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在 PET-CT 报告中,可执行报告与不必要的建议。

Actionable reporting versus unwanted advice in PET-CT reports.

机构信息

Department of Nuclear Medicine, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, London NW3, UK.

Department of Nuclear Medicine, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, London NW3, UK.

出版信息

Clin Radiol. 2023 Sep;78(9):666-670. doi: 10.1016/j.crad.2023.05.015. Epub 2023 Jun 8.

Abstract

AIM

To investigate the opinions of clinician referrers on the presence and type of management advice in reports of positron-emission tomography (PET)-computed tomography (CT) examinations.

MATERIALS AND METHODS

Eighteen clinicians were interviewed using a structured questionnaire about their opinions on further management advice in PET-CT reports.

RESULTS

Opinions varied amongst clinicians, but some themes predominated: (1) advice on further imaging tests and areas outside the referrer's area of expertise are more welcome than other types of advice; (2) a differential diagnosis or clinical significance is of greater value than specific management advice; (3) some referrers do not want any further advice.

CONCLUSION

Before advising on further management, reporters should consider clinicians' opinions regarding this. Seeking the opinion of clinicians in other hospitals may be necessary. A review of the Royal College of Radiologists Actionable Reports standard to ensure it is more in line with the opinions of clinicians may be useful.

摘要

目的

调查临床医生对正电子发射断层扫描(PET)-计算机断层扫描(CT)检查报告中存在的管理建议类型及其管理建议的意见。

材料与方法

采用结构化问卷对 18 名临床医生进行访谈,了解他们对 PET-CT 报告中进一步管理建议的意见。

结果

临床医生的意见存在差异,但有一些主题占主导地位:(1)与推荐医生专业领域以外的进一步影像学检查和区域相关的建议比其他类型的建议更受欢迎;(2)鉴别诊断或临床意义比具体管理建议更有价值;(3)一些推荐医生不希望有任何进一步的建议。

结论

在提供进一步的管理建议之前,报告者应考虑临床医生对此的意见。可能需要向其他医院的临床医生征求意见。审查皇家放射科医师学院可操作报告标准,以确保其更符合临床医生的意见可能会有所帮助。

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