Radiology report: what is the opinion of the referring physician?

Author:

Ignácio Fernando de Castro Guimarães Rios1,Souza Luis Ronan Marquez Ferreira de2,D’Ippolito Giuseppe3,Garcia Mayara Martins2

Affiliation:

1. Hospital do Coração, Brazil

2. Universidade Federal do Triângulo Mineiro, Brazil

3. Universidade Federal de São Paulo, Brazil

Abstract

Abstract Objective: To evaluate the opinion and perception of referring physicians regarding the radiology report, in order to develop tools that promote an improvement in its quality. Materials and Methods: We prepared a questionnaire containing ten multiple choice questions about the radiology report, administering it to 70 physicians (35 specialists and 35 residents working in specialties other than radiology). Results: Referring physicians (specialists and residents) showed a preference for structured reports, with a description explained in universal medical language and a complete conclusion listing the diagnostic possibilities with the degree of certainty. The examination technique should be described, and the final report is best presented when it contains the final chart, together with images, as hard copies and in digital format. The respondents also reported having confidence in the opinion of the radiologist and expressed the need for a direct channel of communication with the same. Conclusion: Referring physicians seek detailed reports (including a description of the examination technique), preferably structured, with objective language and relevant conclusions (the position of the radiologist on the case is important). It is necessary to discuss the differential diagnoses and provide a form of contact between the parties. Although referring physicians consider the radiologist opinion relevant, they also want to analyze the images on their own.

Publisher

FapUNIFESP (SciELO)

Subject

Radiology, Nuclear Medicine and imaging

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