The Art of the Radiology Report: Practical and Stylistic Guidelines for Perfecting the Conveyance of Imaging Findings

被引:23
作者
Lukaszewicz, Andrew [1 ]
Uricchio, Joseph [1 ]
Gerasymchuk, Grygori [1 ]
机构
[1] St Joseph Mercy Oakland, Radiol, Pontiac, MI USA
来源
CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES | 2016年 / 67卷 / 04期
关键词
Clarity; Dictation; Quality; Report; IMPLEMENTATION;
D O I
10.1016/j.carj.2016.03.001
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The radiology report is the culmination of image acquisition, meticulous interpretation, and the generation of deliberate and thoughtful recommendations. It is essentially a translation of images into words, and as such must convey as much pertinent detail needed by the clinician in as concise a format as possible. Several important factors affect the overall quality of the finished report. Active voice helps to convey information more confidently, and in a manner that is easier to read and understand. The use of several words and phrases is frowned upon, as it makes the radiologist sound uncertain. The manner in which the impression is stated can significantly influence the ordering physician's decision as to whether to follow the radiologist's recommendations. Critical findings must be promptly communicated to the appropriate health care provider, and documented in the final report. By following the guidelines illustrated in this article, radiologists will learn how to create a perfected report, which will be concise, convey important findings while answering the clinical question posed, and will be favorably viewed by the requesting physician. (C) 2016 Canadian Association of Radiologists. All rights reserved.
引用
收藏
页码:318 / 321
页数:4
相关论文
共 17 条
[1]  
American College of Radiology, 2010, ACR PRACT PAR COMM D
[2]  
[Anonymous], 2010, AM MED WRITERS ASS J
[3]  
[Anonymous], 1918, ELEMENTS STYLE
[4]   Evidence-based guideline for the written radiology report: Methods, recommendations and implementation challenges [J].
Goergen, Stacy K. ;
Pool, Felicity J. ;
Turner, Tari J. ;
Grimm, Jane E. ;
Appleyard, Mark N. ;
Crock, Carmel ;
Fahey, Michael C. ;
Fay, Michael F. ;
Ferris, Nicholas J. ;
Liew, Susan M. ;
Perry, Richard D. ;
Revell, Ann ;
Russell, Grant M. ;
Wang, Shih-chang S. C. ;
Wriedt, Christian .
JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, 2013, 57 (01) :1-7
[5]   Radiology reporting: a general practitioner's perspective [J].
Grieve, F. M. ;
Plumb, A. A. ;
Khan, S. H. .
BRITISH JOURNAL OF RADIOLOGY, 2010, 83 (985) :17-22
[6]   The Passive Voice [J].
Gunderman, Richard B. ;
Steinmeyer, Laura A. .
ACADEMIC RADIOLOGY, 2015, 22 (09) :1206-1207
[7]   Recent Measures to Improve Radiology Reporting: Perspectives From Primary Care Physicians [J].
Gunn, Andrew J. ;
Sahani, Dushyant V. ;
Bennett, Susan E. ;
Choy, Garry .
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2013, 10 (02) :122-127
[8]   Language of the radiology report: Primer for residents and wayward radiologists [J].
Hall, FM .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 175 (05) :1239-1242
[9]  
Jones J., 2013, ACR B, V68, P12
[10]   Development and Implementation of a Synoptic MRI Report for Preoperative Staging of Rectal Cancer on a Population-Based Level [J].
Kennedy, Erin D. ;
Milot, Laurent ;
Fruitman, Mark ;
Al-Sukhni, Eisar ;
Heine, Gabrielle ;
Schmocker, Selina ;
Brown, Gina ;
McLeod, Robin S. .
DISEASES OF THE COLON & RECTUM, 2014, 57 (06) :700-708