Keywords:
Vascular, Head and neck, Emergency, CT, CT-Angiography, Diagnostic procedure, Ischaemia / Infarction
Authors:
N. Schmidt, L. Bonati, C. Glessgen, A. Jadczak, B. Stieltjes, K. Blackham; Basle/CH
DOI:
10.26044/ecr2019/C-2207
Conclusion
Although the majority of physicians in our survey feel that their existing report is complete,
a majority also asked for a structured report. We found some agreement regarding the content of the report,
in particular the request for scores and standardized measures such as ASPECT and NASCET.
Incontrast to the agreement there were notable personal preferences not only in regards to particular content or level of detail in the report but also the fact that these preferences change with the clinical question.
So,
even from a survey of a subgroup of clinical experts,
there is disagreement regarding a complete report.
The movement toward structured reporting in Radiology has been growing in recent years,
however,
has met difficulty with implementation for many reasons10–12. The essence of the structured report is to provide consistency in a comprehensible format; however,
it must also contain the evidence- based information on which our referring physicians base their decisions.
Therefore,
surveying the clinicians to assess their needs is critical.
Given the lack of agreement of our referring physicians beyond the conventional evidence- based scores,
we feel that a structured report,
which may be consistent and even comprehensible,
may not be the solution.
A report that is flexible,
or tailored to the physician and even the patient,
is perhaps a more difficult but ultimately a more sensible goal.
Although the content of the report can be optimized,
the form of communication is equally important13. There are better ways to deliver the information,
for example,
visualization dashboards.
In other medical fields visualization dashboards have been introduced with great success14.
The visualization can be an interface which is adapted and personalized to the specific needs of the referring clinician and patient.
Visualization dashboards could allow Radiology to jump on the running train of personalized medicine just in time.