K. Heikkinen et al., Structure and content of 400 CT reports in four teaching hospitals using anew, Windows-based software tool, ACT RADIOL, 41(1), 2000, pp. 102-105
Purpose. To test a new software tool developed for analysis of radiology re
ports and to compare CT reports from four different teaching hospitals.
Material and Methods. Four hundred CT reports were randomly collected from
four Finnish university hospitals. A Windows 3.1-based software tool was de
veloped to make a comparative analysis of the information content of CT rep
orts. The structure of the reports was partly analyzed manually.
Results: The new software tool greatly facilitated semiquantitative analysi
s of the information content of residents' and radiologists' reports. There
were some local differences in the length and structure of the reports, th
e choice of vocabulary and the number of differential diagnoses given, and
large differences in the use of an "impression" section. Thorough descripti
on of focal lesions was included in less than 50% of the reports from each
of the four institutions.
Conclusion: The variation in well-structured CT reports indicates considera
ble geographic differences in radiology reporting, which may reflect the lo
ngterm influences of a few teachers. Rational application of the communicat
ion standards should improve the quality of written radiology reports. Such
standards should be emphasized, particularly in teaching hospitals.