scholarly journals Systematic approach for migrating to a structured reporting context based on free-text reports and the DICOM Structured Reporting guidelines

2019 ◽  
Author(s):  
Eduardo Beckauser ◽  
Vinicius Andreoli Petrolini ◽  
Alexandre Savaris ◽  
Aldo Von Wangenheim ◽  
Dirk Krechel
Keyword(s):  
Systematic Approach ◽  
Structured Reporting ◽  
Reporting Guidelines ◽  
Free Text ◽  
Telemedicine System ◽  
Adequate Model ◽  
Structured Reports ◽  
The Many ◽  
Reporting Environment

Even with the many advantages of adopting a structured reporting system, there is little convention on how to disseminate this routine into the report environment. This work proposes a systematic approach to migrate a system routine from free-text reports to structured reports, focusing on the DI- COM Structured Reporting guidelines. We evaluated this proposal by creating a reporting module in the context of a telemedicine system, and performing case study covering ultrasonography reports. Using the AdEQUATE model, the eval- uation showed a high user perception from the system, directly reflecting the quality of our proposal. The results are a set of defined premises and steps that turns a telemedicine system into a complete structured reporting environment.

scholarly journals Evaluation of optimal education level to implement structured reporting into ultrasound training

2020 ◽  
Vol 22 (4) ◽  
pp. 445
Author(s):  
Benjamin Philipp Ernst ◽  
Sebastian Strieth ◽  
Julian Künzel ◽  
Mohamed Hodeib ◽  
Fabian Katzer ◽  
...  
Keyword(s):  
Medical School ◽  
User Satisfaction ◽  
Information Loss ◽  
Structured Reporting ◽  
Free Text ◽  
Time Efficiency ◽  
Report Quality ◽  
Structured Reports ◽  
Junior Residents

Aims: Reporting of head and neck ultrasound (HNU) has been outlined to be a major obstacle during ultrasound training due to a lack of standardized structure, content and terminology. Consequently, overall report quality differs significantly between various examiners posing a severe risk factor for information loss and miscommunication. Therefore, the present study’s purpose is to compare the overall quality of free text reports (FTR) and structured reports (SR) of HNU at various stages of training in order to determine the optimal educational level to implement SR.Material and methods: Typical pathologies in HNU were reported upon using SR and FTR by medical students, junior residents and senior residents. The reports were assessed for overall quality, time efficiency and readability. Additionally, user satisfaction was determined using a questionnaire.Results: SRs exhibited a significantly superior report quality (93.1% vs. 45.6%, p<0.001) at all training levels. Overall time efficiency was significantly better for SRs, especially at the stages of medical school and early residency (89.4 s vs. 160.2 s., p<0.001). Using structured reporting also increased user satisfaction significantly (VAS 8.6 vs. 3.9, p<0.001).Conclusions: Implementing structured reporting of HNU results in a superior report quality at all training stages. Greatest benefits for time efficiency are achieved by implementation during medical school. Therefore, structured reporting of HNU should be implemented early on in the training of HNU.

Storage and report

2016 ◽  
Author(s):  
Steven Droogmans ◽  
Alessandro Salustri ◽  
Bernard Cosyns
Keyword(s):  
Heart Disease ◽  
Patient Care ◽  
Image Acquisition ◽  
Structured Reporting ◽  
Acquisition Process ◽  
Digital Storage ◽  
Echocardiographic Examination ◽  
The Many

Digital storage and structured reporting of an echocardiographic examination lead not only to increased quality of the image acquisition process, an understandable and clinically relevant exam report, but even more importantly to improved patient care. This chapter first describes the many advantages of a digital echocardiographic laboratory and then in a second part how to report the results of a complete echocardiogram, including mandatory items, recommended items, findings and measurements, comments, and conclusions, emphasizing the main findings of the diagnosis and the severity of the heart disease.

scholarly journals State of the art in abdominal MRI structured reporting: a review

2020 ◽  
Author(s):  
Arnaldo Stanzione ◽  
Francesca Boccadifuoco ◽  
Renato Cuocolo ◽  
Valeria Romeo ◽  
Pier Paolo Mainenti ◽  
...  
Keyword(s):  
Structured Reporting ◽  
Added Value ◽  
Free Text ◽  
Clinical Value ◽  
Appropriate Treatment ◽  
Abdominal Mri ◽  
Structured Reports ◽  
Magnetic Resonance Imaging Mri ◽  
Patient’S Outcome ◽  
The Ideal

