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Reporting frequency of radiology findings increases after introducing visual rating scales in the primary care diagnostic work up of subjective and mild cognitive impairment

Håkansson, Claes LU ; Torisson, Gustav LU ; Londos, Elisabet LU ; Hansson, Oskar LU ; Björkman-Burtscher, Isabella M. LU and van Westen, Danielle LU (2020) In European Radiology
Abstract

Objectives: Study the effect of introducing a template for radiological reporting of non-enhanced computed tomography (NECT) in the primary care diagnostic work up of cognitive impairment using visual rating scales (VRS). Methods: Radiology reports were assessed regarding compliance with a contextual report template and the reporting of the parameters medial temporal lobe atrophy (MTA), white matter changes (WMC), global cortical atrophy (GCA), and width of lateral ventricles (WLV) using established VRS in two age-matched groups examined with NECT before (n = 111) and after (n = 125) the introduction of contextual reporting at our department. True positive rate (TPR) and true negative rate (TNR) before and after were compared. Results:... (More)

Objectives: Study the effect of introducing a template for radiological reporting of non-enhanced computed tomography (NECT) in the primary care diagnostic work up of cognitive impairment using visual rating scales (VRS). Methods: Radiology reports were assessed regarding compliance with a contextual report template and the reporting of the parameters medial temporal lobe atrophy (MTA), white matter changes (WMC), global cortical atrophy (GCA), and width of lateral ventricles (WLV) using established VRS in two age-matched groups examined with NECT before (n = 111) and after (n = 125) the introduction of contextual reporting at our department. True positive rate (TPR) and true negative rate (TNR) before and after were compared. Results: We observed a significant increase in the percentage of radiology reports with mentioning of MTA from 29 to 76% (p < 0.001), WMC from 69 to 86% (p < 0.01), and GCA from 54 to 82% (p < 0.001). We observed a significant increase in the percentages of reports where all of the parameters were mentioned, from 6 to 29% (p < 0.001). There was a significant increase in TPR from 10 to 55% for MTA. Conclusion: This study suggests that contextual radiological assessment using VRS could increase the reporting frequency of radiology findings in the diagnostic work up of cognitive impairment but compliance with templates may be difficult to endorse. Key Points: • Introducing visual rating scales in clinical practice increases the reporting frequency of MTA, WMC, and GCA in the diagnostic work up of subjective and mild cognitive impairment. • Introducing visual rating scales has an effect on the true positive rate of reported MTA. • Compliance with contextual radiology templates remains low when use of the template is not enforced by the department leadership.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Brain, Dementia, Tomography X-ray computed
in
European Radiology
publisher
Springer
external identifiers
  • pmid:32851442
  • scopus:85089856496
ISSN
0938-7994
DOI
10.1007/s00330-020-07180-2
language
English
LU publication?
yes
id
fc872167-6e55-42a9-b15e-6a6b2ee03fad
date added to LUP
2020-09-10 16:14:40
date last changed
2020-09-11 03:00:05
@article{fc872167-6e55-42a9-b15e-6a6b2ee03fad,
  abstract     = {<p>Objectives: Study the effect of introducing a template for radiological reporting of non-enhanced computed tomography (NECT) in the primary care diagnostic work up of cognitive impairment using visual rating scales (VRS). Methods: Radiology reports were assessed regarding compliance with a contextual report template and the reporting of the parameters medial temporal lobe atrophy (MTA), white matter changes (WMC), global cortical atrophy (GCA), and width of lateral ventricles (WLV) using established VRS in two age-matched groups examined with NECT before (n = 111) and after (n = 125) the introduction of contextual reporting at our department. True positive rate (TPR) and true negative rate (TNR) before and after were compared. Results: We observed a significant increase in the percentage of radiology reports with mentioning of MTA from 29 to 76% (p &lt; 0.001), WMC from 69 to 86% (p &lt; 0.01), and GCA from 54 to 82% (p &lt; 0.001). We observed a significant increase in the percentages of reports where all of the parameters were mentioned, from 6 to 29% (p &lt; 0.001). There was a significant increase in TPR from 10 to 55% for MTA. Conclusion: This study suggests that contextual radiological assessment using VRS could increase the reporting frequency of radiology findings in the diagnostic work up of cognitive impairment but compliance with templates may be difficult to endorse. Key Points: • Introducing visual rating scales in clinical practice increases the reporting frequency of MTA, WMC, and GCA in the diagnostic work up of subjective and mild cognitive impairment. • Introducing visual rating scales has an effect on the true positive rate of reported MTA. • Compliance with contextual radiology templates remains low when use of the template is not enforced by the department leadership.</p>},
  author       = {Håkansson, Claes and Torisson, Gustav and Londos, Elisabet and Hansson, Oskar and Björkman-Burtscher, Isabella M. and van Westen, Danielle},
  issn         = {0938-7994},
  language     = {eng},
  month        = {08},
  publisher    = {Springer},
  series       = {European Radiology},
  title        = {Reporting frequency of radiology findings increases after introducing visual rating scales in the primary care diagnostic work up of subjective and mild cognitive impairment},
  url          = {http://dx.doi.org/10.1007/s00330-020-07180-2},
  doi          = {10.1007/s00330-020-07180-2},
  year         = {2020},
}