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European Archives of Oto-Rhino-Laryngology

Erschienen in:

14.10.2019 | Head and Neck

The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency

verfasst von: Benjamin P. Ernst, Sebastian Strieth, Fabian Katzer, Mohamed Hodeib, Jonas Eckrich, Katharina Bahr, Tobias Rader, Julian Künzel, Matthias F. Froelich, Christoph Matthias, Wieland H. Sommer, Sven Becker

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 1/2020

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Abstract

Purpose

Free text reports (FTR) of head and neck ultrasound studies are currently deployed in most departments. Because of a lack of composition and language, these reports vary greatly in terms of quality and reliability. This may impair the learning process during residency. The purpose of the study was to analyze the longitudinal effects of using structured reports (SR) of head and neck ultrasound studies during residency.

Methods

Attending residents (n = 24) of a tripartite course on head and neck ultrasound, accredited by the German Society for Ultrasound in Medicine (DEGUM), were randomly allocated to pictures of common diseases. Both SRs and FTRs were compiled. All reports were analyzed concerning completeness, acquired time and legibility. Overall user contentment was evaluated by a questionnaire.

Results

SRs achieved significantly higher ratings regarding completeness (95.6% vs. 26.4%, p < 0.001), description of pathologies (72.2% vs. 58.9%, p < 0.001) and legibility (100% vs. 52.4%, p < 0.001) with a very high inter-rater reliability (Fleiss’ kappa 0.9). Reports were finalized significantly faster (99.1 s vs. 115.0 s, p < 0.001) and user contentment was significantly better when using SRs (8.3 vs. 6.3, p < 0.001). In particular, only SRs showed a longitudinally increasing time efficiency (− 20.1 s, p = 0.036) while maintaining consistent completeness ratings.

Conclusions

The use of SRs of head and neck ultrasound studies results in an increased longitudinal time-efficiency while upholding the report quality at the same time. This may indicate an additive learning effect of structured reporting. Superior outcomes in terms of comprehensiveness, legibility and time-efficiency can be observed immediately after implementation.

Beach KW, Bergelin RO, Leotta DF, Primozich JF, Sevareid PM, Stutzman ET, Zierler RE (2010) Standardized ultrasound evaluation of carotid stenosis for clinical trials: University of Washington Ultrasound Reading Center. Cardiovasc Ultrasound 8:39. https://doi.org/10.1186/1476-7120-8-39 CrossRefPubMedPubMedCentral

Moshtaghi O, Haidar YM, Mahmoodi A, Tjoa T, Armstrong WB (2017) The Role of In-office ultrasound in the diagnosis of neck masses. Otolaryngol Head Neck Surg 157(1):58–61. https://doi.org/10.1177/0194599817696288 CrossRefPubMed

Forghani R, Yu E, Levental M, Som PM, Curtin HD (2015) Imaging evaluation of lymphadenopathy and patterns of lymph node spread in head and neck cancer. Expert Rev Anticancer Ther 15(2):207–224. https://doi.org/10.1586/14737140.2015.978862 CrossRefPubMed

Bialek EJ, Jakubowski W, Zajkowski P, Szopinski KT, Osmolski A (2006) US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls. Radiographics 26(3):745–763. https://doi.org/10.1148/rg.263055024 CrossRefPubMed

Kunzel J, Bozzato A, Strieth S (2017) Follow-up ultrasound of head and neck cancer. HNO 65(11):939–952. https://doi.org/10.1007/s00106-017-0411-3 CrossRefPubMed

Lima PH, Fan B, Berube J, Cerny M, Olivie D, Giard JM, Beauchemin C, Tang A (2019) Cost-utility analysis of imaging for surveillance and diagnosis of hepatocellular carcinoma. AJR Am J Roentgenol. https://doi.org/10.2214/AJR.18.20341 CrossRefPubMed

Enders J, Zimmermann E, Rief M, Martus P, Klingebiel R, Asbach P, Klessen C, Diederichs G, Wagner M, Teichgraber U, Bengner T, Hamm B, Dewey M (2011) Reduction of claustrophobia with short-bore versus open magnetic resonance imaging: a randomized controlled trial. PLoS ONE 6(8):e23494. https://doi.org/10.1371/journal.pone.0023494 CrossRefPubMedPubMedCentral

Wallis A, McCoubrie P (2011) The radiology report—are we getting the message across? Clin Radiol 66(11):1015–1022. https://doi.org/10.1016/j.crad.2011.05.013 CrossRefPubMed

Nasrallah HA (2015) Consequences of misdiagnosis: inaccurate treatment and poor patient outcomes in bipolar disorder. J Clin Psychiatry 76(10):e1328. https://doi.org/10.4088/JCP.14016tx2c CrossRefPubMed

10.