Abstract In the management of several abdominal disorders, magnetic resonance imaging (MRI) has the potential to significantly improve patient’s outcome due to its diagnostic accuracy leading to more appropriate treatment choice. However, its clinical value heavily relies on the quality and quantity of diagnostic information that radiologists manage to convey through their reports. To solve issues such as ambiguity and lack of comprehensiveness that can occur with conventional narrative reports, the adoption of structured reporting has been proposed. Using a checklist and standardized lexicon, structured reports are designed to increase clarity while assuring that all key imaging findings related to a specific disorder are included. Unfortunately, structured reports have their limitations too, such as risk of undue report simplification and poor template plasticity. Their adoption is also far from widespread, and probably the ideal balance between radiologist autonomy and report consistency of has yet to be found. In this article, we aimed to provide an overview of structured reporting proposals for abdominal MRI and of works assessing its value in comparison to conventional free-text reporting. While for several abdominal disorders there are structured templates that have been endorsed by scientific societies and their adoption might be beneficial, stronger evidence confirming their imperativeness and added value in terms of clinical practice is needed, especially regarding the improvement of patient outcome.

scholarly journals Evidence for an Association Between Endometriosis and Allergic and Non-allergic Food Hypersensitivity Is Lacking

2021 ◽  
Vol 3 ◽  
Author(s):  
Jocelyn O'Malley ◽  
Marina Iacovou ◽  
Sarah J. Holdsworth-Carson
Keyword(s):  
Best Practice ◽  
Systematic Approach ◽  
Food Hypersensitivity ◽  
Research Quality ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Essential Step ◽  
Increased Risk ◽  
The Many

Endometriosis effects up to 1 in 9 women, and can be a severe and debilitating disease. It is suggested that there is a link between endometriosis and allergic hypersensitivities, including allergic and non-allergic food hypersensitivity. Best practice for managing endometriosis symptoms is holistic and includes broad multi-disciplinary care. Therefore, improving our understanding of common endometriosis comorbidities, including allergic and non-allergic food hypersensitivity, will assist in improving patient quality of life. This mini-review with systematic approach aims to explore the literature for evidence surrounding an association between endometriosis and allergic and/or non-allergic food hypersensitivity from the last 20 years. Of the 849 publications identified, five fulfilled the inclusion criteria. Only one publication reported a statistically significant increased risk for non-allergic food hypersensitivity in patients with endometriosis (P = 0.009), however, the endometriosis group was not uniform in diagnostic criteria and included individuals without laparoscopically visualized disease. No studies elucidated a statistically significant link between allergic food hypersensitivity alone and endometriosis. Therefore, based on a small number of studies with limited research quality, evidence does not support the existence of a link between endometriosis and allergic or non-allergic food hypersensitivity. Sufficiently powered evidence-based research is required, including information which better characterizes the patient's endometriosis symptoms, importantly the gastrointestinal sequalae, as well as specific allergic and non-allergic food hypersensitivities and method of diagnoses. Unequivocally confirming a link between endometriosis and food hypersensitivities is an essential step forward in dispelling the many myths surrounding endometriosis and improving management of disease.

Structured Reporting of Medical Findings: Evaluation of a System in Gastroenterology

1992 ◽  
Vol 31 (04) ◽  
pp. 268-274 ◽  
Author(s):  
W. Gaus ◽  
J. G. Wechsler ◽  
P. Janowitz ◽  
J. Tudyka ◽  
W. Kratzer ◽  
...  
Keyword(s):  
Structured Data ◽  
Structured Reporting ◽  
Free Text ◽  
Clinical Documentation ◽  
Abdominal Sonography ◽  
Technical Examination ◽  
Medical Reports ◽  
Time Required ◽  
Upper Abdominal ◽  
Structured Approach

Abstract:A system using structured reporting of findings was developed for the preparation of medical reports and for clinical documentation purposes in upper abdominal sonography, and evaluated in the course of routine use. The evaluation focussed on the following parameters: completeness and correctness of the entered data, the proportion of free text, the validity and objectivity of the documentation, user acceptance, and time required. The completeness in the case of two clinically relevant parameters could be compared with an already existing database containing freely dictated reports. The results confirmed the hypothesis that, for the description of results of a technical examination, structured data reporting is a viable alternative to free-text dictation. For the application evaluated, there is even evidence of the superiority of a structured approach. The system can be put to use in related areas of application.

Experience of clinical testing of personal telemedicine system ‘Obereg’ for remote monitoring of patients in intensive care units

2020 ◽  
pp. 52-58 ◽  
Author(s):  
A. A. Eryomenko ◽  
N. V. Rostunova ◽  
S. A. Budagyan ◽  
V. V. Stets
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Remote Monitoring ◽  
Clinical Testing ◽  
Transportation Of Patients ◽  
High Quality ◽  
Telemedicine System ◽  
Accuracy Of Measurements ◽  
Hospital Equipment

The experience of clinical testing of the personal telemedicine system ‘Obereg’ for remote monitoring of patients at the intensive care units of leading Russian clinics is described. The high quality of communication with the remote receiving devices of doctors, the accuracy of measurements, resistance to interference from various hospital equipment and the absence of its own impact on such equipment were confirmed. There are significant advantages compared to stationary patient monitors, in particular, for intra and out-of-hospital transportation of patients.

