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在本地和全球范围内改善放射学报告:何人、如何以及为何?

Improving radiology reporting locally and globally: who, how, and why?

作者信息

Gormly Kirsten L

机构信息

Jones Radiology, Adelaide, SA 5063, Australia.

Faculty of Health and Medical Science, The University of Adelaide, Adelaide, SA 5000, Australia.

出版信息

Br J Radiol. 2025 Mar 1;98(1167):330-335. doi: 10.1093/bjr/tqae253.

Abstract

The radiology report is the communication from radiologist to referrer, used to inform prognosis and guide patient management. The report is the final step in a process which is influenced by the information on the referral, image quality, the reporting environment, and appropriate detection and interpretation of findings by the radiologist. It should present accurate, complete information in a way that can be easily understood. Even small improvements in any of these areas can have a significant impact on the average quality of radiology reports, with potential impact on vast numbers of patients across the globe. How do we train our future referrers to understand the complexities of imaging and write better referrals? How do we improve image quality as close to source as possible by engaging with equipment vendors? How can we make it easier for all radiologists to have access to the latest guidelines and use reporting templates where appropriate? Every radiologist has a role to play, with possible actions ranging from individual choice to departmental policies and global collaboration. The diseases we diagnose are the same, the equipment similar and knowledge freely available. All our patients deserve the best report we can provide.

摘要

放射学报告是放射科医生与转诊医生之间的沟通方式,用于告知预后情况并指导患者的治疗管理。该报告是一个过程的最后一步,这个过程受到转诊信息、图像质量、报告环境以及放射科医生对检查结果的恰当检测和解读等因素的影响。它应以易于理解的方式呈现准确、完整的信息。即使在这些方面中的任何一个方面有微小的改进,都可能对放射学报告的平均质量产生重大影响,并可能对全球大量患者产生潜在影响。我们如何培训未来的转诊医生,使其理解成像的复杂性并撰写更好的转诊申请?我们如何通过与设备供应商合作,尽可能在源头提高图像质量?我们如何让所有放射科医生更轻松地获取最新指南并在适当情况下使用报告模板?每位放射科医生都能发挥作用,可能采取的行动范围从个人选择到部门政策乃至全球合作。我们诊断的疾病相同,使用的设备相似,知识也可免费获取。我们所有的患者都理应得到我们所能提供的最佳报告。

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