Kotter Elmar, Pinto Dos Santos Daniel
Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Freiburg, Hugstetter Str. 55, 79106, Freiburg, Deutschland.
Institut für Diagnostische und Interventionelle Radiologie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Radiologe. 2021 Nov;61(11):979-985. doi: 10.1007/s00117-021-00921-4. Epub 2021 Oct 18.
Numerous publications have shown the value of structured reporting in communication with referring physicians and for further usage of clinical report data in other contexts. Despite the topic being present and known in radiology for many years now, widespread adoption of structured reporting in clinical routine is still lacking. All major radiological societies have published position statements in favor of structured reporting and are pursuing various related initiatives. Among those are the development and the maintenance of openly available structured report template repositories as well as quality control of report templates and development of standardized terminologies. This article highlights the efforts of the German Radiological Society and the European Society of Radiology on the topic of structured reporting and provides an overview of pros and cons as well as publicly available resources.
众多出版物已表明结构化报告在与转诊医生沟通以及在其他情况下进一步使用临床报告数据方面的价值。尽管这个话题在放射学领域已经存在并为人所知多年,但临床常规中结构化报告的广泛应用仍然不足。所有主要的放射学会都发表了支持结构化报告的立场声明,并正在开展各种相关举措。其中包括开发和维护公开可用的结构化报告模板库,以及报告模板的质量控制和标准化术语的开发。本文重点介绍了德国放射学会和欧洲放射学会在结构化报告主题上所做的努力,并概述了其优缺点以及公开可用的资源。