Radiology Department, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Pediatr Radiol. 2012 Feb;42(2):188-95. doi: 10.1007/s00247-011-2259-0. Epub 2011 Oct 14.
According to current guidelines, US is the most important modality for imaging urinary tract infections (UTI) in children.
(1) To assess the adequacy of paediatric renal US requests and reports in a general radiology department, and correlate the request adequacy and the performing radiologist's experience with report adequacy. (2) To determine the yield of abnormal findings.
Retrospective review of renal US requests. The information was scored: requests 0-3 (3 as highest adequacy) and reports 0-21 (21 as highest adequacy). Correlation tests used included Spearman's correlation, Kruskal-Wallis test, Chi-square test of independence and Fisher exact test.
Mean report adequacy score was 6.67/21. Trainees did 87% of all scans and performed better (score 6.76) than the staff radiologists (score 6.08). Hydronephrosis was the most common abnormality. There was no correlation between request or reporter rank and reporting adequacy.
Renal US requests and reports are inadequate. To improve reporting standards for trainees and specialists, a renal ultrasound reporting template was designed for use.
根据现行指南，美国是儿童尿路感染（UTI）影像学检查的最重要方式。
（1）评估普通放射科小儿肾脏超声检查申请单和报告的充分性，并将申请单的充分性与实施放射科医生的经验与报告的充分性进行相关性分析。（2）确定异常结果的检出率。
回顾性分析肾脏超声检查申请单。信息评分：申请单 0-3 分（3 分为最高分），报告 0-21 分（21 分为最高分）。使用的相关性检验包括斯皮尔曼相关检验、Kruskal-Wallis 检验、卡方独立性检验和 Fisher 确切概率检验。
平均报告充分性评分为 6.67/21。学员完成了所有扫描的 87%，表现优于（评分 6.76）在职放射科医生（评分 6.08）。肾积水是最常见的异常。申请单或报告人的级别与报告充分性之间无相关性。
肾脏超声检查申请单和报告不充分。为了提高学员和专家的报告标准，设计了肾脏超声报告模板以供使用。
