在上下文化和结构化放射学报告之间对比儿科专业医生的意见
Ashishkumar K Parikh1, Susan Palasis1, Thai Trinh1
1Children's Healthcare of Atlanta, Emory University, Department of Radiology, 1405 Clifton Rd NE, Atlanta, GA, 30322, USA.
Current problems in diagnostic radiology
|May 10, 2024
概括
儿科专家更喜欢上下文报告 (CR) 而不是结构化报告 (SR),以提高清晰度. 建议在最大值时为特定的临床适应症开发CR.
科学领域:
- 放射学和医学成像学 医学成像学
- 临床信息学 临床信息学
背景情况:
- 结构化报告 (SR) 是医学成像的标准,但可能缺乏临床指示的具体性.
- 语境报告 (CR) 将SR定制为特定的临床场景,包括相关的积极和消极发现.
- CR旨在提高报告的清晰度和相关性,用于狭窄的临床适应症.
研究的目的:
- 评估与传统的SR相比,CR的儿科提供者偏好.
- 评估提供者对CR和SR之间可解释性的看法.
主要方法:
- 采用了一种调查方法,将电子调查与SR和CR示例分发给儿科专家.
- 调查了两个组:儿科神经影像 (神经外科,神经学,耳鼻科,耳鼻科,眼科) 和儿科胃肠道 (GI) 影像 (胃肠病学,整体外科,ED).
- 调查使用了5点的利克特比例,并使用费舍尔的精确测试进行了分析.
主要成果:
- 56%的受访者更喜欢CR而不是SR,59%的人认为CR更容易解释.
- 儿童胃肠道成像专家显示,与儿童神经成像专家 (44%) 相比,他们更倾向于CR (68%).
- 在349名联系人中,有81人回复 (23%的回复率).
结论:
- 为高度重视的临床适应症开发CR比广泛的方法更有利.
- 需要进一步探索儿童成像中的上下文化报告的实用性.
- 提供者偏好表明CR可以提高放射学报告的解释性.
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