State of the art in abdominal MRI structured reporting: a review
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REVIEW
State of the art in abdominal MRI structured reporting: a review Arnaldo Stanzione1 · Francesca Boccadifuoco1 · Renato Cuocolo2 · Valeria Romeo1 · Pier Paolo Mainenti3 · Arturo Brunetti1 · Simone Maurea1 Received: 4 August 2020 / Revised: 27 August 2020 / Accepted: 3 September 2020 © The Author(s) 2020
Abstract In the management of several abdominal disorders, magnetic resonance imaging (MRI) has the potential to significantly improve patient’s outcome due to its diagnostic accuracy leading to more appropriate treatment choice. However, its clinical value heavily relies on the quality and quantity of diagnostic information that radiologists manage to convey through their reports. To solve issues such as ambiguity and lack of comprehensiveness that can occur with conventional narrative reports, the adoption of structured reporting has been proposed. Using a checklist and standardized lexicon, structured reports are designed to increase clarity while assuring that all key imaging findings related to a specific disorder are included. Unfortunately, structured reports have their limitations too, such as risk of undue report simplification and poor template plasticity. Their adoption is also far from widespread, and probably the ideal balance between radiologist autonomy and report consistency of has yet to be found. In this article, we aimed to provide an overview of structured reporting proposals for abdominal MRI and of works assessing its value in comparison to conventional free-text reporting. While for several abdominal disorders there are structured templates that have been endorsed by scientific societies and their adoption might be beneficial, stronger evidence confirming their imperativeness and added value in terms of clinical practice is needed, especially regarding the improvement of patient outcome. Keywords Structured report · Abdominal MRI · Evidence-based medicine · Report quality · Standardized lexicon Abbreviations MRI Magnetic resonance imaging NR Narrative report SR Structured report HCC Hepatocellular carcinoma (HCC) LI-RADS Liver Imaging-Reporting and Data System PI-RADS Prostate Imaging-Reporting and Data System O-RADS Ovarian-Adnexal Imaging-Reporting and Data System VI-RADS Vesical Imaging-Reporting and Data System MRE Magnetic resonance enterography SAR Society of Abdominal Radiology * Renato Cuocolo [email protected] 1
Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Naples, Italy
2
Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Via S. Pansini, 5, 80131 Naples, Italy
3
Institute of Biostructures and Bioimaging, National Research Council, Naples, Italy
AGA American Gastroenterological Association FIA Fistula-in-ano
Background Allowing to evaluate both morphological and functional features of oncologic and non-oncologic diseases, magnetic resonance imaging (MRI) plays a major role in abdominal imaging. While a proper acquisition protocol and the correct identification and interpretati
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