Granata Vincenza, De Muzio Federica, Cutolo Carmen, Dell'Aversana Federica, Grassi Francesca, Grassi Roberta, Simonetti Igino, Bruno Federico, Palumbo Pierpaolo, Chiti Giuditta, Danti Ginevra, Fusco Roberta
Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.
Department of Medicine and Health Sciences "V. Tiberio", University of Molise, 86100 Campobasso, Italy.
J Pers Med. 2022 Aug 21;12(8):1344. doi: 10.3390/jpm12081344.
The aim of this manuscript is to give an overview of structured reporting in radiological settings.
This article is a narrative review on structured reporting in radiological settings. Particularly, limitations and future perspectives are analyzed.
The radiological report is a communication tool for the referring physician and the patients. It was conceived as a free text report (FTR) to allow radiologists to have their own individuality in the description of the radiological findings. However, this form could suffer from content, style, and presentation discrepancies, with a probability of transferring incorrect radiological data. Quality, datafication/quantification, and accessibility represent the three main goals in moving from FTRs to structured reports (SRs). In fact, the quality is related to standardization, which aims to improve communication and clarification. Moreover, a "structured" checklist, which allows all the fundamental items for a particular radiological study to be reported and permits the connection of the radiological data with clinical features, allowing a personalized medicine. With regard to accessibility, since radiological reports can be considered a source of research data, SR allows data mining to obtain new biomarkers and to help the development of new application domains, especially in the field of radiomics.
Structured reporting could eliminate radiologist individuality, allowing a standardized approach.
本手稿旨在概述放射学环境中的结构化报告。
本文是一篇关于放射学环境中结构化报告的叙述性综述。特别分析了局限性和未来前景。
放射学报告是供转诊医生和患者使用的沟通工具。它最初被设想为自由文本报告(FTR),以使放射科医生在描述放射学发现时有自己的个性。然而,这种形式可能存在内容、风格和呈现方式上的差异,存在传递错误放射学数据的可能性。质量、数据化/量化和可及性是从FTR向结构化报告(SR)转变的三个主要目标。事实上,质量与标准化相关,标准化旨在改善沟通和阐释。此外,一个“结构化”清单能让特定放射学研究的所有基本项目都得到报告,并使放射学数据与临床特征相联系,从而实现个性化医疗。关于可及性,由于放射学报告可被视为研究数据的来源,SR允许进行数据挖掘以获取新的生物标志物,并有助于新应用领域的发展,尤其是在放射组学领域。
结构化报告可以消除放射科医生的个性差异,实现标准化方法。