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方法:在腹部放射学报告模板中创建一致的结构和内容。

How We Do It: Creating Consistent Structure and Content in Abdominal Radiology Report Templates.

机构信息

1 All authors: Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, Desk L10, Cleveland, OH 44195.

出版信息

AJR Am J Roentgenol. 2019 Mar;212(3):490-496. doi: 10.2214/AJR.18.20368. Epub 2019 Jan 8.

DOI:10.2214/AJR.18.20368
PMID:30620681
Abstract

OBJECTIVE

The purposes of this article are to describe the creation of template report formats and content for a variety of abdominal and pelvic CT and MRI examinations and discuss a review-of-systems approach to text and avoidance of pitfalls of report templates.

CONCLUSION

Organ system-specific report templates for CT and MRI incorporate radiologist preferences. Disease-specific report templates are created from these reports to provide a consistent radiologist and referring physician experience across the report templates.

摘要

目的

本文旨在描述各种腹部和盆腔 CT 和 MRI 检查的模板报告格式和内容的创建,并讨论系统回顾方法在文本中的应用以及避免报告模板的陷阱。

结论

针对 CT 和 MRI 的器官系统特定报告模板纳入了放射科医生的偏好。从这些报告中创建特定于疾病的报告模板,为报告模板提供一致的放射科医生和转诊医生体验。

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