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Eye-tracking differences between free text and template radiology reports: a pilot study.

DeAngelo Harris¹, David M Yousem², Elizabeth A Krupinski¹

¹Emory University, Department of Radiology and Imaging Sciences, Atlanta, Georgia, United States.

Journal of Medical Imaging (Bellingham, Wash.)

|February 10, 2023

Summary

This summary is machine-generated.

Structured radiology report templates reduce image viewing time but increase report generation time compared to free text. This shift may impact radiologist workflow and diagnostic efficiency, warranting further investigation.

Keywords:

preferences radiology report format visual search

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Area of Science:

Radiology
Medical Informatics
Neuroimaging

Background:

Structured reporting templates are increasingly used in radiology to standardize reports.
A potential limitation is the increased cognitive and physical workload for radiologists switching between image and dictation monitors.
The impact of structured templates on radiologist workflow and time allocation remains an area of active research.

Purpose of the Study:

To investigate whether structured template radiology reports alter the time radiologists spend viewing diagnostic images versus dictation screens.
To test the hypothesis that structured templates diminish image viewing time and/or prolong report generation time compared to free text dictation.

Main Methods:

Three neuroradiologists and three senior residents participated in the study.
Participants generated reports for five unique brain MRI cases using both structured templates and free text dictation.
Eye-tracking technology was employed to record participants' gaze patterns, differentiating time spent on image review versus dictation.

Main Results:

The study confirmed that structured templates significantly reduced the time spent viewing diagnostic images compared to free text dictation.
Conversely, the time required to generate a report was prolonged when using structured templates.
No significant difference in time allocation was observed based on the seniority of the radiologist.

Conclusions:

Structured reporting templates can alter radiologist workflow, leading to more time spent on the dictation monitor and less on diagnostic images.
While templates may facilitate a more systematic search for findings, their impact on diagnostic accuracy requires further study.
Future eye-tracking research should explore how reporting formats influence the detection and classification of radiographic findings.