Department of Radiology and Nuclear Medicine, University Medical Center Mannheim, Mannheim, Germany.
Smart Reporting GmbH, Mannheim, Germany.
Prenat Diagn. 2024 Jul;44(8):988-995. doi: 10.1002/pd.6593. Epub 2024 May 26.
We aim to provide a template structured report of fetal Magnetic Resonance Imaging in congenital diaphragmatic hernia (CDH) that was locally validated by the CDH study group in Mannheim.
A selection of 50 fetal MRIs of patients with an isolated diaphragmatic hernia and associated radiology reports from five different senior radiologists from a single center resulted in a primary structured report, which was put into practice by using dedicated software. A questionnaire survey of the interdisciplinary CDH study group Mannheim was used to adapt the report to the clinical requirements.
There was a huge variability in how deep the free text reports go into detail. The side of the hernia was named in 94% of cases. In 58%, both the lung volume and the total lung volume were reported. A comparison with the expected lung volume was reported in 66% of cases. Additional findings, such as herniated organs, were reported in 96% of cases. Overall satisfaction with the newly established structured report was high within the CDH study group with a mean of 4.7.
The use of the structured report of this study can optimize the interdisciplinary dialog, the standardization of report content, increase report completeness and improve quality.
我们旨在提供一份经过局部验证的先天性膈疝（CDH）胎儿磁共振成像模板结构化报告，该报告由曼海姆 CDH 研究小组完成。
从单一中心的五位不同资深放射科医生中选择了 50 例患有孤立性膈疝的胎儿 MRI 和相关放射学报告，这些报告形成了初步的结构化报告，然后使用专用软件进行实践。通过曼海姆跨学科 CDH 研究小组的问卷调查，对报告进行了调整，以满足临床需求。
深度不同的自由文本报告存在很大的差异。疝的侧别在 94%的病例中得到命名。在 58%的病例中，报告了肺容量和总肺容量。在 66%的病例中，报告了与预期肺容量的比较。在 96%的病例中，报告了其他发现，如疝出的器官。CDH 研究小组对新建立的结构化报告的总体满意度很高，平均为 4.7。
使用本研究的结构化报告可以优化跨学科对话、报告内容的标准化、提高报告的完整性并改善质量。
