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"structured reporting"

Adrian P Brady
The job of the diagnostic radiologist is two-fold: identifying and interpreting the information available from diagnostic imaging studies and communicating that interpretation meaningfully to the referring clinician. However skilled our interpretive abilities, our patients are not well served if we fail to convey our conclusions effectively. Despite the central importance of communication skills to the work of radiologists, trainees rarely receive significant formal training in reporting skills, and much of the training given simply reflects the trainer's personal preferences...
March 14, 2018: Insights Into Imaging
George A Taylor
Perceptual errors are common contributors to missed diagnoses in the clinical practice of radiology. While the physical attributes of an image such as image resolution, signal-to-noise characteristics, and anatomic complexity are major causes of poor conspicuity of pathologic lesions, there are major interrelated cognitive contributors to visual errors. The first is satisfaction of search (SOS), where the detection of an abnormality results in premature termination of further search. Another form of incomplete search pattern is visual isolation, where a radiologist's search pattern is truncated to the main areas of an image, while little or no attention is given to peripheral areas...
September 26, 2017: Diagnosis
Neil Bodagh, R Andrew Archbold, Roshan Weerackody, Meredith K D Hawking, Michael R Barnes, Aaron M Lee, Surjeet Janjuha, Charles Gutteridge, John Robson, Adam Timmis
OBJECTIVES: The electronic health record (EHR) is underused in the hospital setting. The aim of this service evaluation study was to respond to National Health Service (NHS) Digital's ambition for a paperless NHS by capturing routinely collected cardiac outpatient data in the EHR to populate summary patient reports and provide a resource for audit and research. DESIGN: A PowerForm template was developed within the Cerner EHR, for real-time entry of routine clinical data by clinicians attending a cardiac outpatient clinic...
March 8, 2018: BMJ Open
Hiram Shaish, Whitney Feltus, Jonathan Steinman, Elizabeth Hecht, Sven Wenske, Firas Ahmed
PURPOSE: The aim of this study was to assess the impact of a structured reporting template on adherence to the Prostate Imaging Reporting and Data System (PI-RADS) version 2 lexicon and on the diagnostic performance of prostate MRI to detect clinically significant prostate cancer (CS-PCa). METHODS: An imaging database was searched for consecutive patients who underwent prostate MRI followed by MRI-ultrasound fusion biopsy from October 2015 through October 2017. The initial MRI reporting template used included only subheadings...
March 2, 2018: Journal of the American College of Radiology: JACR
Tammy Barbé, Laura P Kimble
AIM: The purpose of this study was to examine construct validity of the Perceived Value of Certification Tool for Nurse Educators (PVCT-NE). BACKGROUND: Preliminary testing of the PVCT-NE demonstrated content validity and strong evidence of internal consistency reliability. Construct validity evidence for the tool is lacking. METHOD: Using data from a descriptive study about nurses' perceived value of nurse educator certification, exploratory factor analysis was used to examine whether the factor structure of the PVCT-NE was consistent with the two-factor structure reported for the original PVCT...
March 2, 2018: Nursing Education Perspectives
Miguel Angel Harvey, Sebastián Suarez, Pavel N Zolotarev, Davide M Proserpio, Ricardo Baggio
A nickel(II) coordination complex, bis[2,6-bis(1H-benzimidazol-2-yl-κN3 )pyridine-κN]nickel(II) sulfate, [Ni(C19 H13 N5 )2 ]SO4 or [Ni(H2 L)2 ]SO4 , having four peripheral tetrahedrally oriented N-H donor units, combines with sulfate bridges to create hydrogen-bonded structures of varied dimensionality. The three crystal structures reported herein in the space groups P21 21 21 , I-4 and Pccn are defined solely by strong charge-assisted N-H...O hydrogen bonds and contain disordered guests (water and dimethylformamide) that vary in size, shape and degree of hydrophilicity...
March 1, 2018: Acta Crystallographica. Section C, Structural Chemistry
Brent D Weinberg, Ashwani Gore, Hui-Kuo G Shu, Jeffrey J Olson, Richard Duszak, Alfredo D Voloschin, Michael J Hoch
No abstract text is available yet for this article.
