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Published in: European Radiology 10/2017

01-10-2017 | Magnetic Resonance

Structured reporting of MRI of the shoulder – improvement of report quality?

Authors: Sebastian Gassenmaier, Marco Armbruster, Florian Haasters, Tobias Helfen, Thomas Henzler, Sedat Alibek, Dominik Pförringer, Wieland H. Sommer, Nora N. Sommer

Published in: European Radiology | Issue 10/2017

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Abstract

Objectives

To evaluate the effect of structured reports (SRs) in comparison to non-structured narrative free text (NRs) shoulder MRI reports and potential effects of both types of reporting on completeness, readability, linguistic quality and referring surgeons’ satisfaction.

Methods

Thirty patients after trauma or with suspected degenerative changes of the shoulder were included in this study (2012–2015). All patients underwent shoulder MRI for further assessment and possible surgical planning. NRs were generated during clinical routine. Corresponding SRs were created using a dedicated template. All 60 reports were evaluated by two experienced orthopaedic shoulder surgeons using a questionnaire that included eight questions.

Results

Eighty per cent of the SRs were fully complete without any missing key features whereas only 45% of the NRs were fully complete (p < 0.001). The extraction of information was regarded to be easy in 92% of the SRs and 63% of the NRs. The overall quality of the SRs was rated better than that of the NRs (p < 0.001).

Conclusions

Structured reporting of shoulder MRI improves the readability as well as the linguistic quality of radiological reports, and potentially leads to a higher satisfaction of referring physicians.

Key Points

Structured MRI reports of the shoulder improve readability.
Structured reporting facilitates information extraction.
Referring physicians prefer structured reports to narrative free text reports.
Structured MRI reports of the shoulder can reduce radiologist re-consultations.
Appendix
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Metadata
Title
Structured reporting of MRI of the shoulder – improvement of report quality?
Authors
Sebastian Gassenmaier
Marco Armbruster
Florian Haasters
Tobias Helfen
Thomas Henzler
Sedat Alibek
Dominik Pförringer
Wieland H. Sommer
Nora N. Sommer
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 10/2017
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-4778-z

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