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Are We Speaking the Same Language? Communicating Diagnostic Probability in the Radiology Report.

Matthew D Grant1,2, Corey R O'Reilly1, Joshua R Ladner1

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Radiologists and emergency medicine physicians largely agree on diagnostic probability phrases. The phrase "compatible with" showed a significant difference in interpretation, highlighting a communication gap.

Keywords:
communicationemergencyprobabilityqualitystandardized reporting

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Area of Science:

  • Medical Imaging
  • Radiology
  • Emergency Medicine

Background:

  • Effective communication between radiologists and emergency medicine (EM) physicians is crucial for patient care.
  • Ambiguity in diagnostic probability phrases used in radiology reports can lead to misinterpretations.

Purpose of the Study:

  • To assess the agreement in diagnostic probability interpretation for common radiology phrases between radiologists and EM physicians.
  • To identify phrases with potential for interdisciplinary misunderstanding.

Main Methods:

  • A survey was administered to radiologists and EM physicians at an academic institution.
  • Participants rated the diagnostic probability conveyed by 18 common radiology phrases.
  • Probability categories included <10%, ≈25%, ≈50%, ≈75%, and >90%.

Main Results:

  • High agreement was observed for 17 out of 18 phrases.
  • The phrase "compatible with" was interpreted as conveying higher diagnostic probability by radiologists compared to EM physicians (p = .02).
  • "Most likely" and "diagnostic of" were the most specific terms in the ≈75% and >90% probability categories, respectively.

Conclusions:

  • There is a substantial shared understanding of diagnostic probability phrases between radiologists and EM physicians.
  • The phrase "compatible with" requires clarification to improve interdisciplinary communication.
  • Standardizing phrase interpretation can enhance the clarity and utility of radiology reports for emergency departments.