Gandhi TK, Kachalia A, Thomas EJ, Puopolo AL, Yoon C, Brennan TA, Studdert DM (2006) Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med 145(7):488–496CrossRef

11.

Morgan TA, Helibrun ME, Kahn CE Jr (2014) Reporting initiative of the Radiological Society of North America: progress and new directions. Radiology 273(3):642–645. https://doi.org/10.1148/radiol.14141227 CrossRefPubMed

12.

Schoppe F, Sommer WH, Schmidutz F, Pforringer D, Armbruster M, Paprottka KJ, Plum JLV, Sabel BO, Meinel FG, Sommer NN (2018) Structured reporting of x-rays for atraumatic shoulder pain: advantages over free text? BMC Med Imaging 18(1):20. https://doi.org/10.1186/s12880-018-0262-8 CrossRefPubMedPubMedCentral

13.

European Society of R (2018) ESR paper on structured reporting in radiology. Insights Imaging 9(1):1–7. https://doi.org/10.1007/s13244-017-0588-8 CrossRef

14.

Ernst BP, Hodeib M, Strieth S, Kunzel J, Bischof F, Hackenberg B, Huppertz T, Weber V, Bahr K, Eckrich J, Hagemann J, Engelbarts M, Froelich MF, Solbach P, Linke R, Matthias C, Sommer WH, Becker S (2019) Structured reporting of head and neck ultrasound examinations. BMC Med Imaging 19(1):25. https://doi.org/10.1186/s12880-019-0325-5 CrossRefPubMedPubMedCentral

15.

Ernst BP, Katzer F, Kunzel J, Hodeib M, Strieth S, Eckrich J, Tattermusch A, Froelich MF, Matthias C, Sommer WH, Becker S (2019) Impact of structured reporting on developing head and neck ultrasound skills. BMC Med Educ 19(1):102. https://doi.org/10.1186/s12909-019-1538-6 CrossRefPubMedPubMedCentral

16.

Tuncyurek O, Garces-Descovich A, Jaramillo-Cardoso A, Duran EE, Cataldo TE, Poylin VY, Gomez SF, Cabrera AM, Hegazi T, Beker K, Mortele KJ (2018) Structured versus narrative reporting of pelvic MRI in perianal fistulizing disease: impact on clarity, completeness, and surgical planning. Abdom Radiol (NY) 44(3):811–820. https://doi.org/10.1007/s00261-018-1858-8 CrossRef

17.

Park SB, Kim MJ, Ko Y, Sim JY, Kim HJ, Lee KH, s (2019) Structured S preference survey of 594 referring physicians, surgeons, and radiologists from 20 hospitals. Korean J Radiol 20(2):246–255. https://doi.org/10.3348/kjr.2018.0109 CrossRefPubMed

18.

Gassenmaier S, Armbruster M, Haasters F, Helfen T, Henzler T, Alibek S, Pforringer D, Sommer WH, Sommer NN (2017) Structured reporting of MRI of the shoulder—improvement of report quality? Eur Radiol 27(10):4110–4119. https://doi.org/10.1007/s00330-017-4778-z CrossRefPubMed

19.

Norenberg D, Sommer WH, Thasler W, D'Haese J, Rentsch M, Kolben T, Schreyer A, Rist C, Reiser M, Armbruster M (2017) Structured reporting of rectal magnetic resonance imaging in suspected primary rectal cancer: potential benefits for surgical planning and interdisciplinary communication. Invest Radiol 52(4):232–239. https://doi.org/10.1097/RLI.0000000000000336 CrossRefPubMed

20.

Sabel BO, Plum JL, Kneidinger N, Leuschner G, Koletzko L, Raziorrouh B, Schinner R, Kunz WG, Schoeppe F, Thierfelder KM, Sommer WH, Meinel FG (2017) Structured reporting of CT examinations in acute pulmonary embolism. J Cardiovasc Comput Tomogr 11(3):188–195. https://doi.org/10.1016/j.jcct.2017.02.008 CrossRefPubMed

21.

