News & Media

12 August 2021

Structured Reporting

The written radiology report is evolving in response to clinical advances, technological changes and social/regulatory developments like greater patient access. “Structured” or “Standardised” reporting is one way that radiologists are trying to address these challenges.

This can use either existing reporting systems or specialised tools:

Standardised or templated reports (“TR”) - At their most basic level these define how content is arranged in the written radiology report text, for instance in an anatomically itemised list, but they may also include standardised terminology and/or content tailored to the clinical context. These are generally held as text options in the existing reporting system and the reporting radiologist can usually edit the content for individual cases.

Dedicated structured reporting software (“SRS”) –  Imaging findings are placed in predefined tagged data fields. Required values are usually entered by the radiologist or technologist (for instance choices in a pick-list), but may sometimes include measurements or other parameters transmitted directly from imaging equipment. The report is then generated using the information provided, tailored to the clinical context, but may allow the radiologist to add or alter content. Some software may incorporate images or other hyperlinks.

As the leading body for clinical radiology quality and education in Australia and New Zealand, RANZCR is interested in how these reporting approaches are currently being used by individual radiologists and also in the departments and practices where they work. 

 

Structured Reporting Survey 

Survey online until midday AEST 15 August 2021. This survey should take approximately 20 minutes to complete. All responses will be anonymous.