Structured vs narrative reporting of pelvic MRI for fibroids: clarity and impact on treatment planning

Objectives To evaluate clarity and usefulness of MRI reporting of uterine fibroids using a structured disease-specific template vs. narrative reporting for planning of fibroid treatment by gynaecologists and interventional radiologists. Methods This is a HIPAA-compliant, IRB-approved study with waiv...

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Bibliographic Details
Published in:European radiology 2018-07, Vol.28 (7), p.3009-3017
Main Authors: Franconeri, Andrea, Fang, Jieming, Carney, Benjamin, Justaniah, Almamoon, Miller, Laura, Hur, Hye-Chun, King, Louise P., Alammari, Roa, Faintuch, Salomao, Mortele, Koenraad J., Brook, Olga R.
Format: Article
Language:English
Subjects:
Adult
Clarity
Diagnostic Radiology
Diagnostic systems
Evaluation
Female
Fibroids
Gynecology
Humans
Hysterectomy
Imaging
Informed consent
Internal Medicine
Interventional Radiology
Leiomyoma - diagnostic imaging
Leiomyoma - surgery
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Patient Care Planning
Population studies
Radiology
Radiology Information Systems
Retrospective Studies
Surgery
Ultrasound
Urogenital
Uterine Myomectomy - methods
Uterine Neoplasms - diagnostic imaging
Uterine Neoplasms - surgery
Uterus
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Summary:Objectives To evaluate clarity and usefulness of MRI reporting of uterine fibroids using a structured disease-specific template vs. narrative reporting for planning of fibroid treatment by gynaecologists and interventional radiologists. Methods This is a HIPAA-compliant, IRB-approved study with waiver of informed consent. A structured reporting template for fibroid MRIs was developed in collaboration between gynaecologists, interventional and diagnostic radiologists. The study population included 29 consecutive women who underwent myomectomy for fibroids and pelvic MRI prior to implementation of structured reporting, and 42 consecutive women with MRI after implementation of structured reporting. Subjective evaluation (on a scale of 1-10, 0 not helpful; 10 extremely helpful) and objective evaluation for the presence of 19 key features were performed. Results More key features were absent in the narrative reports 7.3 ± 2.5 (range 3-12) than in structured reports 1.2 ± 1.5 (range 1-7), ( p  
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-017-5161-9