Automated Structured Reporting for Thyroid Ultrasound: Effect on Reporting Errors and Efficiency
| Autor: | Lisa M. Ho, Wendy L. Ehieli, Brian C. Allen, Sheng Luo, Reginald Lerebours, Tracy A. Jaffe, Lawrence Ngo, Benjamin Wildman-Tobriner |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Point (typography) Computer science Thyroid ultrasound 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Structured reporting Radiologists Text messaging medicine Humans Radiology Nuclear Medicine and imaging Medical physics Thyroid Nodule Retrospective Studies Ultrasonography |
| Zdroj: | Journal of the American College of Radiology. 18:265-273 |
| ISSN: | 1546-1440 |
| Popis: | To compare the effectiveness of different reporting templates using the ACR Thyroid Imaging Reporting and Data System (TI-RADS) for thyroid ultrasound.In this retrospective study, four radiologists implemented ACR TI-RADS while dictating 20 thyroid ultrasounds for each of four different templates: free text, minimally structured, fully structured, fully structured and automated (embedded software automatically sums TI-RADS points, correlates with nodule size, and inserts appropriate recommendation into report impression). In total, 80 reports were constructed per template type. Frequencies of different errors related to ACR TI-RADS were recorded: errors in point assignment, point addition, risk-level assignment, and recommendation. Reporting times were recorded, and a survey about using the template was administered. Differences in error rates were compared using χAcross all readers, errors were identified in 27.5% of reports (22 of 80) for the free text template, 28.8% (23 of 80) for the minimally structured template, 18.8% (15 of 80) for the fully structured template, and 0% (0 of 80) for the fully structured and automated template (P.0001). Frequency of each error type (number assignment, addition, TR categorization, recommendation) decreased across the four templates (P.0005 to P.005). Median reporting times for the less complex templates were 210 to 240 seconds, whereas the median automated template reporting time was 180 seconds (P = .41). Radiologists subjectively preferred using the automated template.A structured reporting template for thyroid ultrasound that automatically executed steps of ACR TI-RADS resulted in fewer reporting errors for radiologists. |
| Databáze: | OpenAIRE |
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