Structured vs narrative reporting of pelvic MRI for fibroids: clarity and impact on treatment planning

Abstract

• Structured reports missed only 1.2 ± 1.5 out of 19 key features, as compared to narrative reports that missed 7.3 ± 2.5 key features for planning of fibroid treatment. • Structured reports were more helpful and easier to understand by clinicians. • Structured template can provide essential information for fibroids treatment planning.

Structured Reporting in Cross-Sectional Imaging of the Heart: Reporting Templates for CMR Imaging of Cardiomyopathies (Myocarditis, Dilated Cardiomyopathy, Hypertrophic Cardiomyopathy, Arrhythmogenic Right Ventricular Cardiomyopathy and Siderosis)

“…To date, the majority of radiological reports are written in the form of non-standardized free text. A number of studies have demonstrated that the use of standardized reporting templates offer advantages for both the reporting and communication of findings [1][2][3][4][5]. Thematic structure, pre-formulated text modules, categorized diagnoses and uniform terminology can increase the time efficiency in the preparation of reports, while standardization can help ensure consistent quality with respect to comprehensibility, clarity, completeness and clinical relevance of the reports [6,7].…”

“…If needed, adaptations should be performed or additional information added. 3 When using first-pass perfusion images, also injection rate should be stated. 4 Only required when extracellular volume (ECV) is to be stated in Special Part (optional for "Myocarditis", "DCM" reporting templates).…”

“…2 Localization according to 17-segment model for left ventricle and indication of the distribution pattern (subendocardial, intramyocardial, subepicardial, transmural). 3 Circular vs. indication of localization. 4 In addition, indication of hemodynamic relevance according to [20].…”

“…2 Localization according to 17segment model [26] or inclusion of the RV analogously to the 5-segment model [27] and indication of the distribution pattern (subendocardial/ intramyocardial/subepicardial/transmural). 3 Localization: Typical features are focal, myocardial fatty degeneration or an "infiltrative", fingershaped fatty degeneration of the free RV wall progressing from the epicardium with myocardial wall thinning potentially associated with late gadolinium enhancement [34]; MR tomographic fat detection or late gadolinium enhancement are not part of the Task Force criteria [18]. 4 Only one major or minor criterion can be derived from MR imaging alone [18].…”

“…Localization according to 17-segment model and indication of the distribution pattern; a striped late enhancement in the center of the myocardium is indicative of a less favorable prognosis of DCM [29]. 2 Possible: dilatation or functional impairment; yes: dilatation and functional impairment 3. Free text, e. g. for secondary findings, presumed etiology vs. idiopathic.…”