Abstract

OBJECTIVE: To assess whether structured reports (SRs) of MRI in patients with inherited neuromuscular disorders (IND) provide more clinically relevant information than non-structured reports (NSRs) and whether neuroradiologists' expertise affects completeness of reports.

MATERIAL AND METHODS: Lower limbs' MRI reports of patients with IND produced by neuroradiologists with different level of expertise (> 15 years vs. < 15 years of experience in reading IND-MRI) before and after implementation of a SR template were included. Reports were assessed for the presence of 9 key features relevant for IND management. Reports and images were evaluated by neurologists who assessed: disease-specific muscular involvement pattern; presence of sufficient information to order the appropriate genetic/diagnostic tests; presence of sufficient information to make therapeutic decision/perform biopsy and necessity to review MRI images. Mann-Whitney and Fisher's exact tests were used to compare the number of key features for NSR and SR and neurologists' answers for reports produced by neuroradiologists with different experience.

RESULTS: Thirty-one SRs and 101 NSRs were reviewed. A median of 8 and 6 key features was present in SR and NSR, respectively (p value < 0.0001). When reports were produced by less expert neuroradiologists, neurologists recognized muscular involvement pattern, had sufficient information for clinical decision-making/perform biopsy more often with SR than NSR (p values: < 0.0001), and needed to evaluate images less often with SR (p value: 0.0001). When reports produced by expert neuroradiologists were evaluated, no significant difference in neurologists' answers was observed.

CONCLUSION: SR of IND-MRI contained more often clinically relevant information considered important for disease management than NSR. Radiologist's expertise affects completeness of NSR reports.

Original languageEnglish
Pages (from-to)628-635
Number of pages7
JournalRadiologia Medica
Volume124
Issue number7
DOIs
Publication statusPublished - Jun 9 2019

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Biopsy
Muscular Diseases
Disease Management
Routine Diagnostic Tests
Reading
Lower Extremity
Neurologists
Therapeutics
Radiologists
Clinical Decision-Making

Cite this

Value of structured reporting in neuromuscular disorders. / Alessandrino, Francesco; Cristiano, Lara; Cinnante, Claudia Maria; Tartaglione, Tommaso; Gerevini, Simonetta; Verdolotti, Tommaso; Colafati, Giovanna Stefania; Ghione, Emanuele; Vitale, Raimondo; Peverelli, Lorenzo; Brogna, Claudia; Berardinelli, Angela; Moggio, Maurizio; Mercuri, Eugenio M; Pichiecchio, Anna.

In: Radiologia Medica, Vol. 124, No. 7, 09.06.2019, p. 628-635.

Research output: Contribution to journalArticle

Alessandrino, Francesco ; Cristiano, Lara ; Cinnante, Claudia Maria ; Tartaglione, Tommaso ; Gerevini, Simonetta ; Verdolotti, Tommaso ; Colafati, Giovanna Stefania ; Ghione, Emanuele ; Vitale, Raimondo ; Peverelli, Lorenzo ; Brogna, Claudia ; Berardinelli, Angela ; Moggio, Maurizio ; Mercuri, Eugenio M ; Pichiecchio, Anna. / Value of structured reporting in neuromuscular disorders. In: Radiologia Medica. 2019 ; Vol. 124, No. 7. pp. 628-635.
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abstract = "OBJECTIVE: To assess whether structured reports (SRs) of MRI in patients with inherited neuromuscular disorders (IND) provide more clinically relevant information than non-structured reports (NSRs) and whether neuroradiologists' expertise affects completeness of reports.MATERIAL AND METHODS: Lower limbs' MRI reports of patients with IND produced by neuroradiologists with different level of expertise (> 15 years vs. < 15 years of experience in reading IND-MRI) before and after implementation of a SR template were included. Reports were assessed for the presence of 9 key features relevant for IND management. Reports and images were evaluated by neurologists who assessed: disease-specific muscular involvement pattern; presence of sufficient information to order the appropriate genetic/diagnostic tests; presence of sufficient information to make therapeutic decision/perform biopsy and necessity to review MRI images. Mann-Whitney and Fisher's exact tests were used to compare the number of key features for NSR and SR and neurologists' answers for reports produced by neuroradiologists with different experience.RESULTS: Thirty-one SRs and 101 NSRs were reviewed. A median of 8 and 6 key features was present in SR and NSR, respectively (p value < 0.0001). When reports were produced by less expert neuroradiologists, neurologists recognized muscular involvement pattern, had sufficient information for clinical decision-making/perform biopsy more often with SR than NSR (p values: < 0.0001), and needed to evaluate images less often with SR (p value: 0.0001). When reports produced by expert neuroradiologists were evaluated, no significant difference in neurologists' answers was observed.CONCLUSION: SR of IND-MRI contained more often clinically relevant information considered important for disease management than NSR. Radiologist's expertise affects completeness of NSR reports.",
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T1 - Value of structured reporting in neuromuscular disorders

