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Value of structured reporting in neuromuscular disorders

  • HEAD, NECK AND DENTAL RADIOLOGY
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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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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Neuroradiology Department, IRCCS C. Mondino Foundation, Pavia, Italy

    Francesco Alessandrino, Emanuele Ghione, Raimondo Vitale & Anna Pichiecchio

  2. Department of Radiology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario “A. Gemelli”, Rome, Italy

    Lara Cristiano, Tommaso Tartaglione & Tommaso Verdolotti

  3. Radiology Unit, Istituto Dermopatico dell’Immacolata-IRCCS-FLMM, Rome, Italy

    Lara Cristiano & Tommaso Tartaglione

  4. Neuroradiology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

    Claudia Maria Cinnante

  5. Unit of Neuroradiology, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Simonetta Gerevini

  6. Neuroradiology Unit, Department of Imaging, IRCCS Bambino Gesù Children’s Hospital, Rome, Italy

    Giovanna Stefania Colafati

  7. Neuromuscular and Rare Diseases Unit, Department of Neuroscience, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

    Lorenzo Peverelli & Maurizio Moggio

  8. Pediatric Neurology and Nemo Clinical Centre, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario “A. Gemelli”, Rome, Italy

    Claudia Brogna & Eugenio M. Mercuri

  9. Child and Adolescent Unit, IRCCS C. Mondino Foundation, Pavia, Italy

    Angela Berardinelli

  10. Department of Brain and Behavioural Neuroscience, University of Pavia, Pavia, Italy

    Anna Pichiecchio

  11. Department of Radiology, Harvard Medical School, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115, USA

    Francesco Alessandrino

Authors
  1. Francesco Alessandrino
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  2. Lara Cristiano
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  3. Claudia Maria Cinnante
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  4. Tommaso Tartaglione
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  5. Simonetta Gerevini
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  6. Tommaso Verdolotti
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  7. Giovanna Stefania Colafati
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  8. Emanuele Ghione
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  9. Raimondo Vitale
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  10. Lorenzo Peverelli
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  11. Claudia Brogna
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  12. Angela Berardinelli
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  13. Maurizio Moggio
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  14. Eugenio M. Mercuri
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  15. Anna Pichiecchio
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Corresponding author

Correspondence to Francesco Alessandrino.

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Alessandrino, F., Cristiano, L., Cinnante, C.M. et al. Value of structured reporting in neuromuscular disorders. Radiol med 124, 628–635 (2019). https://doi.org/10.1007/s11547-019-01012-0

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  • DOI: https://doi.org/10.1007/s11547-019-01012-0

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