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Actionable reporting versus unwanted advice in PET-CT reports.

D Pencharz1, T Wagner1

  • 1Department of Nuclear Medicine, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, London NW3, UK.

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Summary

Clinician referrers have varied opinions on management advice in positron-emission tomography (PET)-computed tomography (CT) reports. They prefer advice on further imaging and differential diagnoses over specific management recommendations.

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Area of Science:

  • Radiology
  • Nuclear Medicine
  • Oncology

Background:

  • Positron-emission tomography (PET)-computed tomography (CT) is a crucial diagnostic tool.
  • The content of PET-CT reports, particularly management advice, impacts clinical decision-making.
  • Understanding referrer preferences is essential for optimizing report utility.

Approach:

  • Structured interviews were conducted with 18 clinician referrers.
  • Questionnaires focused on opinions regarding the inclusion and type of management advice in PET-CT reports.

Key Points:

  • Clinician preferences for advice in PET-CT reports are diverse.
  • Advice on further imaging tests and areas outside the referrer's expertise is generally more valued.
  • Differential diagnoses and clinical significance are often considered more valuable than specific management recommendations.
  • A subset of referrers expressed no desire for additional management advice.

Conclusions:

  • Report content, especially management advice, should align with clinician referrer expectations.
  • Incorporating referrer feedback can enhance the clinical utility of PET-CT reports.
  • Consideration should be given to seeking broader clinical opinions and potentially revising reporting standards.