OBJECTIVE: To evaluate clarity, completeness, and impact on surgical planning of MRI reporting of perianal fistulizing disease using a structured disease-specific template versus narrative reporting for planning of disease treatment by colorectal surgeons. MATERIALS AND METHODS: In this HIPAA-compliant, IRB-approved study with waiver of informed consent, a structured reporting template for perianal fistulizing disease MRIs was developed based on collaboration between colorectal surgeons and abdominal radiologists. The study population included 45 consecutive patients who underwent pelvic MRI for perianal fistulizing disease prior to implementation of structured reporting, and 60 consecutive patients who underwent pelvic MRI for perianal fistulizing disease after implementation of structured reporting. Objective evaluation of the reports for the presence of 12 key features was performed, as also subjective evaluation regarding the clarity and completeness of reports, and impact on surgical planning. RESULTS: Significantly more key features were absent in narrative reports [mean: 6.3 ± 1.8 (range 3-11)] than in structured reports [mean: 0.3 ± 0.9 (range 1-5)] (p ≤ 0.001). The use of structured reporting also increased the percentage of completeness (72.5-88.3% for surgeon 1, and 61.2-81.3% for surgeon 2; p = 0.05 and 0.03, respectively), helpfulness in surgical planning (7.1 ± 1.5-7.6 ± 1.5 for surgeon 1, and 5.8 ± 1.4-7.1 ± 1.1 for surgeon 2; p = 0.05 and p < 0.001, respectively), and clarity (7.6 ± 1.3-8.3 ± 1.1 for surgeon 1, and 5.2 ± 1.4-7.1 ± 1.3 for surgeon 2; p = 0.006 and p < 0.001, respectively) of the reports. CONCLUSION: Structured MRI reports in patients with perianal fistulizing disease miss fewer key features than narrative reports. Moreover, structured reports were described as more complete and clear, and more helpful for treatment planning.
OBJECTIVE: To evaluate clarity, completeness, and impact on surgical planning of MRI reporting of perianal fistulizing disease using a structured disease-specific template versus narrative reporting for planning of disease treatment by colorectal surgeons. MATERIALS AND METHODS: In this HIPAA-compliant, IRB-approved study with waiver of informed consent, a structured reporting template for perianal fistulizing disease MRIs was developed based on collaboration between colorectal surgeons and abdominal radiologists. The study population included 45 consecutive patients who underwent pelvic MRI for perianal fistulizing disease prior to implementation of structured reporting, and 60 consecutive patients who underwent pelvic MRI for perianal fistulizing disease after implementation of structured reporting. Objective evaluation of the reports for the presence of 12 key features was performed, as also subjective evaluation regarding the clarity and completeness of reports, and impact on surgical planning. RESULTS: Significantly more key features were absent in narrative reports [mean: 6.3 ± 1.8 (range 3-11)] than in structured reports [mean: 0.3 ± 0.9 (range 1-5)] (p ≤ 0.001). The use of structured reporting also increased the percentage of completeness (72.5-88.3% for surgeon 1, and 61.2-81.3% for surgeon 2; p = 0.05 and 0.03, respectively), helpfulness in surgical planning (7.1 ± 1.5-7.6 ± 1.5 for surgeon 1, and 5.8 ± 1.4-7.1 ± 1.1 for surgeon 2; p = 0.05 and p < 0.001, respectively), and clarity (7.6 ± 1.3-8.3 ± 1.1 for surgeon 1, and 5.2 ± 1.4-7.1 ± 1.3 for surgeon 2; p = 0.006 and p < 0.001, respectively) of the reports. CONCLUSION: Structured MRI reports in patients with perianal fistulizing disease miss fewer key features than narrative reports. Moreover, structured reports were described as more complete and clear, and more helpful for treatment planning.
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: 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: Khawaja Bilal Waheed; Waseem Jan Shah; Bilal Altaf; Muhammad Amjad; Fawad Hameed; Sana Wasim; Muhammad Zia UlHassan; Zahra Mohammed Abuabdullah; Selvin Nesaraj Rajamonickam; Zechriah Jebakumar Arulanatham Journal: Ann Saudi Med Date: 2020-02-06 Impact factor: 1.526
Authors: S Halligan; D Tolan; M M Amitai; C Hoeffel; S H Kim; F Maccioni; M M Morrin; K J Mortele; S R Rafaelsen; J Rimola; S Schmidt; J Stoker; J Yang Journal: Eur Radiol Date: 2020-04-19 Impact factor: 5.315
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: J Künzel; A Bozzato; B P Ernst; T Fuhrmann; I Ugele; C Scherl; M Schapher; G F Volk; N Mansour; A Knopf; C Bohr; K-F Hamann Journal: HNO Date: 2021-01-13 Impact factor: 1.284