U.S.-Listed Foreign Companies' Choice of a U.S.-Based versus Home Country-Based Big N Principal Auditor and the Effect on Audit Fees and Earnings Quality

2015 ◽  
Vol 29 (3) ◽  
pp. 631-666 ◽  
Author(s):  
Sharad C. Asthana ◽  
K. K. Raman ◽  
Hongkang Xu
Keyword(s):  
Financial Reporting ◽  
Home Country ◽  
Earnings Quality ◽  
Audit Fees ◽  
Foreign Companies ◽  
Two Factors ◽  
Just Price ◽  
Reporting Environment ◽  
The U.S

SYNOPSIS We examine why U.S.-listed foreign companies choose to have a U.S.-based (rather than home country-based) Big N firm as their principal auditor for SEC reporting purposes and the effects of that choice for audit fees and earnings quality. We find that the likelihood of the Big N principal auditor being U.S.-based is decreasing in client size and the level of investor protection in the home country, and increasing in the proportion of income earned outside the home country. We also find compelling evidence that U.S.-based Big N auditors are associated with higher-quality earnings (albeit for a higher fee), despite two factors—the greater distance between the U.S.-based (vis-à-vis home country-based) Big N auditor and the client, and the likelihood that much of the audit work is done outside the U.S.—which potentially could lower the earnings quality of the U.S.-listed foreign client when the Big N principal auditor is U.S.-based. Overall, our study suggests that the higher fees associated with a U.S.-based Big N principal auditor is not just price protection; rather, U.S.-based Big N principal auditors are also improving the financial reporting environment by reporting higher-quality audited earnings for their U.S.-listed foreign clients. JEL Classifications: L11; L15; M42.

Analysis and Interpretation of Test Beam Data

2018 ◽  
Author(s):  
Richard Wigmans
Keyword(s):  
Energy Resolution ◽  
Particle Physics ◽  
Particle Beam ◽  
Test Beam ◽  
Term Energy ◽  
The Many ◽  
Physics Experiment ◽  
The Way

This chapter describes some of the many pitfalls that may be encountered when developing the calorimeter system for a particle physics experiment. Several of the examples chosen for this chapter are based on the author’s own experience. Typically, the performance of a new calorimeter is tested in a particle beam provided by an accelerator. The potential pitfalls encountered in correctly assessing this performance both concern the analysis and the interpretation of the data collected in such tests. The analysis should be carried out with unbiased event samples. Several consequences of violating this principle are illustrated with practical examples. For the interpretation of the results, it is very important to realize that the conditions in a testbeam are fundamentally different than in practice. This has consequences for the meaning of the term “energy resolution”. It is shown that the way in which the results of beam tests are quoted may create a misleading impression of the quality of the tested instrument.

scholarly journals Structured Reporting of Rectal Cancer Staging and Restaging: A Consensus Proposal

Cancers ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2135
Author(s):  
Vincenza Granata ◽  
Damiano Caruso ◽  
Roberto Grassi ◽  
Salvatore Cappabianca ◽  
Alfonso Reginelli ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Correlation Coefficient ◽  
Clinical Decision Making ◽  
Intraclass Correlation ◽  
Clinical Decision ◽  
Cancer Staging ◽  
Structured Reporting ◽  
Quality Analysis ◽  
Promising Tool ◽  
Structured Reports

Background: Structured reporting (SR) in oncologic imaging is becoming necessary and has recently been recognized by major scientific societies. The aim of this study was to build MRI-based structured reports for rectal cancer (RC) staging and restaging in order to provide clinicians all critical tumor information. Materials and Methods: A panel of radiologist experts in abdominal imaging, called the members of the Italian Society of Medical and Interventional Radiology, was established. The modified Delphi process was used to build the SR and to assess the level of agreement in all sections. The Cronbach’s alpha (Cα) correlation coefficient was used to assess the internal consistency of each section and to measure the quality analysis according to the average inter-item correlation. The intraclass correlation coefficient (ICC) was also evaluated. Results: After the second Delphi round of the SR RC staging, the panelists’ single scores and sum of scores were 3.8 (range 2–4) and 169, and the SR RC restaging panelists’ single scores and sum of scores were 3.7 (range 2–4) and 148, respectively. The Cα correlation coefficient was 0.79 for SR staging and 0.81 for SR restaging. The ICCs for the SR RC staging and restaging were 0.78 (p < 0.01) and 0.82 (p < 0.01), respectively. The final SR version was built and included 53 items for RC staging and 50 items for RC restaging. Conclusions: The final version of the structured reports of MRI-based RC staging and restaging should be a helpful and promising tool for clinicians in managing cancer patients properly. Structured reports collect all Patient Clinical Data, Clinical Evaluations and relevant key findings of Rectal Cancer, both in staging and restaging, and can facilitate clinical decision-making.

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