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一项关于放射科医生和转诊兽医对影像报告看法的调查。

A SURVEY OF RADIOLOGISTS AND REFERRING VETERINARIANS REGARDING IMAGING REPORTS.

作者信息

Weissman Andrea, Solano Mauricio, Taeymans Olivier, Holmes Shannon P, Jiménez David, Barton Bruce

机构信息

Department of Clinical Sciences, Cummings School of Veterinary, Tufts University, North Grafton, MA, 01536.

Dick White Referrals, Diagnostic Imaging, Cambridge, CB8 0UH, UK.

出版信息

Vet Radiol Ultrasound. 2016 Mar-Apr;57(2):124-9. doi: 10.1111/vru.12310. Epub 2015 Dec 17.

Abstract

An imaging report is a vital communication tool between a radiologist and clinician. In a field where in-person communication may not be readily available, it is imperative that the report clearly relays pertinent clinical information in a timely manner. The purpose of this observational study was to describe and compare opinions and expectations of small animal general practitioners, veterinary specialists, and veterinary radiologists regarding the imaging report. Online surveys were distributed, and data were collected from 202 veterinary clinicians and 123 veterinary radiologists. The majority (89%) of clinicians were satisfied with their imaging reports and stated that they read the radiology report as soon as it was available (92%). Just less than half (48%) of clinicians indicated it was standard of care that a board-certified veterinary radiologist read all imaging studies. Radiologists and clinicians agreed that a clinical history (98% and 94%, respectively) and clinical question (82% and 68%, respectively) were needed to generate a good radiology report. Fifty-five percent to 70% of clinicians prefer red bulleted reports, which included incidental findings (96%); while radiologists slightly favored prose reporting (37-46%). Clinicians found it helpful when additional imaging (86%), medical (71%), and surgical recommendations (73%) were made. About one-third of specialists who had been in practice for >11 years thought they were better able to interpret imaging for their own specialty than the radiologist. Clinicians voiced discontentment with reports that were not completed in a timely manner or did not give a prioritized differential list. Further studies are warranted to provide a more in-depth evaluation of veterinary radiology reporting structure and style.

摘要

影像报告是放射科医生和临床医生之间至关重要的沟通工具。在一个面对面交流可能不太容易实现的领域,报告必须及时、清晰地传达相关临床信息。这项观察性研究的目的是描述和比较小动物全科医生、兽医专科医生和兽医放射科医生对影像报告的看法和期望。研究通过在线调查进行,收集了202名兽医临床医生和123名兽医放射科医生的数据。大多数临床医生(89%)对他们的影像报告感到满意,并表示报告一出来就会阅读(92%)。不到一半(48%)的临床医生表示,由获得委员会认证的兽医放射科医生阅读所有影像检查报告是护理标准。放射科医生和临床医生一致认为,生成一份好的放射学报告需要临床病史(分别为98%和94%)和临床问题(分别为82%和68%)。55%至70%的临床医生更喜欢带有红色项目符号的报告,其中包括偶然发现(96%);而放射科医生则略倾向于散文式报告(37 - 46%)。临床医生发现,当给出额外的影像(86%)、医学(71%)和手术建议(73%)时很有帮助。约三分之一从业超过11年的专科医生认为他们自己比放射科医生更能解读本专业的影像。临床医生对未及时完成或未给出优先鉴别诊断清单的报告表示不满。有必要进行进一步研究,以更深入地评估兽医放射学报告的结构和风格。

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