March 1, 2018: Journal of the American College of Radiology: JACR
Andrew S Griffin, Jason Mitsky, Upma Rawal, Abraham J Bronner, Franklin N Tessler, Jenny K Hoang
PURPOSE: The aim of this study was to compare the description and management recommendations for thyroid nodules before and after implementing a structured reporting template based on the ACR Thyroid Imaging Reporting and Data System (TI-RADS). METHODS: Thyroid ultrasound reports for seven private practice radiologists were analyzed in three phases. In phase 1, radiologists dictated in a free-text format. In phase 2, they used a structured reporting template based on the ACR TI-RADS lexicon, but without the ACR TI-RADS recommendations for nodule management...
March 1, 2018: Journal of the American College of Radiology: JACR
Jason D Lather, Zheng Che, Barbara Saltzman, Jacob Bieszczad
No abstract text is available yet for this article.
February 24, 2018: Journal of the American College of Radiology: JACR
Zhonghua Cui, Xue Dong, Said Jalife, Alejandro Vasquez-Espinal, Estefanía Ravell, Sudip Pan, José Luis Cabello, Wei-Yan Liang, Gabriel Merino
We report an intriguing structural transition from the quasi-planar form of B12 cluster upon the interaction with lithium atoms. High-level computations show that the lowest energy structures of LiB12, Li2B12, and Li3B12 have quasi-planar (Cs), tubular (D6d), and cage-like (Cs) geometries, respectively. The energetic cost of distorting the B12 quasi-planar fragment is overcompensated by an enhanced electrostatic interaction between the Li cations and the tubular or cage-like B12 fragments, which is the main reason of such drastic structural changes, resulting in the smallest tubular (Li2B12) and cage-like (Li3B12) boron structures reported until now...
February 23, 2018: Angewandte Chemie
Gesine Behrens, Reinhard Winzen, Nina Rehage, Anneke Dörrie, Monika Barsch, Anne Hoffmann, Jörg Hackermüller, Christopher Tiedje, Vigo Heissmeyer, Helmut Holtmann
The expression of proteins during inflammatory and immune reactions is coordinated by post-transcriptional mechanisms. A particularly strong suppression of protein expression is exerted by a conserved translational silencing element (TSE) identified in the 3' UTR of NFKBIZ mRNA, which is among the targets of the RNA-binding proteins Roquin-1/2 and MCPIP1/Regnase-1. We present evidence that in the context of the TSE MCPIP1, so far known for its endonuclease activity toward mRNAs specified by distinct stem-loop (SL) structures, also suppresses translation...
February 19, 2018: Nucleic Acids Research
Peter D Poullos, Joseph J Tseng, Marc L Melcher, Waldo Concepcion, Andreas M Loening, Jarrett Rosenberg, Jüergen K Willmann
OBJECTIVE: The purpose of this study is to evaluate whether use of a standardized radiology report template would improve the ability of liver transplant surgeons to diagnose stage T2 hepatocellular carcinoma (HCC) and determine patient suitability to undergo orthotopic liver transplant (OLT). MATERIALS AND METHODS: In this retrospective study, a standardized template was devised, and its use was mandated for reporting of liver CT findings for patients with cirrhosis and HCC...
February 22, 2018: AJR. American Journal of Roentgenology
Andrea Bink, Jan Benner, Julia Reinhardt, Anthony De Vere-Tyndall, Bram Stieltjes, Nicolin Hainc, Christoph Stippich
Purpose: The aim of this pilot study was to assess the clinical feasibility, diagnostic yield, advantages, and disadvantages of structured reporting for routine MRI-reading in patients with primary diagnosis of intracranial tumors as compared to traditional neuroradiological free text reporting. Methods: A structured MRI reporting template was developed covering pathological, anatomical, and functional aspects in an itemized fashion. Retrospectively, 60 consecutive patients with first diagnosis of an intracranial tumor were selected from the radiology information system/PACS system...
2018: Frontiers in Neurology
(no author information available yet)
Structured reporting is emerging as a key element of optimising radiology's contribution to patient outcomes and ensuring the value of radiologists' work. It is being developed and supported by many national and international radiology societies, based on the recognised need to use uniform language and structure to accurately describe radiology findings. Standardisation of report structures ensures that all relevant areas are addressed. Standardisation of terminology prevents ambiguity in reports and facilitates comparability of reports...
