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Automated Structured Reporting for Thyroid Ultrasound: Effect on Reporting Errors and Efficiency.

Benjamin Wildman-Tobriner1, Lawrence Ngo2, Tracy A Jaffe3

  • 1Director of the Abdominal Imaging Fellowship Program, Department of Radiology, Duke University Hospital, Durham, North Carolina.

Journal of the American College of Radiology : JACR
|August 21, 2020
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Summary
This summary is machine-generated.

Structured reporting templates for thyroid ultrasound significantly reduce errors in applying the ACR Thyroid Imaging Reporting and Data System (TI-RADS). An automated template eliminated all reporting errors, improving accuracy in thyroid nodule assessment.

Keywords:
Automated reportpick listssmart templatestructured reporting

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Area of Science:

  • Radiology
  • Medical Informatics
  • Ultrasound Technology

Background:

  • The American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) is crucial for standardizing thyroid nodule assessment.
  • Reporting templates can influence the accuracy and efficiency of applying complex systems like TI-RADS.

Purpose of the Study:

  • To evaluate the effectiveness of different thyroid ultrasound reporting templates in conjunction with the ACR TI-RADS.
  • To compare error rates and reporting times across various template structures.

Main Methods:

  • A retrospective study involving four radiologists assessing 80 thyroid ultrasounds per template type (free text, minimally structured, fully structured, fully structured and automated).
  • Errors in TI-RADS point assignment, risk categorization, and recommendations were recorded.
  • Reporting times were measured, and radiologist preference was surveyed.

Main Results:

  • The fully structured and automated template resulted in 0% errors, significantly outperforming free text (27.5% errors) and minimally structured (28.8% errors) templates.
  • Error frequencies for all TI-RADS components decreased with increasing template structure.
  • Median reporting time was lowest with the automated template (180 seconds), and radiologists preferred its use.

Conclusions:

  • A structured reporting template that automates ACR TI-RADS steps significantly reduces reporting errors for thyroid ultrasounds.
  • Automated structured reporting enhances diagnostic accuracy and efficiency in thyroid nodule evaluation.