pryor RM, Donnelly LF (2013) Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology 267:240–250CrossRefPubMed Larson DB, Towbin AJ, Pryor RM, Donnelly LF (2013) Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology 267:240–250CrossRefPubMed
16.
Zurück zum Zitat Bosmans JM, Neri E, Ratib O, Kahn CE Jr (2015) Structured reporting: a fusion reactor hungry for fuel. Insights Imaging 6:129–132CrossRefPubMed Bosmans JM, Neri E, Ratib O, Kahn CE Jr (2015) Structured reporting: a fusion reactor hungry for fuel. Insights Imaging 6:129–132CrossRefPubMed
17.
Zurück zum Zitat Browning T (2014) The process of structured reporting: adding value and quality. In: Chhabra A, Soldatos T (eds) Musculoskeletal MRI structured evaluation: how to practically fill the reporting checklist. Wolters Kluwer, Philadelphia Browning T (2014) The process of structured reporting: adding value and quality. In: Chhabra A, Soldatos T (eds) Musculoskeletal MRI structured evaluation: how to practically fill the reporting checklist. Wolters Kluwer, Philadelphia
18.
Zurück zum Zitat Ellman H (1990) Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 64–74 Ellman H (1990) Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 64–74
19.
Zurück zum Zitat Zanetti M, Gerber C, Hodler J (1998) Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Investig Radiol 33:163–170CrossRef Zanetti M, Gerber C, Hodler J (1998) Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Investig Radiol 33:163–170CrossRef
20.
Zurück zum Zitat Thomazeau H, Rolland Y, Lucas C, Duval JM, Langlais F (1996) Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 67:264–268CrossRefPubMed Thomazeau H, Rolland Y, Lucas C, Duval JM, Langlais F (1996) Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 67:264–268CrossRefPubMed
21.
Zurück zum Zitat Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 78–83 Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 78–83
22.
Zurück zum Zitat Bateman J (1972) The shoulder and neck. In: Saunders W (ed) The shoulder and neck. Saunders, Philadelphia, pp 213–235 Bateman J (1972) The shoulder and neck. In: Saunders W (ed) The shoulder and neck. Saunders, Philadelphia, pp 213–235
23.
Zurück zum Zitat Davidson J, Burkhart SS (2010) The geometric classification of rotator cuff tears: a system linking tear pattern to treatment and prognosis. Arthroscopy 26:417–424CrossRefPubMed Davidson J, Burkhart SS (2010) The geometric classification of rotator cuff tears: a system linking tear pattern to treatment and prognosis. Arthroscopy 26:417–424CrossRefPubMed
24.
Zurück zum Zitat Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRefPubMed Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRefPubMed
25.
Zurück zum Zitat Plumb AA, Grieve FM, Khan SH (2009) Survey of hospital clinicians' preferences regarding the format of radiology reports. Clin Radiol 64:386–394; 395–386 Plumb AA, Grieve FM, Khan SH (2009) Survey of hospital clinicians' preferences regarding the format of radiology reports. Clin Radiol 64:386–394; 395–386
27.
Zurück zum Zitat Weiss DL, Langlotz CP (2008) Structured reporting: patient care enhancement or productivity nightmare? Radiology 249:739–747CrossRefPubMed Weiss DL, Langlotz CP (2008) Structured reporting: patient care enhancement or productivity nightmare? Radiology 249:739–747CrossRefPubMed
28.
Zurück zum Zitat Marcovici PA, Taylor GA (2014) Journal club: structured radiology reports are more complete and more effective than unstructured reports. AJR Am J Roentgenol 203:1265–1271CrossRefPubMed Marcovici PA, Taylor GA (2014) Journal club: structured radiology reports are more complete and more effective than unstructured reports. AJR Am J Roentgenol 203:1265–1271CrossRefPubMed
29.
Zurück zum Zitat Kahn CE Jr, Langlotz CP, Burnside ES et al (2009) Toward best practices in radiology reporting. Radiology 252:852–856CrossRefPubMed Kahn CE Jr, Langlotz CP, Burnside ES et al (2009) Toward best practices in radiology reporting. Radiology 252:852–856CrossRefPubMed
30.
Zurück zum Zitat Sistrom CL, Honeyman-Buck J (2005) Free text versus structured format: information transfer efficiency of radiology reports. AJR Am J Roentgenol 185:804–812CrossRefPubMed Sistrom CL, Honeyman-Buck J (2005) Free text versus structured format: information transfer efficiency of radiology reports. AJR Am J Roentgenol 185:804–812CrossRefPubMed
31.
Zurück zum Zitat Hawkins CM, Hall S, Hardin J, Salisbury S, Towbin AJ (2012) Prepopulated radiology report templates: a prospective analysis of error rate and turnaround time. J Digit Imaging 25:504–511CrossRefPubMedPubMedCentral Hawkins CM, Hall S, Hardin J, Salisbury S, Towbin AJ (2012) Prepopulated radiology report templates: a prospective analysis of error rate and turnaround time. J Digit Imaging 25:504–511CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Hawkins CM, Hall S, Zhang B, Towbin AJ (2014) Creation and implementation of department-wide structured reports: an analysis of the impact on error rate in radiology reports. J Digit Imaging 27:581–587CrossRefPubMedPubMedCentral Hawkins CM, Hall S, Zhang B, Towbin AJ (2014) Creation and implementation of department-wide structured reports: an analysis of the impact on error rate in radiology reports. J Digit Imaging 27:581–587CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Powell DK, Silberzweig JE (2015) State of structured reporting in radiology, a survey. Acad Radiol 22:226–233CrossRefPubMed Powell DK, Silberzweig JE (2015) State of structured reporting in radiology, a survey. Acad Radiol 22:226–233CrossRefPubMed
35.
Zurück zum Zitat Lin E, Powell DK, Kagetsu NJ (2014) Efficacy of a checklist-style structured radiology reporting template in reducing resident misses on cervical spine computed tomography examinations. J Digit Imaging 27:588–593CrossRefPubMedPubMedCentral Lin E, Powell DK, Kagetsu NJ (2014) Efficacy of a checklist-style structured radiology reporting template in reducing resident misses on cervical spine computed tomography examinations. J Digit Imaging 27:588–593CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Johnson AJ (2012) All structured reporting systems are not created equal. Radiology 262:726, author reply 726-727 Johnson AJ (2012) All structured reporting systems are not created equal. Radiology 262:726, author reply 726-727
38.
Zurück zum Zitat D’Orsi CJSE, Mendelson EB, Morris EA et al (2013) ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. American College of Radiology, Reston D’Orsi CJSE, Mendelson EB, Morris EA et al (2013) ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. American College of Radiology, Reston
40.
Zurück zum Zitat Weinreb JC, Barentsz JO, Choyke PL et al (2016) PI-RADS Prostate Imaging - Reporting and Data System: 2015, version 2. Eur Urol 69:16–40CrossRefPubMed Weinreb JC, Barentsz JO, Choyke PL et al (2016) PI-RADS Prostate Imaging - Reporting and Data System: 2015, version 2. Eur Urol 69:16–40CrossRefPubMed
Metadaten
Titel
Structured reporting of MRI of the shoulder – improvement of report quality?
verfasst von
Sebastian Gassenmaier
Marco Armbruster
Florian Haasters
Tobias Helfen
Thomas Henzler
Sedat Alibek
Dominik Pförringer
Wieland H. Sommer
Nora N. Sommer
Publikationsdatum
13.03.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 10/2017
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-4778-z

Weitere Artikel der Ausgabe 10/2017

European Radiology 10/2017 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.