scholarly journals Evaluation of optimal education level to implement structured reporting into ultrasound training

2020 ◽  
Vol 22 (4) ◽  
pp. 445
Author(s):  
Benjamin Philipp Ernst ◽  
Sebastian Strieth ◽  
Julian Künzel ◽  
Mohamed Hodeib ◽  
Fabian Katzer ◽  
...  
Keyword(s):  
Medical School ◽  
User Satisfaction ◽  
Information Loss ◽  
Structured Reporting ◽  
Free Text ◽  
Time Efficiency ◽  
Report Quality ◽  
Structured Reports ◽  
Junior Residents

Aims: Reporting of head and neck ultrasound (HNU) has been outlined to be a major obstacle during ultrasound training due to a lack of standardized structure, content and terminology. Consequently, overall report quality differs significantly between various examiners posing a severe risk factor for information loss and miscommunication. Therefore, the present study’s purpose is to compare the overall quality of free text reports (FTR) and structured reports (SR) of HNU at various stages of training in order to determine the optimal educational level to implement SR.Material and methods: Typical pathologies in HNU were reported upon using SR and FTR by medical students, junior residents and senior residents. The reports were assessed for overall quality, time efficiency and readability. Additionally, user satisfaction was determined using a questionnaire.Results: SRs exhibited a significantly superior report quality (93.1% vs. 45.6%, p<0.001) at all training levels. Overall time efficiency was significantly better for SRs, especially at the stages of medical school and early residency (89.4 s vs. 160.2 s., p<0.001). Using structured reporting also increased user satisfaction significantly (VAS 8.6 vs. 3.9, p<0.001).Conclusions: Implementing structured reporting of HNU results in a superior report quality at all training stages. Greatest benefits for time efficiency are achieved by implementation during medical school. Therefore, structured reporting of HNU should be implemented early on in the training of HNU.

scholarly journals Systematic approach for migrating to a structured reporting context based on free-text reports and the DICOM Structured Reporting guidelines

2019 ◽  
Author(s):  
Eduardo Beckauser ◽  
Vinicius Andreoli Petrolini ◽  
Alexandre Savaris ◽  
Aldo Von Wangenheim ◽  
Dirk Krechel
Keyword(s):  
Systematic Approach ◽  
Structured Reporting ◽  
Reporting Guidelines ◽  
Free Text ◽  
Telemedicine System ◽  
Adequate Model ◽  
Structured Reports ◽  
The Many ◽  
Reporting Environment

Even with the many advantages of adopting a structured reporting system, there is little convention on how to disseminate this routine into the report environment. This work proposes a systematic approach to migrate a system routine from free-text reports to structured reports, focusing on the DI- COM Structured Reporting guidelines. We evaluated this proposal by creating a reporting module in the context of a telemedicine system, and performing case study covering ultrasonography reports. Using the AdEQUATE model, the eval- uation showed a high user perception from the system, directly reflecting the quality of our proposal. The results are a set of defined premises and steps that turns a telemedicine system into a complete structured reporting environment.

scholarly journals Improving radiologic communication in oncology: a single-centre experience with structured reporting for cancer patients

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Tim Frederik Weber ◽  
Manuela Spurny ◽  
Felix Christian Hasse ◽  
Oliver Sedlaczek ◽  
Georg Martin Haag ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Structured Reporting ◽  
First Year ◽  
Questionnaire Item ◽  
Software Application ◽  
Report Quality ◽  
Anticancer Treatment ◽  
Structured Reports ◽  
Item Scores

Abstract Objectives Our aim was to develop a structured reporting concept (structured oncology report, SOR) for general follow-up assessment of cancer patients in clinical routine. Furthermore, we analysed the report quality of SOR compared to conventional reports (CR) as assessed by referring oncologists. Methods SOR was designed to provide standardised layout, tabulated tumour burden documentation and standardised conclusion using uniform terminology. A software application for reporting was programmed to ensure consistency of layout and vocabulary and to facilitate utilisation of SOR. Report quality was analysed for 25 SOR and 25 CR retrospectively by 6 medical oncologists using a 7-point scale (score 1 representing the best score) for 6 questionnaire items addressing different elements of report quality and overall satisfaction. A score of ≤ 3 was defined as a positive rating. Results In the first year after full implementation, 7471 imaging examinations were reported using SOR. The proportion of SOR in relation to all oncology reports increased from 49 to 95% within a few months. Report quality scores were better for SOR for each questionnaire item (p < 0.001 each). Averaged over all questionnaire item scores were 1.98 ± 1.22 for SOR and 3.05 ± 1.93 for CR (p < 0.001). The overall satisfaction score was 2.15 ± 1.32 for SOR and 3.39 ± 2.08 for CR (p < 0.001). The proportion of positive ratings was higher for SOR (89% versus 67%; p < 0.001). Conclusions Department-wide structured reporting for follow-up imaging performed for assessment of anticancer treatment efficacy is feasible using a dedicated software application. Satisfaction of referring oncologist with report quality is superior for structured reports.

