Learning objectives
Using the Delphi exercise in formulating an official structured template for high resolution computed tomography (HRCT) reporting in the evaluation of patients with interstitial lung disease (ILD).
Having a structured report reduces the instances of commenting not only of the positive findings but also commenting on the significant negative findings, so as to help with the overall medical management of the patients.
Having a uniform reporting template for all the reporting radiologists so that there is better communication between the radiologists and the pulmonologists and...
Background
The radiology report is an important medico-legal document providing information both to the patient and the referring clinician 1. The structure of the report,languageand content may vary amongst theradiologists depending on the experience and expertise. Free text reporting is still the most popular format of reporting within the NHS and elsewhere. Limitations of which include ability to convey core information (eg first language and cultural variability) making it difficult to compare reports and assess progression1.
Structured reporting in radiology is being promoted by major international...
Findings and procedure details
Method:
Formulating the reporting template was done by a panel consisting of 10 radiologists and4 pulmonologists using the Delphi method incorporating the items which need to go into the structured report (Fig 1).
An outline reporting template was made and circulated amongst the pulmonologists within the panel who actively deal with Interstitial Lung Disease (ILD) as a part of their routine clinical practice for their feedback.
The final template (Fig 2) was created with inclusion of thefeedback from the pulmonologists within the panel and was...
Conclusion
Conclusion:
This study has certain limitations as it is performed at one institution with limited number of clinicians.
It provides a structured reporting template for ILD that features essential items as agreed by the radiologists and pulmonologists.
Free text reporting by an experienced thoracic radiologist is still preferred by the pulmonologists as its more familiar, personalised and concise.
However, a structured report is more preferred when the same study is being reported by a general radiologist as it elicits a statement regarding all the aspects...
Personal information and conflict of interest
M. I. S. Ismail; Bedford/UK - nothing to disclose
V. K. Baskaradoss; Bedford/UK - nothing to disclose
Z. Y. Nizar; Bedford/UK - nothing to disclose
E. Thomas; Bedford/UK - nothing to disclose
References
1. Sverzellati N, Odone A et al (2018), Structured Reporting for fibrosing lung diseases: a model shared by radiologists and pulmonologist. La radiologia medica 123:245-253. https://doi.org/10.1007/s11547-017-0835-6
2.http://www.radreport.org
3. Schwartz LH, Panicek DM et al (2011), Improving communication of diagnostic radiology findings through structured reporting. Radiology260(1):174-181.Https://doi.org/10.1148/radiol.111.01913
4. Lafortune M, Breton G, Baudouin JL (1988) The radiologicalreport: what is useful for the referring physician? Can Assoc Radiol J 39(2):140–143