Details

Autor(en) / Beteiligte

• Sabel, Bastian O., MD
• Plum, Jessica L
• Kneidinger, Nikolaus, MD
• Leuschner, Gabriela, MD
• Koletzko, Leandra, MD
• Raziorrouh, Bijan, MD
• Schinner, Regina, Dipl-Stat
• Kunz, Wolfgang G
• Schoeppe, Franziska
• Thierfelder, Kolja M., MD
• Sommer, Wieland H., MD, MPH
• Meinel, Felix G., MD

Titel

Structured reporting of CT examinations in acute pulmonary embolism

Ist Teil von

• Journal of cardiovascular computed tomography, 2017-05, Vol.11 (3), p.188-195

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Objectives To evaluate the effect of structured reporting of CT pulmonary angiography (CTPA) studies on the content, clarity and clinical usefulness of radiology reports in acute pulmonary embolism (PE). Methods Conventional and structured reports were generated for 41 patients with a CTPA positive for acute PE. Conventional reports were dictated in a free-text form using speech recognition; structured reports contained a consistent ordering of observations with standardized subheadings. Conventional reports were compared to standardized structured reports. Two general internists and two pulmonologists rated their satisfaction with the clarity and content of the report and its clinical usefulness and hypothetically assigned the patients to a suitable disposition and therapy. Results Overall, structured reports received higher ratings for content (median rating 10.0 vs. 8.5, p < 0.0001) and clarity (median rating 10.0 vs. 8.0). The increase in satisfaction with clarity was significant for both subgroups (p < 0.0001), while the increase in satisfaction with content was significant for pulmonologists only (p < 0.0001). The clinical utility of radiology reports improved with structured reporting overall (p = 0.004) and for pulmonologists (p = 0.0005). There were no significant differences in the patient disposition or therapy. Conclusion Referring clinicians perceive structured CTPA reports as superior in clarity. Pulmonologists also appreciate structured reports as providing better content and clinical utility. Structured reporting does not appear to alter patients' management in acute PE.