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Published on: December 19, 2020
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Chest CT in COVID-19 patients: Structured vs conventional reporting
Arnaldo Stanzione1, Andrea Ponsiglione1, Renato Cuocolo2
1Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy.
European Journal of Radiology
|March 7, 2021
Summary
Structured reporting for chest CTs in COVID-19 patients significantly improves clinician satisfaction and report quality. Structured reports (SRs) are faster to write and provide better information than conventional reports (CRs).
Area of Science:
- Radiology
- Medical Imaging
- Infectious Diseases
Background:
- Conventional radiological reports (CRs) for COVID-19 patients often lack key information.
- Structured reporting (SR) offers a potential solution for improving clarity and efficiency in medical reporting.
Purpose of the Study:
- To compare clinician satisfaction with structured (SR) versus conventional (CR) radiological reports for chest CT exams in COVID-19 patients.
- To objectively evaluate the differences between SR and CR in terms of time, content, and quality.
Main Methods:
- Retrospective analysis of 68 chest CTs from 61 COVID-19 patients.
- Comparison of existing CRs with newly created SRs, including sign checklists and severity scores.
- Evaluation of 40 paired reports by two clinicians using a Likert scale for quality attributes.
Main Results:
- SRs were completed significantly faster (308s vs. 458s) than CRs.
- CRs infrequently included final impressions (28%) or severity scores (13%).
- Clinicians rated SRs significantly higher than CRs in readability, comprehensiveness, comprehensibility, conciseness, clinical impact, and overall quality.
Conclusions:
- Structured reporting for chest CT in COVID-19 patients enhances referring physician satisfaction.
- SRs optimize reporting time and improve the quantity and quality of information provided.
- The study advocates for the adoption of SRs in managing COVID-19 related chest CT findings.
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