Insights Imaging. 2023 Nov 23;14(1):199. doi: 10.1186/s13244-023-01560-0.
Structured reporting in radiology continues to hold substantial potential to improve the quality of service provided to patients and referring physicians. Despite many physicians' preference for structured reports and various efforts by radiological societies and some vendors, structured reporting has still not been widely adopted in clinical routine.While in many countries national radiological societies have launched initiatives to further promote structured reporting, cross-institutional applications of report templates and incentives for usage of structured reporting are lacking. Various legislative measures have been taken in the USA and the European Union to promote interoperable data formats such as Fast Healthcare Interoperability Resources (FHIR) in the context of the EU Health Data Space (EHDS) which will certainly be relevant for the future of structured reporting. Lastly, recent advances in artificial intelligence and large language models may provide innovative and efficient approaches to integrate structured reporting more seamlessly into the radiologists' workflow.The ESR will remain committed to advancing structured reporting as a key component towards more value-based radiology. Practical solutions for structured reporting need to be provided by vendors. Policy makers should incentivize the usage of structured radiological reporting, especially in cross-institutional setting.Critical relevance statement Over the past years, the benefits of structured reporting in radiology have been widely discussed and agreed upon; however, implementation in clinical routine is lacking due-policy makers should incentivize the usage of structured radiological reporting, especially in cross-institutional setting.Key points1. Various national societies have established initiatives for structured reporting in radiology.2. Almost no monetary or structural incentives exist that favor structured reporting.3. A consensus on technical standards for structured reporting is still missing.4. The application of large language models may help structuring radiological reports.5. Policy makers should incentivize the usage of structured radiological reporting.
放射学中的结构化报告在提高为患者和转诊医生提供的服务质量方面仍具有巨大潜力。尽管许多医生偏爱结构化报告，放射学会和一些供应商也做出了各种努力，但结构化报告在临床常规中仍未得到广泛采用。虽然在许多国家，国家放射学会已发起倡议以进一步推广结构化报告，但缺乏报告模板的跨机构应用以及对结构化报告使用的激励措施。美国和欧盟已采取各种立法措施，在欧盟健康数据空间（EHDS）的背景下推广可互操作的数据格式，如快速医疗保健互操作性资源（FHIR），这肯定与结构化报告的未来相关。最后，人工智能和大语言模型的最新进展可能提供创新且高效的方法，将结构化报告更无缝地整合到放射科医生的工作流程中。欧洲放射学会（ESR）将继续致力于推进结构化报告，将其作为实现更具价值的放射学的关键组成部分。结构化报告的实际解决方案需要由供应商提供。政策制定者应激励使用结构化放射学报告，特别是在跨机构环境中。
在过去几年中，放射学中结构化报告的益处已得到广泛讨论并达成共识；然而，由于政策制定者应激励使用结构化放射学报告，特别是在跨机构环境中，临床常规中的实施仍很缺乏。
各国放射学会已为放射学中的结构化报告制定了倡议。
几乎不存在有利于结构化报告的金钱或结构性激励措施。
仍未就结构化报告的技术标准达成共识。
大语言模型的应用可能有助于构建放射学报告。
政策制定者应激励使用结构化放射学报告。