AU - Alessandrino, Francesco

AU - Cristiano, Lara

AU - Cinnante, Claudia Maria

AU - Tartaglione, Tommaso

AU - Gerevini, Simonetta

AU - Verdolotti, Tommaso

AU - Colafati, Giovanna Stefania

AU - Ghione, Emanuele

AU - Vitale, Raimondo

AU - Peverelli, Lorenzo

AU - Brogna, Claudia

AU - Berardinelli, Angela

AU - Moggio, Maurizio

AU - Mercuri, Eugenio M

AU - Pichiecchio, Anna

PY - 2019/6/9

Y1 - 2019/6/9

N2 - OBJECTIVE: To assess whether structured reports (SRs) of MRI in patients with inherited neuromuscular disorders (IND) provide more clinically relevant information than non-structured reports (NSRs) and whether neuroradiologists' expertise affects completeness of reports.MATERIAL AND METHODS: Lower limbs' MRI reports of patients with IND produced by neuroradiologists with different level of expertise (> 15 years vs. < 15 years of experience in reading IND-MRI) before and after implementation of a SR template were included. Reports were assessed for the presence of 9 key features relevant for IND management. Reports and images were evaluated by neurologists who assessed: disease-specific muscular involvement pattern; presence of sufficient information to order the appropriate genetic/diagnostic tests; presence of sufficient information to make therapeutic decision/perform biopsy and necessity to review MRI images. Mann-Whitney and Fisher's exact tests were used to compare the number of key features for NSR and SR and neurologists' answers for reports produced by neuroradiologists with different experience.RESULTS: Thirty-one SRs and 101 NSRs were reviewed. A median of 8 and 6 key features was present in SR and NSR, respectively (p value < 0.0001). When reports were produced by less expert neuroradiologists, neurologists recognized muscular involvement pattern, had sufficient information for clinical decision-making/perform biopsy more often with SR than NSR (p values: < 0.0001), and needed to evaluate images less often with SR (p value: 0.0001). When reports produced by expert neuroradiologists were evaluated, no significant difference in neurologists' answers was observed.CONCLUSION: SR of IND-MRI contained more often clinically relevant information considered important for disease management than NSR. Radiologist's expertise affects completeness of NSR reports.

AB - OBJECTIVE: To assess whether structured reports (SRs) of MRI in patients with inherited neuromuscular disorders (IND) provide more clinically relevant information than non-structured reports (NSRs) and whether neuroradiologists' expertise affects completeness of reports.MATERIAL AND METHODS: Lower limbs' MRI reports of patients with IND produced by neuroradiologists with different level of expertise (> 15 years vs. < 15 years of experience in reading IND-MRI) before and after implementation of a SR template were included. Reports were assessed for the presence of 9 key features relevant for IND management. Reports and images were evaluated by neurologists who assessed: disease-specific muscular involvement pattern; presence of sufficient information to order the appropriate genetic/diagnostic tests; presence of sufficient information to make therapeutic decision/perform biopsy and necessity to review MRI images. Mann-Whitney and Fisher's exact tests were used to compare the number of key features for NSR and SR and neurologists' answers for reports produced by neuroradiologists with different experience.RESULTS: Thirty-one SRs and 101 NSRs were reviewed. A median of 8 and 6 key features was present in SR and NSR, respectively (p value < 0.0001). When reports were produced by less expert neuroradiologists, neurologists recognized muscular involvement pattern, had sufficient information for clinical decision-making/perform biopsy more often with SR than NSR (p values: < 0.0001), and needed to evaluate images less often with SR (p value: 0.0001). When reports produced by expert neuroradiologists were evaluated, no significant difference in neurologists' answers was observed.CONCLUSION: SR of IND-MRI contained more often clinically relevant information considered important for disease management than NSR. Radiologist's expertise affects completeness of NSR reports.

U2 - 10.1007/s11547-019-01012-0

DO - 10.1007/s11547-019-01012-0

M3 - Article

C2 - 30852791

VL - 124

SP - 628

EP - 635

JO - Radiologia Medica

JF - Radiologia Medica

SN - 0033-8362

IS - 7

ER -