Department of Radiology, Montefiore Medical Center, Bronx, New York.
Department of Radiology, Montefiore Medical Center, Bronx, New York.
J Am Coll Radiol. 2019 Sep;16(9 Pt B):1292-1298. doi: 10.1016/j.jacr.2019.05.042.
The major goal of the radiology report is to deliver timely, accurate, and actionable information to the patient care team and the patient. Structured reporting offers multiple advantages over traditional free-text reporting, including reduction in diagnostic error, comprehensiveness, adherence to national consensus guidelines, revenue capture, data collection, and research. Various technological innovations enhance integration of structured reporting into everyday clinical practice. This review discusses the benefits of innovations in radiology reporting to the clinical decision process, the patient experience, the cost of imaging, and the overall contributions to the health of the population. Future directions, including the use of artificial intelligence, are reviewed.
放射科报告的主要目标是为患者护理团队和患者提供及时、准确和可操作的信息。与传统的自由文本报告相比，结构化报告具有多个优势，包括降低诊断错误率、全面性、遵守国家共识指南、收入捕获、数据收集和研究。各种技术创新增强了结构化报告融入日常临床实践的能力。这篇综述讨论了放射科报告创新对临床决策过程、患者体验、成像成本以及对人群健康的整体贡献的益处。还回顾了未来的发展方向，包括人工智能的使用。
