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The Need for Standardization of Musculoskeletal Practice Reporting: Learning From ACR BI-RADS, Liver Imaging–Reporting and Data System, and Prostate Imaging–Reporting and Data System

2017; Elsevier BV; Volume: 14; Issue: 12 Linguagem: Inglês

10.1016/j.jacr.2017.06.019

1558-349X

Ali Gholamrezanezhad, Michael W. Kessler, Seyed Mohammadreza Hayeri,

Radiation Dose and Imaging

Beyond technological advances, standardization has been a key method for the advancement of the field of radiology. The radiology community has attempted to standardize the communication of findings and interpretations of radiographs and CT and MRI scans by developing guidelines [ 1 American College of RadiologyLiver Imaging Reporting and Data System version 2014. http://www.acr.org/Quality-Safety/Resources/LIRADS Google Scholar , 2 Liu D. Zucherman M. Tulloss Jr., W.B. Six characteristics of effective structured reporting and the inevitable integration with speech recognition. J Digit Imaging. 2006; 19: 98-104 Crossref PubMed Scopus (28) Google Scholar ]. Although these guidelines have been very useful, they still suffer from complexity and heterogeneity in the diversity of the language and structure used, as well as suboptimal correlation of the final diagnostic conclusions among the different guidelines [ 3 Davenport M.S. Khalatbari S. Liu P.S. et al. Repeatability of diagnostic features and scoring systems for hepatocellular carcinoma by using MR imaging. Radiology. 2014; 272: 132-142 Crossref PubMed Scopus (121) Google Scholar ]. Newer structured reporting systems, such as the "*RADS," have made huge strides in improving communication between radiologists and referring providers. However, the continued common use of free-text reports for most radiology dictations contradicts the results of multiple studies that demonstrated how capturing and analyzing medical information in a structured approach improves clinical decision making [ 4 Buntin M.B. Jain S.H. Blumenthal D. Health information technology: laying the infrastructure for national health reform. Health Aff (Millwood). 2010; 29: 1214-1219 Crossref PubMed Scopus (170) Google Scholar , 5 Cramer J.A. Eisenmenger L.B. Pierson N.S. Dhatt H.S. Heilbrun M.E. Structured and templated reporting: an overview. Appl Radiol. 2014; 43 (Available at:) (Accessed June 30, 2017)http://appliedradiology.com/articles/structured-and-templated-reporting-an-overview PubMed Google Scholar ]. As a result, the ongoing revolution in the standardization of radiology reporting should focus its attention on a specialty such as musculoskeletal imaging, in which attempts at standardization began more than half a century ago. In time, musculoskeletal imaging reports can achieve a higher standard of communication with increased comprehensibility in a concise, problem-oriented, and data-driven manner [ 2 Liu D. Zucherman M. Tulloss Jr., W.B. Six characteristics of effective structured reporting and the inevitable integration with speech recognition. J Digit Imaging. 2006; 19: 98-104 Crossref PubMed Scopus (28) Google Scholar , 5 Cramer J.A. Eisenmenger L.B. Pierson N.S. Dhatt H.S. Heilbrun M.E. Structured and templated reporting: an overview. Appl Radiol. 2014; 43 (Available at:) (Accessed June 30, 2017)http://appliedradiology.com/articles/structured-and-templated-reporting-an-overview PubMed Google Scholar , 6 Bosmans J.M. Van Goethem J.W. De Schepper A.M. Structure and content of the radiological report: an audit of 94 reports from a university education center [article in Dutch]. JBR-BTR. 2004; 87: 260-264 PubMed Google Scholar ].