Schoeppe F, Sommer WH, Haack M, Havel M, Rheinwald M, Wechtenbruch J, Fischer MR, Meinel FG, Sabel BO, Sommer NN (2018) Structured reports of videofluoroscopic swallowing studies have the potential to improve overall report quality compared to free text reports. Eur Radiol 28(1):308–315. https://doi.org/10.1007/s00330-017-4971-0 CrossRefPubMed

22.

Armbruster M, Gassenmaier S, Haack M, Reiter M, Norenberg D, Henzler T, Sommer NN, Sommer WH, Braun F (2018) Structured reporting in petrous bone MRI examinations: impact on report completeness and quality. Int J Comput Assist Radiol Surg 13(12):1971–1980. https://doi.org/10.1007/s11548-018-1828-1 CrossRefPubMed

23.

Thomas KD, Muga HE (2014) Handbook of research on pedagogical innovations for sustainable development. Information Science Reference (an imprint of IGI Global) 10.4018/978-1-4666-5856-1

24.

Sahni VA, Silveira PC, Sainani NI, Khorasani R (2015) Impact of a structured report template on the quality of mri reports for rectal cancer staging. AJR Am J Roentgenol 205(3):584–588. https://doi.org/10.2214/AJR.14.14053 CrossRefPubMed

25.

Fleiss JL, Cohen J (1973) The equivalence of weighted Kappa and the intraclass correlation coefficient as measures of reliability. Educ Psychol Measur 33:613–619CrossRef

26.

Kunzel J, Strieth S, Wirth G, Bozzato A (2018) Ultrasound in the re-staging of cervical metastases after chemoradiotherapy for head and neck cancer. Ultraschall Med 39(6):659–666. https://doi.org/10.1055/a-0573-0908 CrossRefPubMed

27.

Bock A, Modabber A, Holzle F, Prescher A, Classen-Linke I (2019) Improvement of anatomical knowledge and surgical skills in head and neck region—an interdisciplinary hands-on course for clinical students. Ann Anat. https://doi.org/10.1016/j.aanat.2019.03.011 CrossRefPubMed

28.

Kahn CE Jr, Heilbrun ME, Applegate KE (2013) From guidelines to practice: how reporting templates promote the use of radiology practice guidelines. J Am Coll Radiol 10(4):268–273. https://doi.org/10.1016/j.jacr.2012.09.025 CrossRefPubMedPubMedCentral

29.

Ranschaert ER, Binkhuysen FH (2013) European Teleradiology now and in the future: results of an online survey. Insights Imaging 4(1):93–102. https://doi.org/10.1007/s13244-012-0210-z CrossRefPubMed

30.

Matsumoto M, Koike S, Kashima S, Awai K (2015) Geographic distribution of radiologists and utilization of teleradiology in japan: a longitudinal analysis based on national census data. PLoS ONE 10(9):e0139723. https://doi.org/10.1371/journal.pone.0139723 CrossRefPubMedPubMedCentral

31.

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(5):588–593. https://doi.org/10.1007/s10278-014-9703-2 CrossRefPubMedPubMedCentral

32.

Sluijter CE, van Lonkhuijzen LR, van Slooten HJ, Nagtegaal ID, Overbeek LI (2016) The effects of implementing synoptic pathology reporting in cancer diagnosis: a systematic review. Virchows Arch 468(6):639–649. https://doi.org/10.1007/s00428-016-1935-8 CrossRefPubMedPubMedCentral

33.

Marcovici P, Blume-Marcovici A (2013) Intuition versus rational thinking: psychological challenges in radiology and a potential solution. J Am Coll Radiol 10(1):25–29. https://doi.org/10.1016/j.jacr.2012.06.029 CrossRefPubMed

Titel: The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency
verfasst von: Benjamin P. Ernst
Sebastian Strieth
Fabian Katzer
Mohamed Hodeib
Jonas Eckrich
Katharina Bahr
Tobias Rader
Julian Künzel
Matthias F. Froelich
Christoph Matthias
Wieland H. Sommer
Sven Becker
Publikationsdatum: 14.10.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 1/2020
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05679-z

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The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency