Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
European Radiology
Published in: European Radiology 7/2018

01-07-2018 | Urogenital

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

Authors: Andrea Franconeri, Jieming Fang, Benjamin Carney, Almamoon Justaniah, Laura Miller, Hye-Chun Hur, Louise P. King, Roa Alammari, Salomao Faintuch, Koenraad J. Mortele, Olga R. Brook

Published in: European Radiology | Issue 7/2018

Login to get access

Abstract

Objectives

To evaluate clarity and usefulness of MRI reporting of uterine fibroids using a structured disease-specific template vs. narrative reporting for planning of fibroid treatment by gynaecologists and interventional radiologists.

Methods

This is a HIPAA-compliant, IRB-approved study with waiver of informed consent. A structured reporting template for fibroid MRIs was developed in collaboration between gynaecologists, interventional and diagnostic radiologists. The study population included 29 consecutive women who underwent myomectomy for fibroids and pelvic MRI prior to implementation of structured reporting, and 42 consecutive women with MRI after implementation of structured reporting. Subjective evaluation (on a scale of 1-10, 0 not helpful; 10 extremely helpful) and objective evaluation for the presence of 19 key features were performed.

Results

More key features were absent in the narrative reports 7.3 ± 2.5 (range 3-12) than in structured reports 1.2 ± 1.5 (range 1-7), (p < 0.0001). Compared to narrative reports, gynaecologists and radiologists deemed structured reports both more helpful for surgical planning (p < 0.0001) (gynaecologists: 8.5 ± 1.2 vs. 5.7 ± 2.2; radiologists: 9.6 ± 0.6 vs. 6.0 ± 2.9) and easier to understand (p < 0.0001) (gynaecologists: 8.9 ± 1.1 vs. 5.8 ± 1.9; radiologists: 9.4 ± 1.3 vs. 6.3 ± 1.8).

Conclusion

Structured fibroid MRI reports miss fewer key features than narrative reports. Moreover, structured reports were described as more helpful for treatment planning and easier to understand.

Key Points

• 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.
Appendix
Available only for authorised users
Literature
1.
2.
Hinkey PM (1922) Standardization of roentgen-ray reports. AJR Am J Roentgenol 9:422–425
3.
Ryan GL, Syrop CH, Van Voorhis BJ (2005) Role, epidemiology, and natural history of benign uterine mass lesions. Clin Obstet Gynecol 48(2):312–324CrossRefPubMed
4.
Wallach EE, Vlahos NF (2004) Uterine myomas: an overview of development, clinical features, and management. Obstet Gynecol 104(2):393–406CrossRefPubMed
5.
6.
7.
Munro MG, Crithcley HOD, Broder MS et al (2011) FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet 113(1):3–13CrossRefPubMed
8.
Deshmukh SP, Gonsalves CF, Guglielmo FF, Mitchell DG (2012) Role of MR imaging of uterine leiomyomas before and after embolization. Radiogr Rev Publ Radiol Soc N Am Inc 32(6):E251–E281
9.
Nikolaidis P, Siddiqi AJ, Carr JC, Vogelzang RL, Miller FH, Chrisman HB, Nemcek AA Jr, Omary RA (2005) Incidence of nonviable leiomyomas on contrast material-enhanced pelvic MR imaging in patients referred for uterine artery embolization. J Vasc Interv Radiol 16(11):1465–1471CrossRefPubMed
10.
11.
Murase E, Siegelman ES, Outwater EK et al (1999) Uterine leiomyomas: histopathologic features, MR imaging findings, differential diagnosis, and treatment. Radiographics 19(5):1179–1197CrossRefPubMed
12.
Verma SK, Bergin D, Gonsalves CF, Mitchell DG, Lev-Toaff AS, Parker L (2008) Submucosal fibroids becoming endocavitary following uterine artery embolization: risk assessment by MRI. AJR Am J Roentgenol 190(5):1220–1226CrossRefPubMed
13.
Katsumori T, Akazawa K, Mihara T (2005) Uterine artery embolization for pedunculated subserosal fibroids. AJR Am J Roentgenol 184(2):399–402CrossRefPubMed
14.
Kim MD, Lee M, Jung DC, Park SI, Lee MS, Won JY, Lee DY, Lee KH (2012) Limited efficacy of uterine artery embolization for cervical leiomyomas. J Vasc Interv Radiol 23(2):236–240CrossRefPubMed
15.
Pelage JP, Cazejust J, Pluot E et al (2005) Uterine fibroid vascularization and clinical relevance to uterine fibroid embolization. Radiographics 25(Suppl 1):S99–S117CrossRefPubMed
16.
Brook OR, Brook A, Vollmer CM, Kent TS, Sanchez N, Pedrosa I (2015) Structured reporting of multiphasic CT for pancreatic cancer: potential effect on staging and surgical planning. Radiology 274(2):464–472CrossRefPubMed
17.
Yee J, Chang KJ, Dachman AH et al (2016) The Added Value of the CT Colonography Reporting and Data System. J Am Coll Radiol 13(8):931–935CrossRefPubMed
18.
Nörenberg D, Sommer WH, Thasler W et al (2017) Structured Reporting of Rectal Magnetic Resonance Imaging in Suspected Primary Rectal Cancer: Potential Benefits for Surgical Planning and Interdisciplinary Communication. Investig Radiol 52(4):232–239CrossRef
19.
Ghoshhajra BB, Lee AM, Ferencik M et al (2013) Interpreting the interpretations: the use of structured reporting improves referring clinicians’ comprehension of coronary CT angiography reports. J Am Coll Radiol 10(6):432–438CrossRefPubMedPubMedCentral
20.
21.
McLucas B (2008) Diagnosis, imaging and anatomical classification of uterine fibroids. Best Pract Res Clin Obstet Gynaecol 22(4):627–642CrossRefPubMed
22.
Naik SS, Hanbidge A, Wilson SR (2001) Radiology reports: examining radiologist and clinician preferences regarding style and content. AJR Am J Roentgenol 176(3):591–598CrossRefPubMed
23.
Johnson AJ (2002) Radiology report quality: a cohort study of point-and-click structured reporting versus conventional dictation. Acad Radiol 9(9):1056–1061CrossRefPubMed
24.
25.
Schwartz LH, Panicek DM, Berk AR, Li Y, Hricak H (2011) Improving communication of diagnostic radiology findings through structured reporting. Radiology 260(1):174–181CrossRefPubMedPubMedCentral
26.
Reiner BI, Knight N, Siegel EL (2007) Radiology reporting, past, present, and future: the radiologist’s perspective. J Am Coll Radiol 4(5):313–319CrossRefPubMed
27.
Kahn CE, Heilbrun ME, Applegate KE (2013) From guidelines to practice: how reporting templates promote the use of radiology practice guidelines. J Am Coll Radiol 10(4):268–273CrossRefPubMedPubMedCentral
28.
Toor SS, Tan KT, Simons ME et al (2008) Clinical failure after uterine artery embolization: evaluation of patient and MR imaging characteristics. J Vasc Interv Radiol 19(5):662–667CrossRefPubMed
29.
Samartine S, White L, McKeon D, Becker M (2015) Enhancing structured reporting: improving quality by tailoring the report to the clinical scenario. J Am Coll Radiol 12(8):845–847CrossRefPubMed
Metadata
Title
Structured vs narrative reporting of pelvic MRI for fibroids: clarity and impact on treatment planning
Authors
Andrea Franconeri
Jieming Fang
Benjamin Carney
Almamoon Justaniah
Laura Miller
Hye-Chun Hur
Louise P. King
Roa Alammari
Salomao Faintuch
Koenraad J. Mortele
Olga R. Brook
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 7/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-5161-9

Other articles of this Issue 7/2018

European Radiology 7/2018 Go to the issue

Musculoskeletal

Editorial comment: the future of compositional MRI for cartilage

Head and Neck

The imaging of the dizzy patient: computed tomography versus magnetic resonance imaging

Breast

Dedicated computer-aided detection software for automated 3D breast ultrasound; an efficient tool for the radiologist in supplemental screening of women with dense breasts

Head and Neck

Accuracy and effectiveness of ultrasound-guided core-needle biopsy in the diagnosis of focal lesions in the salivary glands

Neuro

Magnetic resonance post-contrast vascular hyperintensities at 3 T: a new highly sensitive sign of vascular occlusion in acute ischaemic stroke

Interventional

What are the predictors of clinical success after percutaneous vertebroplasty for osteoporotic vertebral fractures?