Farmer Caitlin I, Bourne Allison M, O'Connor Denise, Jarvik Jeffrey G, Buchbinder Rachelle
Monash Department of Clinical Epidemiology, Cabrini Institute, 4 Drysdale St, Malvern, VIC, 3144, Australia.
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Insights Imaging. 2020 May 5;11(1):62. doi: 10.1186/s13244-020-00864-9.
Imaging reports are the primary method of communicating diagnostic imaging findings between the radiologist and the referring clinician. Guidelines produced by professional bodies provide guidance on content and format of imaging reports, but the extent to which they consider comprehensibility for referring clinicians and their patients is unclear. The objective of this review was to determine the extent to which radiology reporting guidelines consider comprehensibility of imaging reports for referring clinicians and patients.We performed a scoping review of English-language diagnostic imaging reporting guidelines. We searched electronic databases (OVID MEDLINE, Embase) and websites of radiological professional organisations to identify guidelines. The extent to which the guidelines recommended essential report features such as technical information, content, format and language, as well as features to enhance comprehensibility, such as lay language summaries, was recorded.Six guidelines from professional bodies representing radiologists from the USA, Canada, Australia and New Zealand, Hong Kong, the UK and Europe were identified from the search. Inconsistencies exist between guidelines in their recommendations, and they rarely consider that patients may read the report. No guideline made recommendations about the reporting of results considering the clinical context, and none recommended features preferred by patients such as lay language summaries. This review identifies an opportunity for future radiology reporting guidelines to give greater consideration to referring clinician and patient preferences.
影像报告是放射科医生与转诊临床医生之间传达诊断影像结果的主要方式。专业机构制定的指南为影像报告的内容和格式提供了指导，但这些指南在多大程度上考虑到转诊临床医生及其患者的可理解性尚不清楚。本综述的目的是确定放射学报告指南在多大程度上考虑到影像报告对转诊临床医生和患者的可理解性。我们对英文诊断影像报告指南进行了范围综述。我们检索了电子数据库（OVID MEDLINE、Embase）以及放射学专业组织的网站以识别指南。记录了指南推荐基本报告要素（如技术信息、内容、格式和语言）以及增强可理解性的要素（如通俗易懂的语言总结）的程度。通过检索，我们从代表美国、加拿大、澳大利亚和新西兰、中国香港、英国和欧洲放射科医生的专业机构中识别出六项指南。指南之间在推荐内容上存在不一致，并且它们很少考虑到患者可能会阅读报告。没有指南针对结合临床背景报告结果提出建议，也没有指南推荐患者偏好的要素，如通俗易懂的语言总结。本综述指出了未来放射学报告指南有机会更多地考虑转诊临床医生和患者的偏好。
