Department of Diagnostic Radiology, University of Texas MD Anderson Cancer Center, Pickens Academic Tower, 1400 Pressler Street, Unit 1473, Houston, TX 77030-4009.
Department of Radiology and Imaging Sciences Diagnostic Radiology, Emory University, Atlanta, Georgia.
Acad Radiol. 2018 Jan;25(1):66-73. doi: 10.1016/j.acra.2017.08.005. Epub 2017 Oct 10.
Radiology reports are vital for patient care as referring physicians depend upon them for deciding appropriate patient management. Traditional narrative reports are associated with excessive variability in the language, length, and style, which can minimize report clarity and make it difficult for referring clinicians to identify key information needed for patient care. Structured reporting has been advocated as a potential solution for improving the quality of radiology reports. The Association of University Radiologists-Radiology Research Alliance Structured Reporting Task Force convened to explore the current and future role of structured reporting in radiology and summarized its finding in this article. We review the advantages and disadvantages of structured radiology reports and discuss the current prevailing sentiments among radiologists regarding structured reports. We also discuss the obstacles to the use of structured reports and highlight ways to overcome some of those challenges. We also discuss the future directions in radiology reporting in the era of personalized medicine.
放射科报告对患者护理至关重要，因为主治医生依赖这些报告来决定患者的治疗方案。传统的叙述性报告在语言、长度和风格上存在过多的差异，这可能会降低报告的清晰度，并使主治医生难以确定患者护理所需的关键信息。因此，人们提倡使用结构化报告作为提高放射科报告质量的一种潜在方法。为了探讨结构化报告在放射学中的当前和未来作用，美国大学放射学家协会-放射学研究联盟结构化报告工作组召开了会议，并在本文中总结了他们的研究结果。我们回顾了结构化放射科报告的优缺点，并讨论了当前放射科医生对结构化报告的普遍看法。我们还讨论了使用结构化报告的障碍，并强调了克服其中一些挑战的方法。我们还讨论了在个性化医疗时代放射科报告的未来发展方向。
