Yale University, New Haven, CT, USA.
Yale School of Medicine, New Haven, CT, USA.
Yale J Biol Med. 2023 Sep 29;96(3):407-417. doi: 10.59249/NKOY5498. eCollection 2023 Sep.
Diagnostic imaging reports are generally written with a target audience of other providers. As a result, the reports are written with medical jargon and technical detail to ensure accurate communication. With implementation of the 21st Century Cures Act, patients have greater and quicker access to their imaging reports, but these reports are still written above the comprehension level of the average patient. Consequently, many patients have requested reports to be conveyed in language accessible to them. Numerous studies have shown that improving patient understanding of their condition results in better outcomes, so driving comprehension of imaging reports is essential. Summary statements, second reports, and the inclusion of the radiologist's phone number have been proposed, but these solutions have implications for radiologist workflow. Artificial intelligence (AI) has the potential to simplify imaging reports without significant disruptions. Many AI technologies have been applied to radiology reports in the past for various clinical and research purposes, but patient focused solutions have largely been ignored. New natural language processing technologies and large language models (LLMs) have the potential to improve patient understanding of their imaging reports. However, LLMs are a nascent technology and significant research is required before LLM-driven report simplification is used in patient care.
诊断影像报告通常面向其他医疗服务提供者撰写。因此,报告中使用了医学术语和技术细节,以确保准确的沟通。随着《21 世纪治愈法案》的实施,患者可以更快地获得他们的影像报告,但这些报告的撰写水平仍然高于普通患者的理解能力。因此,许多患者要求以他们能够理解的语言传达报告。许多研究表明,提高患者对自身病情的理解会带来更好的结果,因此提高影像报告的理解能力至关重要。总结性陈述、第二报告以及包括放射科医生的电话号码等方法已经被提出,但这些解决方案会对放射科医生的工作流程产生影响。人工智能(AI)有可能在不造成重大干扰的情况下简化影像报告。过去,许多 AI 技术已被应用于放射学报告,用于各种临床和研究目的,但患者关注的解决方案在很大程度上被忽视了。新的自然语言处理技术和大型语言模型(LLM)有可能提高患者对其影像报告的理解。然而,LLM 是一项新兴技术,在将 LLM 驱动的报告简化用于患者护理之前,还需要进行大量研究。