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Developing a Checklist-Based Radiology Reporting Framework for Maxillofacial Trauma: A Multispecialty Delphi Study.

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Radiology reports for maxillofacial trauma are inconsistent. This study established expert consensus on key elements for a standardized computed tomography (CT) reporting protocol to improve communication and patient care.

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Area of Science:

  • Radiology
  • Medical Imaging
  • Trauma Surgery

Background:

  • Computed tomography (CT) is essential for diagnosing maxillofacial trauma.
  • Variability in radiology report structure and terminology hinders effective communication and optimal patient care.

Purpose of the Study:

  • To compare subspecialty perspectives on maxillofacial trauma reporting.
  • To achieve expert consensus on essential elements for a standardized CT reporting protocol.

Main Methods:

  • A Delphi process involving 13 national experts over two survey rounds.
  • Evaluated reporting practices for fracture subsites and terminology.
  • Assessed the utility of a checklist-based reporting template.

Main Results:

  • Consensus (≥75% agreement) was reached on reporting elements for common fracture patterns (e.g., zygomaticomaxillary complex, naso-orbito-ethmoid, Le Fort).
  • Areas lacking consensus included routine use of structured templates and reporting of inferred findings like extraocular muscle entrapment.

Conclusions:

  • A multispecialty, consensus-derived framework was developed to standardize CT reporting for maxillofacial trauma.
  • This framework aims to improve clarity and consistency in radiological assessments of facial injuries.