February 19, 2018: Insights Into Imaging
Brett C Bade, Paul B Brasher, Branden W Luna, Gerard A Silvestri, Nichole T Tanner
Lung cancer screening with annual low-dose computed tomography (CT) decreases lung cancer mortality in high-risk patients, as defined by smoking history (> 30 pack-years) and age (55-74 years). Risks to screening include overdiagnosis, anxiety about indeterminate nodules, and radiation exposure. To be effective, lung cancer screening must combine individualized risk assessment, shared decision-making, smoking cessation, structured reporting, high quality and multi-specialty cancer care, and reliable follow-up; a multidisciplinary approach is crucial...
March 2018: Clinics in Chest Medicine
Matthew C DeLorenzo, Kai Yang, Xinhua Li, Bob Liu
PURPOSE: To measure, evaluate, and model the broad beam x-ray transmission of the patient supports from representative modern fluoroscopy-guided interventional systems, for the purpose of patient skin dose calculation. METHODS: Broad beam transmission was evaluated by varying incident angle, kVp, added copper (Cu) filter, and x-ray field size for three fluoroscopy systems: General Electric (GE) Innova 4100 with Omega V table and pad, Siemens Axiom Artis with Siemens tabletop "narrow" (CARD) table and pad, and Siemens Zeego with Trumpf TruSystem 7500 table and pad...
February 12, 2018: Medical Physics
Xiao-Yan Li, Yong-Qiong Peng, Juan Li, Wei-Wei Fu, Yang Liu, Yu-Ming Li
Two new coordination polymers, namely, poly[[μ3-3-(1H-benzimidazol-2-yl)propionato]zinc(II)], [Zn(C10H8N2O2)] n , (1), and poly[bis-[μ2-3-(1H-benzimid-azol-2-yl)propionato]cadmium(II)], [Cd(C10H8N2O2)2] n , (2) have been synthesized from 3-(1H-benzoimidazol-2-yl)propanoic acid ligands through a mixed-ligand synthetic strategy under a solvothermal environment, and studied by single-crystal X-ray diffraction. Complex 1 crystallizes in the ortho-rhom-bic space group Pbca and features a two-dimensional structure formed by a binuclear Zn2O4 core...
January 1, 2018: Acta Crystallographica. Section E, Crystallographic Communications
Kevin Macé, Emmanuel Giudice, Sophie Chat, Reynald Gillet
During translation's elongation cycle, elongation factor G (EF-G) promotes messenger and transfer RNA translocation through the ribosome. Until now, the structures reported for EF-G-ribosome complexes have been obtained by trapping EF-G in the ribosome. These results were based on use of non-hydrolyzable guanosine 5'-triphosphate (GTP) analogs, specific inhibitors or a mutated EF-G form. Here, we present the first cryo-electron microscopy structure of EF-G bound to ribosome in the absence of an inhibitor. The structure reveals a natural conformation of EF-G·GDP in the ribosome, with a previously unseen conformation of its third domain...
February 2, 2018: Nucleic Acids Research
Lane T Miner, Mark Tulchinsky
Intestinal malrotation displays classic pattern of the small bowel activity on hepatobiliary scintigraphy that could lead to the diagnosis, but only if an interpreting physician looks for it. Presented are 2 cases, one demonstrates diagnostic findings during the first 60-minute phase, whereas the other reveals the diagnosis only on the later sincalide stimulation phase. The currently recommended structured reporting for hepatobiliary scintigraphy does not include examination of bowel activity pattern, which could result in a missed diagnosis...
February 3, 2018: Clinical Nuclear Medicine
Marco D Huesch, Rekha Cherian, Sam Labib, Rickhesvar Mahraj
OBJECTIVE: The aim of this study was to quantify the variability of language in free text reports of pulmonary embolus (PE) studies and to gauge the informativeness of free text to predict PE diagnosis using machine learning as proxy for human understanding. MATERIALS AND METHODS: All 1,133 consecutive chest CTs with contrast studies performed under a PE protocol and ordered in the emergency department in 2016 were selected from our departmental electronic workflow system...
January 22, 2018: Journal of the American College of Radiology: JACR
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