Franziska Schoeppe1, Wieland H Sommer2, Mareike Haack3, Miriam Havel3, Marika Rheinwald4, Juliane Wechtenbruch3, Martin R Fischer5, Felix G Meinel2, Bastian O Sabel2, Nora N Sommer2. 1. Institute of Clinical Radiology, University Hospital of LMU Munich, Marchioninistr. 15, Munich, 81377, Germany. Franziska.Schoeppe@med.uni-muenchen.de. 2. Institute of Clinical Radiology, University Hospital of LMU Munich, Marchioninistr. 15, Munich, 81377, Germany. 3. Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of LMU Munich, Marchioninistr. 15, Munich, 81377, Germany. 4. Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation (OPMR), University Hospital of LMU Munich, Marchioninistr. 15, Munich, 81377, Germany. 5. Institut für Didaktik und Ausbildungsforschung in der Medizin am Klinikum der Ludwig-Maximilians-Universität (LMU), Ziemssenstr. 1, Munich, 80331, Germany.
Abstract
PURPOSE: To compare free text (FTR) and structured reports (SR) of videofluoroscopic swallowing studies (VFSS) and evaluate satisfaction of referring otolaryngologists and speech therapists. MATERIALS AND METHODS: Both standard FTR and SR of 26 patients with VFSS were acquired. A dedicated template focusing on oropharyngeal phases was created for SR using online software with clickable decision-trees and concomitant generation of semantically structured reports. All reports were evaluated regarding overall quality and content, information extraction and clinical decision support (10-point Likert scale (0 = I completely disagree, 10 = I completely agree)). RESULTS: Two otorhinolaryngologists and two speech therapists evaluated FTR and SR. SR received better ratings than FTR in all items. SR were perceived to contain more details on the swallowing phases (median rating: 10 vs. 5; P < 0.001), penetration and aspiration (10 vs. 5; P < 0.001) and facilitated information extraction compared to FTR (10 vs. 4; P < 0.001). Overall quality was rated significantly higher in SR than FTR (P < 0.001). CONCLUSION: SR of VFSS provide more detailed information and facilitate information extraction. SR better assist in clinical decision-making, might enhance the quality of the report and, thus, are recommended for the evaluation of VFSS. KEY POINTS: • Structured reports on videofluoroscopic exams of deglutition lead to improved report quality. • Information extraction is facilitated when using structured reports based on decision trees. • Template-based reports add more value to clinical decision-making than free text reports. • Structured reports receive better ratings by speech therapists and otolaryngologists. • Structured reports on videofluoroscopic exams may improve the comparability between exams.
PURPOSE: To compare free text (FTR) and structured reports (SR) of videofluoroscopic swallowing studies (VFSS) and evaluate satisfaction of referring otolaryngologists and speech therapists. MATERIALS AND METHODS: Both standard FTR and SR of 26 patients with VFSS were acquired. A dedicated template focusing on oropharyngeal phases was created for SR using online software with clickable decision-trees and concomitant generation of semantically structured reports. All reports were evaluated regarding overall quality and content, information extraction and clinical decision support (10-point Likert scale (0 = I completely disagree, 10 = I completely agree)). RESULTS: Two otorhinolaryngologists and two speech therapists evaluated FTR and SR. SR received better ratings than FTR in all items. SR were perceived to contain more details on the swallowing phases (median rating: 10 vs. 5; P < 0.001), penetration and aspiration (10 vs. 5; P < 0.001) and facilitated information extraction compared to FTR (10 vs. 4; P < 0.001). Overall quality was rated significantly higher in SR than FTR (P < 0.001). CONCLUSION: SR of VFSS provide more detailed information and facilitate information extraction. SR better assist in clinical decision-making, might enhance the quality of the report and, thus, are recommended for the evaluation of VFSS. KEY POINTS: • Structured reports on videofluoroscopic exams of deglutition lead to improved report quality. • Information extraction is facilitated when using structured reports based on decision trees. • Template-based reports add more value to clinical decision-making than free text reports. • Structured reports receive better ratings by speech therapists and otolaryngologists. • Structured reports on videofluoroscopic exams may improve the comparability between exams.
Authors: Dominik Nörenberg; Wieland H Sommer; Wolfgang Thasler; Jan DʼHaese; Markus Rentsch; Thomas Kolben; Andreas Schreyer; Carsten Rist; Maximilian Reiser; Marco Armbruster Journal: Invest Radiol Date: 2017-04 Impact factor: 6.016
Authors: Benjamin P Ernst; Sebastian Strieth; Fabian Katzer; Mohamed Hodeib; Jonas Eckrich; Katharina Bahr; Tobias Rader; Julian Künzel; Matthias F Froelich; Christoph Matthias; Wieland H Sommer; Sven Becker Journal: Eur Arch Otorhinolaryngol Date: 2019-10-14 Impact factor: 2.503
Authors: Marco Armbruster; Sebastian Gassenmaier; Mareike Haack; Maximilian Reiter; Dominik Nörenberg; Thomas Henzler; Nora N Sommer; Wieland H Sommer; Franziska Braun Journal: Int J Comput Assist Radiol Surg Date: 2018-07-23 Impact factor: 2.924
Authors: Franziska Schoeppe; Wieland H Sommer; Dominik Nörenberg; Mareike Verbeek; Christian Bogner; C Benedikt Westphalen; Martin Dreyling; Ernst J Rummeny; Alexander A Fingerle Journal: Eur Radiol Date: 2018-03-29 Impact factor: 5.315
Authors: Benjamin P Ernst; Mohamed Hodeib; Sebastian Strieth; Julian Künzel; Fabian Bischof; Berit Hackenberg; Tilmann Huppertz; Veronika Weber; Katharina Bahr; Jonas Eckrich; Jan Hagemann; Matthias Engelbarts; Matthias F Froelich; Philipp Solbach; Richard Linke; Christoph Matthias; Wieland H Sommer; Sven Becker Journal: BMC Med Imaging Date: 2019-03-27 Impact factor: 1.930
Authors: Benjamin Philipp Ernst; Manuel René Reissig; Sebastian Strieth; Jonas Eckrich; Jan H Hagemann; Julia Döge; Christoph Matthias; Haralampos Gouveris; Johannes Rübenthaler; Roxanne Weiss; Wieland H Sommer; Dominik Nörenberg; Thomas Huber; Phillipp Gonser; Sven Becker; Matthias F Froelich Journal: PLoS One Date: 2020-11-30 Impact factor: 3.240
Authors: Su Hwan Kim; Lara M Sobez; Judith E Spiro; Adrian Curta; Felix Ceelen; Eric Kampmann; Martin Goepfert; Raphael Bodensohn; Felix G Meinel; Wieland H Sommer; Nora N Sommer; Franziska Galiè Journal: BMC Musculoskelet Disord Date: 2020-04-16 Impact factor: 2.362