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Comparing Preliminary and Final Neuroradiology Reports: What Factors Determine the Differences?
K Stankiewicz1, M Cohen1, M Carone2
1From The Russell H. Morgan Department of Radiology and Radiological Sciences (K.S., M. Cohen, G.S., P.G.N., J.S.L., D.M.Y., L.S.B.), Johns Hopkins Medical Institutions, Baltimore, Maryland.
AJNR. American Journal of Neuroradiology
|July 30, 2016
Summary
Faculty neuroradiologists modify trainee reports. Key factors influencing report revisions include missed critical findings, MR imaging, trainee experience, and non-native speaker status, impacting report quality and education.
Area of Science:
- Radiology
- Medical Education
- Health Informatics
Background:
- Neuroradiology trainees' interpretations are finalized by faculty.
- Understanding factors influencing report modifications is crucial.
Purpose of the Study:
- Identify factors determining the extent of preliminary neuroradiology report modifications.
- Enhance the quality of report generation and trainee education.
Main Methods:
- Analyzed 34,661 neuroradiology reports (Nov 2012-Oct 2013).
- Calculated percentage character change between preliminary and final reports.
- Used multivariable linear regression to assess factors like trainee level, faculty experience, imaging technique, and speaker status.
Main Results:
- Mean percentage character change was 14.8%.
- Missed critical findings, critical finding flags, MR imaging, and non-native trainees were associated with increased modifications.
- Higher trainee levels and senior faculty experience correlated with decreased modifications.
Conclusions:
- Missed critical findings, MR imaging, trainee level, faculty experience, and non-native trainee status significantly influence report revisions.
- Identifying these factors can optimize report quality and educational strategies.
- Further research can refine understanding of neuroradiology report generation.
