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Radiology Reporting: Returning to Our Image-Centric Roots

¹ Both authors: Department of Radiology, Veterans Affairs Maryland Healthcare System, 10 N Greene St., Baltimore, MD 21201.

Abstract

OBJECTIVE. Despite extraordinary advances in imaging and information technologies, the form and content of radiology reporting has changed little in the discipline's more than 100-year history. In this commentary, we outline the challenges that have confronted innovations such as speech recognition and structured reporting and call for a radical rethinking of the reporting process. By combining new applications with the expanding power of radiology and hospital information systems, the attention of the radiologist—and his or her referring colleagues—could be more focused on the image and its meaning.

CONCLUSION. One promising result of such a change in focus could be improved and more reliable communication, already an area of heightened concern in the imaging community. Moreover, such a shift away from the printed word to image-centered content could lead to benefits in shared image viewing; more streamlined and timely reporting; data mining of aggregate results; and image archives, and, ultimately, enhancement of the consultative value of the radiologist's contribution to patient care and treatment.

Keywords: communication • digital images • PACS • radiology practice • radiology reporting

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