![]() Comprehensive and precise reports are crucial to avoid misunderstandings and miscommunication between radiologists and referring physicians which might even affect patient management negatively. ConclusionsĪ comprehensive structured template may be a useful tool to assist in clinical decision-making and is, thus, recommended for the reporting of degenerative changes regarding X-ray examinations of the shoulder.Ĭlear and unambiguous X-ray reports are a prerequisite for interdisciplinary patient management and enable the radiologist to add value to the clinical process of proper patient care. The overall quality of structured reports was significantly higher than in free text report ( P < 0.001). The structured reports achieved significantly higher median ratings in all key features evaluated ( P < 0.001), including facilitation of information extraction ( P < 0.001) and better contribution to subsequent clinical decision-making ( P < 0.001). Two experienced orthopaedic surgeons reviewed and rated structured and free text reports of 31 patients independently. All reports were evaluated regarding overall quality and key features: content, information extraction and clinical relevance. A template was created for the structured report based on the template ID 0000154 (Shoulder X-ray) from using online software with clickable decision trees with concomitant generation of structured semantic reports. We acquired both standard free text and structured reports of 31 patients with a painful shoulder without history of previous trauma who received X-ray exams. To analyse structured and free text reports of shoulder X-ray examinations evaluating the quality of reports and potential contributions to clinical decision-making.
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