Structured reporting of CT scans of patients with trauma leads to faster, more detailed diagnoses: An experimental study

Jorg, Tobias; Heckmann, Julia Caroline; Mildenberger, P; Hähn, Felix; Düber, Christoph; Mildenberger, P.; Kloeckner, Roman; Jungmann, Florian

doi:10.1016/j.ejrad.2021.109954

Cited by 8 publications

(11 citation statements)

References 22 publications

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“…Although this SR model may seem very long and prone to slowing down the reporting, it has been broadly demonstrated that SR can facilitate radiologist workflow by reducing reporting time [ 53 ]. Jorg et al [ 53 ] found that SR for whole-body trauma CT examinations can add clinical value compared to FTR by reducing reporting time and increasing the level of detail for trauma CT studies. However, no data on how this model was built were provided [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

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Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal

Granata

Fusco²,

Cozzi

et al. 2023

Radiol med

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Objectives To develop a structured reporting (SR) template for whole-body CT examinations of polytrauma patients, based on the consensus of a panel of emergency radiology experts from the Italian Society of Medical and Interventional Radiology. Methods A multi-round Delphi method was used to quantify inter-panelist agreement for all SR sections. Internal consistency for each section and quality analysis in terms of average inter-item correlation were evaluated by means of the Cronbach’s alpha (Cα) correlation coefficient. Results The final SR form included 118 items (6 in the “Patient Clinical Data” section, 4 in the “Clinical Evaluation” section, 9 in the “Imaging Protocol” section, and 99 in the “Report” section). The experts’ overall mean score and sum of scores were 4.77 (range 1–5) and 257.56 (range 206–270) in the first Delphi round, and 4.96 (range 4–5) and 208.44 (range 200–210) in the second round, respectively. In the second Delphi round, the experts’ overall mean score was higher than in the first round, and standard deviation was lower (3.11 in the second round vs 19.71 in the first round), reflecting a higher expert agreement in the second round. Moreover, Cα was higher in the second round than in the first round (0.97 vs 0.87). Conclusions Our SR template for whole-body CT examinations of polytrauma patients is based on a strong agreement among panel experts in emergency radiology and could improve communication between radiologists and the trauma team.

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Section: Discussionmentioning

confidence: 99%

“…Jorg et al [ 53 ] found that SR for whole-body trauma CT examinations can add clinical value compared to FTR by reducing reporting time and increasing the level of detail for trauma CT studies. However, no data on how this model was built were provided [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal

Granata

Fusco²,

Cozzi

et al. 2023

Radiol med

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“…Structured reporting (SR) in radiology is often viewed as the favourable form of reporting and is highly recommended by the professional societies [ 1 , 2 ]. There are numerous advantages of structured reports compared with conventional free-text reports, including better comparability, better readability, and more detailed content [ 3 , 4 ]. These have been proven for the reporting of various examination types in different imaging modalities over the past years, including trauma CT, prostate MRI, and pulmonary embolism CT [ 3 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite its potential, SR has not become the main form of radiology reporting. Most publications on SR start off with sentences like “Most radiology reports are written as free text and lack structure” or “Traditionally, reports are written as free text” [ 3 , 11 ]. Nevertheless, actual use proportions of SR in clinical routine are unclear.…”

Section: Introductionmentioning

confidence: 99%

Implementation of structured reporting in clinical routine: a review of 7 years of institutional experience

et al. 2023

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Background To evaluate the implementation process of structured reporting (SR) in a tertiary care institution over a period of 7 years. Methods We analysed the content of our image database from January 2016 to December 2022 and compared the numbers of structured reports and free-text reports. For the ten most common SR templates, usage proportions were calculated on a quarterly basis. Annual modality-specific SR usage was calculated for ultrasound, CT, and MRI. During the implementation process, we surveyed radiologists and clinical referring physicians concerning their views on reporting in radiology. Results As of December 2022, our reporting platform contained more than 22,000 structured reports. Use of the ten most common SR templates increased markedly since their implementation, leading to a mean SR usage of 77% in Q4 2022. The highest percentages of SR usage were shown for trauma CT, focussed assessment with ultrasound for trauma (FAST), and prostate MRI: 97%, 95%, and 92%, respectively, in 2022. Overall modality-specific SR usage was 17% for ultrasound, 13% for CT, and 6% for MRI in 2022. Both radiologists and referring physicians were more satisfied with structured reports and rated SR better than free-text reporting (FTR) on various attributes. Conclusions The increasing SR usage during the period under review and the positive attitude towards SR among both radiologists and clinical referrers show that SR can be successfully implemented. We therefore encourage others to take this step in order to benefit from the advantages of SR. Key points Structured reporting usage increased markedly since its implementation at our institution in 2016. Mean usage for the ten most popular structured reporting templates was 77% in 2022. Both radiologists and referring physicians preferred structured reports over free-text reports. Our data shows that structured reporting can be successfully implemented. We strongly encourage others to implement structured reporting at their institutions.

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“…In a second step further evaluation of structured reporting of whole-body CT scans with longer reading times and under real-life conditions is required to identify its advantages and downsides in the complex setting of imaging and treatment of major trauma patients. A study by Jorg et al published in 2021 showed an added clinical value of structured reports of whole-body trauma CT scans compared to conventional free-text reports due to a decrease in reporting time and a higher level of detail 10 . Additional prospective and large cohort studies would be important.…”

mentioning

confidence: 99%

Response to Comment from Blum et al. on Structured Reporting of Whole-Body Trauma CT scans: Friend, not Foe

Dendl

Schreyer

2022

Rofo

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Structured reporting of CT scans of patients with trauma leads to faster, more detailed diagnoses: An experimental study

Cited by 8 publications

References 22 publications

Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal

Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal

Implementation of structured reporting in clinical routine: a review of 7 years of institutional experience

Response to Comment from Blum et al. on Structured Reporting of Whole-Body Trauma CT scans: Friend, not Foe

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