Rationale and Objectives
Determine the objective benefits of structured reporting of brain tumors through Brain
tumor-RADS (BT-RADS) by analyzing discrete quantifiable metrics of the reports themselves.
Materials and Methods
Following Institutional Review Board approval, post-treatment glioma reports were
acquired from two matched 3-month time periods for pre- and postimplementation of
BT-RADS. The reports were analyzed for presence of history words, such as “Avastin”
and “methylguanine-DNA methyltransferase,” as well as hedge words, such as “Possibly”
and “Likely.” The word counts of the total report and of the impression section were
also assessed, as well as whether or not the report contained addenda.
Results
In total, 211 pre-BT-RADS and 172 post-BT-RADS reports were analyzed. Post-BT-RADS
reports demonstrated greater reporting of history words, including “Avastin” (7.6%
vs. 20.9%, p < 0.001) and “methylguanine-DNA methyltransferase” (10.9% vs. 31.4%, p < 0.0001). They also demonstrated reduced usage of hedge words, including “Possibly”
(3.8% vs. 0.6%, p < 0.05) and “Likely” (49.8% vs. 28.5%, p < 0.01). Furthermore, post-BT-RADS reports possessed fewer words in total report
length (389 vs. 245.2, p < 0.001), as well as in the impression section (53.7 vs. 42.6, p < 0.01). Finally, fewer post-BT-RADS reports contained addenda (10% vs. 1.2%, p < 0.01).
Conclusion
Following implementation of BT-RADS, glioma reports demonstrated greater consistency
and completeness of clinical history, less ambiguity, and more conciseness.
Key Words
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Article Info
Publication History
Published online: August 27, 2019
Accepted:
July 29,
2019
Received in revised form:
July 28,
2019
Received:
July 4,
2019
Footnotes
Abstract previously presented at: 57th Annual Meeting and Symposium of the American Society of Neuroradiology, May 18–23, 2019; Boston, MA.
Identification
Copyright
© 2019 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.
