Nobel J Martijn, Kok Ellen M, Robben Simon G F
Department of Radiology, Maastricht University Medical Center, Postbox 5800, 6202, AZ, Maastricht, the Netherlands.
School of Health Professions Education, Maastricht University, Maastricht, the Netherlands.
Insights Imaging. 2020 Feb 4;11(1):10. doi: 10.1186/s13244-019-0831-6.
Structured reporting is advocated as a means of improving reporting in radiology to the ultimate benefit of both radiological and clinical practice. Several large initiatives are currently evaluating its potential. However, with numerous characterizations of the term in circulation, "structured reporting" has become ambiguous and is often confused with "standardization," which may hamper proper evaluation and implementation in clinical practice. This paper provides an overview of interpretations of structured reporting and proposes a clear definition that differentiates structured reporting from standardization. Only a clear uniform definition facilitates evidence-based implementation, enables evaluation of its separate components, and supports (meta-)analyses of literature reports.
结构化报告被提倡作为一种改进放射学报告的手段，最终使放射学和临床实践都受益。目前有几个大型项目正在评估其潜力。然而，随着该术语的众多描述在流传，“结构化报告”已变得模糊不清，并且经常与“标准化”混淆，这可能会妨碍在临床实践中的正确评估和实施。本文概述了对结构化报告的各种解释，并提出了一个清晰的定义，以区分结构化报告与标准化。只有一个清晰统一的定义才能促进基于证据的实施，能够评估其各个组成部分，并支持对文献报告的（荟萃）分析。
