Reiner Bruce I
Department of Radiology, Veterans Affairs Maryland Healthcare System, 10 North Greene Street, Baltimore, MD 21201, USA.
J Digit Imaging. 2010 Aug;23(4):363-73. doi: 10.1007/s10278-010-9307-4.
Structured reporting offers a number of theoretical advantages, perhaps the most important of which is creation of standardized report databases. The standardized data created can in turn be used to customize data display, report content, historical data retrieval, interpretation analysis, and results communication in both a context and user-specific manner. In addition, these referenceable report databases can be used to facilitate the practice of evidence based medicine, through data-driven meta-analysis and determination of best practice guidelines. This concept will only be realized if the customized data delivery technology provides real and tangible value to end users, accentuates workflow, can be seamlessly integrated into existing information system technologies, and be shown to yield reproducibility of the evidence domain. The time is here for the medical imaging and clinical communities to embrace this vision in order to improve clinical outcomes and patient safety.
结构化报告具有诸多理论优势，其中或许最为重要的是创建标准化报告数据库。所创建的标准化数据进而可用于以特定情境和用户的方式定制数据显示、报告内容、历史数据检索、解读分析以及结果交流。此外，这些可参考的报告数据库可用于通过数据驱动的荟萃分析和最佳实践指南的确定来促进循证医学的实践。只有当定制的数据交付技术为终端用户提供真实且切实的价值、突出工作流程、能够无缝集成到现有的信息系统技术中，并被证明能产生证据领域的可重复性时，这一概念才能得以实现。医学影像和临床领域是时候接受这一愿景，以改善临床结果和患者安全了。
