Structured Reporting in Radiological Settings: Pitfalls and Perspectives

Abstract

Objective: The aim of this manuscript is to give an overview of structured reporting in radiological settings. Materials and Method: This article is a narrative review on structured reporting in radiological settings. Particularly, limitations and future perspectives are analyzed. RESULTS: The radiological report is a communication tool for the referring physician and the patients. It was conceived as a free text report (FTR) to allow radiologists to have their own individuality in the description of the radiological findings. However, this form could suffer from content, style, and presentation discrepancies, with a probability of transferring incorrect radiological data. Quality, datafication/quantification, and accessibility represent the three main goals in moving from FTRs to structured reports (SRs). In fact, the quality is related to standardization, which aims to improve communication and clarification. Moreover, a “structured” checklist, which allows all the fundamental items for a particular radiological study to be reported and permits the connection of the radiological data with clinical features, allowing a personalized medicine. With regard to accessibility, since radiological reports can be considered a source of research data, SR allows data mining to obtain new biomarkers and to help the development of new application domains, especially in the field of radiomics. Conclusions: Structured reporting could eliminate radiologist individuality, allowing a standardized approach.

Axial Spondyloarthritis: Does Magnetic Resonance Imaging Classification Improve Report Interpretation

“…23 There has been a gradual shift in imaging reporting to a standardized, structured report to improve communication, reduce misinterpretation, ensure completeness, allow report comparability, and facilitate research. [24][25][26] Moreover, the addition of a structured language/lexicon for the description of imaging findings can also improve report clarity. In this regard, there has been successful integration of imaging Reporting And Data Systems (RADS) in other domains of radiology.…”