title: Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn's Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians.
abstract: OBJECTIVE
  To objectively compare the content of structured reports (SR) vs nonstructured reports (NSR) for magnetic resonance enterography (MRE) of pediatric patients with Crohn's disease, and to evaluate referring clinicians' subjective assessment of reports.
  
  
  METHODS
  This institutional review board-approved, Health Insurance Portability and Accountability Act-compliant retrospective study included 25 pediatric subjects (15 male, 10 female; mean age = 14 years [range: 9-18 years]) with Crohn's disease imaged with MRE. Three radiologists independently interpreted all examinations using both NSR and SR, separated by 4 weeks. Reports were assessed for documentation of the presence or absence of 15 key reporting features. A total of 30 reports (15 NSR [5 per reader] and 15 SR [5 per reader]) were randomly selected for review by 3 referring physicians, who subjectively evaluated the reports independently.
  
  
  RESULTS
  NSR documented the presence or absence of 7.7 ± 2.5 key features, whereas SR documented 14.0 ± 0.8 features (P < 0.001). SR resulted in increased documentation of 12 of 15 features including stricture (P < 0.001), fistula (P < 0.001), fluid collection (P = 0.003), and perianal disease (P < 0.001). Referring physicians preferred SR regarding ease of information extraction, clarity of anatomy, and ability to identify disease phenotype (P < 0.01 for each).
  
  
  CONCLUSIONS
  The use of structured reporting in describing pediatric Crohn's disease, MRE resulted in significantly increased reporting of key features. Referring clinicians also demonstrated a subjective preference for SR.
authors.affiliation: Department of Radiology, Duke University Hospital, Durham, NC. Electronic address: benjamin.wildman-tobriner@duke.edu.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Wildman-Tobriner
authors.affiliation: Department of Radiology, Duke University Hospital, Durham, NC.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Allen
authors.affiliation: Department of Radiology, Duke University Hospital, Durham, NC.
authors.forename: Joseph T
authors.initials: JT
authors.lastname: Davis
authors.affiliation: Department of Radiology, Duke University Hospital, Durham, NC.
authors.forename: Chad M
authors.initials: CM
authors.lastname: Miller
authors.affiliation: Department of Radiology, Duke University Hospital, Durham, NC.
authors.forename: Gary R
authors.initials: GR
authors.lastname: Schooler
authors.affiliation: Department of Surgery, Duke University Hospital, Durham, NC.
authors.forename: Nancy M
authors.initials: NM
authors.lastname: McGreal
authors.affiliation: Department of Surgery, Duke University Hospital, Durham, NC.
authors.forename: Reinaldo
authors.initials: R
authors.lastname: Quevedo
authors.affiliation: Department of Gastroenterology, Duke University Hospital, Durham, NC.
authors.forename: Julie K
authors.initials: JK
authors.lastname: Thacker
authors.affiliation: Department of Radiology, Duke University Hospital, Durham, NC.
authors.forename: Tracy A
authors.initials: TA
authors.lastname: Jaffe
mesh_terms: D000293:Adolescent; D002648:Child; D003287:Contrast Media; D003424:Crohn Disease / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008499:Medical Records; D008536:Meglumine / Q000031:analogs & derivatives; D009942:Organometallic Compounds; D012017:Referral and Consultation; D012189:Retrospective Studies
chemical_list: D003287:Contrast Media; D009942:Organometallic Compounds; C064572:gadobenic acid; D008536:Meglumine