Structured reports of videofluoroscopic swallowing studies have the potential to improve overall report quality compared to free text reports

2017 ◽  
Vol 28 (1) ◽  
pp. 308-315 ◽  
Author(s):  
Franziska Schoeppe ◽  
Wieland H. Sommer ◽  
Mareike Haack ◽  
Miriam Havel ◽  
Marika Rheinwald ◽  
...  
Keyword(s):  
Free Text ◽  
Report Quality ◽  
Structured Reports

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

2020 ◽  
Author(s):  
Su Hwan Kim ◽  
Lara M. Sobez ◽  
Judith E. Spiro ◽  
Adrian Curta ◽  
Felix Ceelen ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Decision Making ◽  
Dual Energy ◽  
Structured Reporting ◽  
Free Text ◽  
X Ray ◽  
Report Quality ◽  
Radiology Residents ◽  
Referring Physicians ◽  
The Impact

Abstract 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 dual-energy 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.

scholarly journals State of the art in abdominal MRI structured reporting: a review

2020 ◽  
Author(s):  
Arnaldo Stanzione ◽  
Francesca Boccadifuoco ◽  
Renato Cuocolo ◽  
Valeria Romeo ◽  
Pier Paolo Mainenti ◽  
...  
Keyword(s):  
Structured Reporting ◽  
Added Value ◽  
Free Text ◽  
Clinical Value ◽  
Appropriate Treatment ◽  
Abdominal Mri ◽  
Structured Reports ◽  
Magnetic Resonance Imaging Mri ◽  
Patient’S Outcome ◽  
The Ideal

Abstract In the management of several abdominal disorders, magnetic resonance imaging (MRI) has the potential to significantly improve patient’s outcome due to its diagnostic accuracy leading to more appropriate treatment choice. However, its clinical value heavily relies on the quality and quantity of diagnostic information that radiologists manage to convey through their reports. To solve issues such as ambiguity and lack of comprehensiveness that can occur with conventional narrative reports, the adoption of structured reporting has been proposed. Using a checklist and standardized lexicon, structured reports are designed to increase clarity while assuring that all key imaging findings related to a specific disorder are included. Unfortunately, structured reports have their limitations too, such as risk of undue report simplification and poor template plasticity. Their adoption is also far from widespread, and probably the ideal balance between radiologist autonomy and report consistency of has yet to be found. In this article, we aimed to provide an overview of structured reporting proposals for abdominal MRI and of works assessing its value in comparison to conventional free-text reporting. While for several abdominal disorders there are structured templates that have been endorsed by scientific societies and their adoption might be beneficial, stronger evidence confirming their imperativeness and added value in terms of clinical practice is needed, especially regarding the improvement of patient outcome.

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

2019 ◽  
Vol 277 (1) ◽  
pp. 269-276 ◽  
Author(s):  
Benjamin P. Ernst ◽  
Sebastian Strieth ◽  
Fabian Katzer ◽  
Mohamed Hodeib ◽  
Jonas Eckrich ◽  
...  
Keyword(s):  
Head And Neck ◽  
Structured Reporting ◽  
Time Efficiency ◽  
Neck Ultrasound ◽  
Report Quality

scholarly journals Structured Reporting Using CEUS LI-RADS for the Diagnosis of Hepatocellular Carcinoma (HCC)—Impact and Advantages on Report Integrity, Quality and Interdisciplinary Communication

Cancers ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 534
Author(s):  
Thomas Geyer ◽  
Johannes Rübenthaler ◽  
Constantin Marschner ◽  
Malte von Hake ◽  
Matthias P. Fabritius ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Information Extraction ◽  
Interdisciplinary Communication ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Structured Reporting ◽  
Free Text ◽  
Report Quality ◽  
Quality Of Reports ◽  
The Impact

