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Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn's Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians.

Publication ,  Journal Article
Wildman-Tobriner, B; Allen, BC; Davis, JT; Miller, CM; Schooler, GR; McGreal, NM; Quevedo, R; Thacker, JK; Jaffe, TA
Published in: Curr Probl Diagn Radiol
2017

PURPOSE: To objectively compare the content of structured reports (SR) vs nonstructured reports (NSR) for magnetic resonance enterography (MRE) of pediatric patients with Crohn's disease, and to evaluate referring clinicians' subjective assessment of reports. METHODS: This institutional review board-approved, Health Insurance Portability and Accountability Act-compliant retrospective study included 25 pediatric subjects (15 male, 10 female; mean age = 14 years [range: 9-18 years]) with Crohn's disease imaged with MRE. Three radiologists independently interpreted all examinations using both NSR and SR, separated by 4 weeks. Reports were assessed for documentation of the presence or absence of 15 key reporting features. A total of 30 reports (15 NSR [5 per reader] and 15 SR [5 per reader]) were randomly selected for review by 3 referring physicians, who subjectively evaluated the reports independently. RESULTS: NSR documented the presence or absence of 7.7 ± 2.5 key features, whereas SR documented 14.0 ± 0.8 features (P < 0.001). SR resulted in increased documentation of 12 of 15 features including stricture (P < 0.001), fistula (P < 0.001), fluid collection (P = 0.003), and perianal disease (P < 0.001). Referring physicians preferred SR regarding ease of information extraction, clarity of anatomy, and ability to identify disease phenotype (P < 0.01 for each). CONCLUSION: The use of structured reporting in describing pediatric Crohn's disease, MRE resulted in significantly increased reporting of key features. Referring clinicians also demonstrated a subjective preference for SR.

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Published In

Curr Probl Diagn Radiol

DOI

EISSN

1535-6302

Publication Date

2017

Volume

46

Issue

2

Start / End Page

110 / 114

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Referral and Consultation
  • Organometallic Compounds
  • Nuclear Medicine & Medical Imaging
  • Meglumine
  • Medical Records
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Female
 

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Wildman-Tobriner, B., Allen, B. C., Davis, J. T., Miller, C. M., Schooler, G. R., McGreal, N. M., … Jaffe, T. A. (2017). Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn's Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians. Curr Probl Diagn Radiol, 46(2), 110–114. https://doi.org/10.1067/j.cpradiol.2016.12.001
Wildman-Tobriner, Benjamin, Brian C. Allen, Joseph T. Davis, Chad M. Miller, Gary R. Schooler, Nancy M. McGreal, Reinaldo Quevedo, Julie K. Thacker, and Tracy A. Jaffe. “Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn's Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians.Curr Probl Diagn Radiol 46, no. 2 (2017): 110–14. https://doi.org/10.1067/j.cpradiol.2016.12.001.
Wildman-Tobriner B, Allen BC, Davis JT, Miller CM, Schooler GR, McGreal NM, et al. Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn's Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians. Curr Probl Diagn Radiol. 2017;46(2):110–4.
Wildman-Tobriner, Benjamin, et al. “Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn's Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians.Curr Probl Diagn Radiol, vol. 46, no. 2, 2017, pp. 110–14. Pubmed, doi:10.1067/j.cpradiol.2016.12.001.
Wildman-Tobriner B, Allen BC, Davis JT, Miller CM, Schooler GR, McGreal NM, Quevedo R, Thacker JK, Jaffe TA. Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn's Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians. Curr Probl Diagn Radiol. 2017;46(2):110–114.
Journal cover image

Published In

Curr Probl Diagn Radiol

DOI

EISSN

1535-6302

Publication Date

2017

Volume

46

Issue

2

Start / End Page

110 / 114

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Referral and Consultation
  • Organometallic Compounds
  • Nuclear Medicine & Medical Imaging
  • Meglumine
  • Medical Records
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Female