Structured Reporting of Head and Neck Sonography Achieves Substantial Interrater Reliability

Author:

Weimer Johannes Matthias1,Künzel Julian2,Ernst Benjamin Philipp3ORCID,Dörsching Carla3,Bozzato Alessandro4ORCID,Gabrielpillai Jennis3,Becker Sven5,Froelich Matthias Frank6ORCID,Kramer Benedikt7,Sproll Christoph8,Schapher Mirco9,Goncalves Miguel10,Mansour Naglaa11,Hofauer Benedikt12,Sommer Wieland H13,von Scotti Felix14

Affiliation:

1. Rudolf-Frey Teaching Department, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany

2. Department of Otorhinolaryngology, Universitätsklinikum Regensburg, Regensburg, Germany

3. Department of Otorhinolaryngology, University Medical Center Bonn, Bonn, Germany

4. Department of Otorhinolaryngology, Head & Neck Surgery, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany

5. Department of Otorhinolaryngology, Head and Neck Surgery, University of Tübingen Medical Center, Tuebingen, Germany

6. Department of Radiology and Nuclear Medicine, University Medical Centre Mannheim, Mannheim, Germany

7. Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Mannheim, Mannheim, Germany

8. Department of Oral and Maxillofacial Surgery, Medical Faculty and University Hospital Düsseldorf, Duesseldorf, Germany

9. Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University, Nuremberg, Germany

10. Department of Otorhinolaryngology, Plastic Head and Neck Surgery, RWTH Aachen University Hospital, Aachen, Germany

11. Department of Otorhinolaryngology, University Medical Center Freiburg, Freiburg, Germany

12. Department of Otorhinolaryngology, Head and Neck Surgery, Technical University of Munich Hospital Rechts der Isar, Munich, Germany

13. Department of Radiology, LMU University Hospital, Munich, Germany

14. Ultrasound Division, Otorhinolaryngology Center Münsterland, Münster, Germany

Abstract

Abstract Purpose Ultrasound examinations are often criticized for having higher examiner dependency compared to other imaging techniques. Compared to free-text reporting, structured reporting (SR) of head and neck sonography (HNS) achieves superior time efficiency as well as report quality. However, there are no findings concerning the influence of SR on the interrater reliability (IRR) of HNS. Materials and Methods Typical pathologies (n=4) in HNS were documented by video/images by two certified head and neck ultrasound instructors. Consequently, structured reports of these videos/images were created by n=9 senior physicians at departments of otolaryngology or maxillofacial surgery with DEGUM instructors on staff. Reports (n=36) were evaluated regarding overall completeness and IRR. Additionally, user satisfaction was assessed by a visual analog scale (VAS). Results SR yielded very high report completeness (91.8%) in all four cases with a substantial IRR (Fleiss‘ κ 0.73). Interrater agreement was high at 87.2% with very good user satisfaction (VAS 8.6). Conclusion SR has the potential to ensure high-quality examination reports with substantial comparability and very high user satisfaction. Furthermore, big data collection and analysis are facilitated by SR. Therefore, process quality, workflow, and scientific output are potentially enhanced by SR.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

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