Background: Our retrospective single-center study aims to evaluate the impact of structured reporting (SR) using a CEUS LI-RADS template on report quality compared to conventional free-text reporting (FTR) in contrast-enhanced ultrasound (CEUS) for the diagnosis of hepatocellular carcinoma (HCC). Methods: We included 50 patients who underwent CEUS for HCC staging. FTR created after these examinations were compared to SR retrospectively generated by using template-based online software with clickable decision trees. The reports were evaluated regarding report completeness, information extraction, linguistic quality and overall report quality by two readers specialized in internal medicine and visceral surgery. Results: SR significantly increased report completeness with at least one key feature missing in 31% of FTR vs. 2% of SR (p < 0.001). Information extraction was considered easy in 98% of SR vs. 86% of FTR (p = 0.004). The trust of referring physicians in the report was significantly increased by SR with a mean of 5.68 for SR vs. 4.96 for FTR (p < 0.001). SR received significantly higher ratings regarding linguistic quality (5.79 for SR vs. 4.83 for FTR (p < 0.001)) and overall report quality (5.75 for SR vs. 5.01 for FTR (p < 0.001)). Conclusions: Using SR instead of conventional FTR increases the overall quality of reports in CEUS examinations of HCC patients and may represent a valuable tool to facilitate clinical decision-making and improve interdisciplinary communication in the future.

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

2020 ◽  
Author(s):  
Su Hwan Kim ◽  
Lara M. Sobez ◽  
Judith E. Spiro ◽  
Adrian Curta ◽  
Felix Ceelen ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Decision Making ◽  
Dual Energy ◽  
Structured Reporting ◽  
Free Text ◽  
X Ray ◽  
Report Quality ◽  
Radiology Residents ◽  
Referring Physicians ◽  
The Impact

Abstract 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 dual-energy 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.

scholarly journals Structured Reporting in the Characterization of Renal Cysts by Contrast-Enhanced Ultrasound (CEUS) Using the Bosniak Classification System—Improvement of Report Quality and Interdisciplinary Communication

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 313
Author(s):  
Moritz L. Schnitzer ◽  
Laura Sabel ◽  
Vincent Schwarze ◽  
Constantin Marschner ◽  
Matthias F. Froelich ◽  
...  
Keyword(s):  
Interdisciplinary Communication ◽  
Renal Cysts ◽  
Structured Reporting ◽  
Free Text ◽  
Contrast Enhanced Ultrasound ◽  
Bosniak Classification ◽  
Renal Lesions ◽  
Report Quality ◽  
Contrast Enhanced ◽  
Cystic Renal Lesions

Background: This study aims to evaluate the potential benefits of structured reporting (SR) compared to conventional free-text reporting (FTR) in contrast-enhanced ultrasound (CEUS) of cystic renal lesions, based on the Bosniak classification. Methods: Fifty patients with cystic renal lesions who underwent CEUS were included in this single-center study. FTR created in clinical routine were compared to SR retrospectively generated by using a structured reporting template. Two experienced urologists evaluated the reports regarding integrity, effort for information extraction, linguistic quality, and overall quality. Results: The required information could easily be extracted by the reviewers in 100% of SR vs. 82% of FTR (p < 0.001). The reviewers trusted the information given by SR significantly more with a mean of 5.99 vs. 5.52 for FTR (p < 0.001). SR significantly improved the linguistic quality (6.0 for SR vs. 5.68 for FTR (p < 0.001)) and the overall report quality (5.98 for SR vs. 5.58 for FTR (p < 0.001)). Conclusions: SR significantly increases the quality of radiologic reports in CEUS examinations of cystic renal lesions compared to conventional FTR and represents a promising approach to facilitate interdisciplinary communication in the future.

Structured Reporting of Medical Findings: Evaluation of a System in Gastroenterology

1992 ◽  
Vol 31 (04) ◽  
pp. 268-274 ◽  
Author(s):  
W. Gaus ◽  
J. G. Wechsler ◽  
P. Janowitz ◽  
J. Tudyka ◽  
W. Kratzer ◽  
...  
Keyword(s):  
Structured Data ◽  
Structured Reporting ◽  
Free Text ◽  
Clinical Documentation ◽  
Abdominal Sonography ◽  
Technical Examination ◽  
Medical Reports ◽  
Time Required ◽  
Upper Abdominal ◽  
Structured Approach

Abstract:A system using structured reporting of findings was developed for the preparation of medical reports and for clinical documentation purposes in upper abdominal sonography, and evaluated in the course of routine use. The evaluation focussed on the following parameters: completeness and correctness of the entered data, the proportion of free text, the validity and objectivity of the documentation, user acceptance, and time required. The completeness in the case of two clinically relevant parameters could be compared with an already existing database containing freely dictated reports. The results confirmed the hypothesis that, for the description of results of a technical examination, structured data reporting is a viable alternative to free-text dictation. For the application evaluated, there is even evidence of the superiority of a structured approach. The system can be put to use in related areas of application.

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