Roca-Espiau Mercedes, Valero-Tena Esther, Ereño-Ealo Maria Jose, Giraldo Pilar
Diagnostic Radiology, FEETEG, Zaragoza, Spain.
Spanish Foundation for Gaucher Disease and other Lysosomal Disorders (FEETEG), Zaragoza, Spain.
Quant Imaging Med Surg. 2022 Jul;12(7):3717-3724. doi: 10.21037/qims-21-1191.
There are multiple hematological and other entities (metastases, infections) that can affect the bone marrow (BM). The gold standard imaging technique for BM examination is magnetic resonance imaging (MRI). Technological advances have made it possible to digitalize image files and create applications that help to produce higher quality structured reports, facilitating the analysis of data and unifying the criteria collected, making it possible to fill an existing gap. The aim of this study is to present a structured report model applicable to BM studies by MRI.
We have carried out a systematic review following the recommendations of the PRISMA checklist report to explore previous publications applying structured BM MRI reporting. Eligibility criteria: the selection of articles carried out by MeSH thesaurus. Original or review articles of BM pathology assessed by MRI. Our group with a wide experience in the evaluation of BM by MRI have designed a model for BM report using eight items: demographic data, diagnostic suspicion, technical data, type of exam initial or control, distribution and patterns involvement, complications and location, total assessment comments.
We have not found articles that reflect the existence of a structured report of BM examination by MRI. Only one descriptive article has been identified on guidelines for acquisition, interpretation and reporting which refers to a single entity. With the selected parameters, a software has been developed that allows to fill in the sections of the structured report with ease and immediacy and to send the result directly to the clinician.
Structured reports are the result of applying a logical structure to the radiological report, and the rules of elaboration comprise several criteria: (I) using a uniform language. The standardization of terminology avoids ambiguity in reporting and makes it easier to compare reports. (II) Accurately describe the radiological findings, following a prescribed order with review questions and answers. (III) Drafting using diagnostic screening tables. (IV) Respect the radiologists' workflow by facilitating the work and not hindering it. The final report of this work has been the product of the clinical-radiological collaboration in our working group.
有多种血液学及其他病变（转移瘤、感染）可累及骨髓（BM）。骨髓检查的金标准成像技术是磁共振成像（MRI）。技术进步使得图像文件数字化并创建有助于生成更高质量结构化报告的应用程序成为可能，这便于数据分析并统一所收集的标准，从而填补现有空白。本研究的目的是提出一种适用于骨髓MRI研究的结构化报告模型。
我们按照PRISMA清单报告的建议进行了系统综述，以探索先前应用结构化骨髓MRI报告的出版物。纳入标准：通过医学主题词表选择文章。经MRI评估的骨髓病理学原始或综述文章。我们组在骨髓MRI评估方面经验丰富，设计了一个骨髓报告模型，包含八个项目：人口统计学数据、诊断怀疑、技术数据、初始或对照检查类型、分布及受累模式、并发症及位置、总体评估意见。
我们未找到反映存在骨髓MRI检查结构化报告的文章。仅识别出一篇关于采集、解读和报告指南的描述性文章，该文章仅涉及单一病变。利用所选参数，开发了一款软件，可轻松、即时地填写结构化报告的各个部分，并将结果直接发送给临床医生。
结构化报告是将逻辑结构应用于放射学报告的结果，其编制规则包括若干标准：（I）使用统一语言。术语标准化可避免报告中的歧义，便于报告比较。（II）按照规定顺序并结合审查问题与答案准确描述放射学发现。（III）使用诊断筛查表进行起草。（IV）通过便利而非阻碍工作来尊重放射科医生的工作流程。本研究的最终报告是我们工作组临床与放射学协作的成果。
