title: PORTER: a Prototype System for Patient-Oriented Radiology Reporting.
abstract: To empower patients to participate in their medical care and decision-making, effective communication is critical. In radiology, the clinical report is the primary medium of communication. Although radiologists historically have authored reports with the referring provider as the intended reader, patients increasingly access the reports through portals to electronic health record systems. We developed a system named PORTER (Patient-Oriented Radiology Reporter) to augment radiology reports with lay-language definitions. Our IRB-approved, HIPAA-compliant study protocol analyzed 100 knee MRI reports from an academic medical center to identify the most commonly utilized terms. A glossary of 313 terms was constructed to include definitions of the terms and, where available, links to reference sources and public-domain images. Flesch-Kincaid readability scores were computed to assure that definitions were readable at or below 10th-grade reading level. The system provided an interactive web site to view outpatient knee MRI exams. After logging in with their exam ID number and date of birth, patients viewed their report annotated with definitions from the glossary. Applicable images were displayed when the user's mouse hovered over a glossary term. This patient-oriented system can help empower patients to better understand their radiology results.
authors: Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St., Philadelphia, PA, 19104, USA. scoh40@gmail.com.|Department of Radiology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY, 11554, USA. scoh40@gmail.com.
authors: Seong Cheol
authors: SC
authors: Oh
authors: Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St., Philadelphia, PA, 19104, USA.|Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA, 19104, USA.
authors: Tessa S
authors: TS
authors: Cook
authors: Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St., Philadelphia, PA, 19104, USA.|Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA, 19104, USA.|Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, 19104, USA.
authors: Charles E
authors: CE
authors: Kahn
mesh_terms: D000818:Animals; D003142:Communication; D032882:Comprehension; D003657:Decision Making; D020408:Health Insurance Portability and Accountability Act / Q000592:standards; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging*; D008499:Medical Records / Q000592:standards*; D051379:Mice; D033283:Patient Access to Records; D010358:Patient Participation; D011871:Radiology; D011932:Reading; D009626:Terminology as Topic; D014481:United States
keywords: Patient-centered care; Quality improvement; Radiology reporting; Reporting; User interface