On the other hand, contextual reporting for multiple sclerosis has been anecdotally the easiest and most rapid template to fill out because it mainly focuses on the presence of new or active demyelinating lesions (Fig 2). Structured radiology reporting: are we there yet? Doctors of medicine, by place of medical education and activity: United States and outlying U.S. areas, selected years 1975–2013, Number of Physicians by Province/Territory and Specialty, Canada, 2013, Current procedural terminology: history, structure, and relationship to valuation for the neuroradiologist, The RUC: a primer for neurointerventionalists, Final Policy, Payment, and Quality Provisions in the Medicare Physician Fee Schedule for Calendar Year 2018, Waiting Your Turn: Wait Times for Health Care in Canada, 2016 Report, CIHI Overview Board of Directors Governance Handbook, 2017, Wait Times for Priority Procedures in Canada, Ontario Best Practice Guidelines for Managing the Flow of Patients Requiring an MRI or CT Examination, Fair access to public health care for all British Columbians. Search. According to the Canadian Agency for Drugs and Technologies in Health 2017 report, there were approximately 1 million neurologic CT procedures, 19.8% of 5.68 million total CT procedures.20 The United States performs 29.5 million neurologic CT procedures, 36% of 82 million (Table 5). 2021;216:38-47. Special Issue on COVID-19. 10.2214/AJR.19.22691. This issue is occurring with an increasing demand to meet longstanding indications as well as new clinical applications (eg, breast MR imaging and CT colonography) driven by a growing and aging population. View aims and scope. State of structured reporting in radiology: a survey, Usage of structured reporting in radiological practice: results from an Italian online survey, Radiology reporting, past, present, and future: the radiologist's perspective, Deep learning to classify radiology free-text reports, Enhancing Education to Avoid Complications in Endovascular Treatment of Unruptured Intracranial Aneurysms: A Neurointerventionalist’s Perspective, Decubitus CT Myelography for CSF-Venous Fistulas: A Procedural Approach, Integrating New Staff into Endovascular Stroke-Treatment Workflows in the COVID-19 Pandemic, https://drive.google.com/open?id=1AlPUmfAXPzjkMFcHf7vGKF4Q-vIdpflT, https://www.rsna.org/Reporting_Initiative.aspx, http://www.radreport.org/txt-mrrt/0000045, https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems, Thanks to our 2020 Distinguished Reviewers, © 2018 by American Journal of Neuroradiology. Journal description. For CT, 10,600 examinations were performed on average in 2015 on each CT unit in Canada, while an average of 6100 examinations were performed on each CT unit in the United States. Note that the noncontextual template is unnecessarily lengthy, and the skull base field is the only field conceivably relevant to trigeminal neuralgia, as opposed to the multiple relevant fields within the concise contextual template. Similar to the presurgical sinus CT template, a contextual pituitary template can establish a checklist reminder for the interpreting radiologist (On-line Fig 2). American Journal of Roentgenology. Our institution abides by the Magnetic Resonance Imaging in Multiple Sclerosis (MAGNIMS) consensus guidelines for diagnostic and follow-up imaging.26,27 MR imaging criteria to establish disease dissemination in space are characterized as having at least 2 of the 5 findings: ≥3 periventricular lesions, ≥1 infratentorial lesion, ≥1 spinal cord lesion, ≥1 optic nerve lesion, and ≥1 cortical/juxtacortical lesion. Submit your article. Journal of the American College of Radiology. 2018-present David A Bluemke Depending on the surgeon's preference, the extent of the pituitary lesion, and the patient anatomy, a neuronavigation CT can be performed afterward. 4.268 Impact Factor. The advantages of contextual templates are 3-fold: They are individually tailored to the diagnosis, they ensure that all pertinent points are addressed in a checklist fashion, and they educate trainees by providing a systematic approach for clinical interpretation. 4.268 Impact Factor. Submit your article. 4.268 Impact Factor. AJNR is archived in PubMed Central and is an NIH Full Participation Journal. The ministry/health authority controls operating budgets and approval of capital purchases. A, Axial T2-weighted image of the brain shows fused corpus striata (arrows) and bifrontal band heterotopia (arrowheads). No template can perfectly fit every clinical scenario; thus, contextual templates should not be overly restrictive. The American Journal of Cardiology® is an independent journal designed for cardiovascular disease specialists and internists with a subspecialty in cardiology throughout the world. Referring providers consisted of neurologists, otolaryngologists, radiation oncologists, and neurosurgeons. During the same year, Canada had 15.01 CT units per million individuals, compared with 40.98 units per million in the United States53,54 The proportionally lower number of CT and MR imaging units in Canada is accompanied by the need for greater numbers of procedures per unit per day. The Canadian health system, including advanced imaging, is highly regulated and accounts for the per capita expenditure for health care in Canada being more than half that of the United States. All content is freely available. In the event of a major fetal anomaly, these findings can be added to the corresponding field. The template, which can be used for both MR imaging and CT, is divided into 2 sections: tumor and nodal characteristics (Fig 3), which provide the referring provider a clear and focused assessment. Corresponding author: Kyung Won Kim, MD, PhD, Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. MRI White Matter Hyperintensities are Associated with Cognitive Function In 5083 participants of the Maastricht … Submit your article Guide for Authors. Articles & Issues. Nonetheless, these items within the contextual MR imaging template can provide an initial framework for the surgical approach. It received the Magna Cum Laude award. Nongovernment plans include fee for service and prepaid plans. Without a reference or guide, it is foreseeable that trainees may not be able to identify the important findings for these entities and synthesize them into a cohesive process. In BC, the annual fees (premiums) for diagnostic radiologists are near the median with other Canadian physicians, CaD$5280 in 2016 (∼$3830 US dollars).49 The actual fees paid may be less because each provincial medical association negotiates with the provincial government to subsidize a portion of the fees paid. ASER members receive the journal as a benefit of Membership. The journal accepts for publication original articles, case studies, lectures, scientific reviews in all areas of radiology, radiotherapy and radiation safety. About American Journal of Roentgenology The American Roentgen Ray Society, founded in 1900, is the first and oldest radiology society in the United States. There are 6 government-based plans: Medicare, Medicaid, Children's Health Insurance Program, Tricare, Indian Health Service, and the Veterans Health Administration. View the RSNA Journals expanding collection of COVID-19 research, where you can stay up-to-date on cases and commentary on imaging COVID-19. Herein, we create a library of 50 contextual structured reports for neuroradiologists and emphasize their clinical value over noncontextual structured reporting. Editor-in-Chief: Ruth C. Carlos, MD, MS. View editorial board. The combination of an inadequate number of scanners and underfunding for the operation of these scanners has led to prolonged wait times for both modalities, but especially MR imaging. ASER members receive the journal as a benefit of Membership. Many of the published structured templates are technique- or examination-based.3 For example, in CT abdomen and pelvis imaging, structured reports are organized by a litany of organs.3 Similarly within neuroimaging, a sample published MR imaging brain template contains 16 anatomic items within the findings section, and nearly all the fields are filled in with “normal.”12 While these reports may be versatile, they do not guide the radiologist during image interpretation but simply provide fields to report in a “structured” fashion. And individuals with disabilities reporting will remind the user to look at all described entities of... ( 1 ), 18 ( 1 ), 18 ( 1 ), 18 1! Axial fat-suppressed T2-weighted image of the JACR as author, reviewer and of. Of 50 contextual structured reports though are Often not tailored to the Radiology website from... Necessary, 66 % of respondents agreed AJNR is archived in PubMed Central and evidence-based. 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