评估胸部x线摄影COVID-19结构化报告模板的实施情况:范围审查

BJR open Pub Date : 2023-03-28 eCollection Date: 2023-01-01 DOI:10.1259/bjro.20220058
Peter A O'Reilly, Sarah Lewis, Warren Reed
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引用次数: 0

摘要

目的:胸部放射线摄影(CXR)是新冠肺炎阳性患者的常见成像方式之一,是诊断和监测患者病情的一种有价值的成像方法。结构化报告模板定期用于评估新冠肺炎CXR,并得到国际放射学会的支持。本综述调查了报告新冠肺炎CXR的结构化模板的使用情况。方法:使用Medline、Embase、Scopus、Web of Science和手动搜索对2020年至2022年间发表的文献进行范围界定审查。纳入这些条款的一个基本标准是使用采用结构化定量或定性报告方法的报告方法。随后对这两种报告设计进行了专题分析,以评估效用和执行情况。结果:在47篇文章中发现了50篇采用定量报告方法的文章,而在3篇文章中使用了定性设计。33项研究使用了两种定量报告工具(Brixia和RALE),其他研究使用了这些方法的变体。Brixia和RALE均使用后前位或仰卧位CXR,分为多个切片,Brixia为6个切片,RALE为4个切片。每个部分都根据感染程度进行数字缩放。定性模板依赖于选择新冠肺炎放射学表现的最佳描述。来自10个国际专业放射学学会的灰色文献也包括在这篇综述中。大多数放射学会建议使用定性模板来报告新冠肺炎CXR。结论:大多数研究采用了定量报告方法,这与大多数放射学会倡导的结构化定性报告模板形成了对比。原因尚不完全清楚。也缺乏关于模板实施或比较两种模板类型的研究文献,这表明使用结构化放射学报告类型可能是一种不成熟的临床策略和研究方法。知识进步:这项范围界定审查的独特之处在于,它对新冠肺炎CXR的定量和定性结构化报告模板的实用性进行了检查。此外,通过这次审查,所检查的材料可以对这两种工具进行比较,清楚地显示出临床医生喜欢的结构化报告风格。在对数据库进行询问时,没有发现任何研究对这两份报告文书进行过此类检查。此外,由于新冠肺炎对全球健康的持久影响,本次范围界定审查及时审查了可用于报告新冠肺炎CXR的最具创新性的结构化报告工具。该报告可以帮助临床医生就模板化新冠肺炎报告做出决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Assessing the implementation of COVID-19 structured reporting templates for chest radiography: a scoping review.

Assessing the implementation of COVID-19 structured reporting templates for chest radiography: a scoping review.

Assessing the implementation of COVID-19 structured reporting templates for chest radiography: a scoping review.

Assessing the implementation of COVID-19 structured reporting templates for chest radiography: a scoping review.

Objective: One of the common modalities used in imaging COVID-19 positive patients is chest radiography (CXR), and serves as a valuable imaging method to diagnose and monitor a patients' condition. Structured reporting templates are regularly used for the assessment of COVID-19 CXRs and are supported by international radiological societies. This review has investigated the use of structured templates for reporting COVID-19 CXRs.

Methods: A scoping review was conducted on literature published between 2020 and 2022 using Medline, Embase, Scopus, Web of Science, and manual searches. An essential criterion for the inclusion of the articles was the use of reporting methods employing either a structured quantitative or qualitative reporting method. Thematic analyses of both reporting designs were then undertaken to evaluate utility and implementation.

Results: Fifty articles were found with the quantitative reporting method used in 47 articles whilst 3 articles were found employing a qualitative design. Two quantitative reporting tools (Brixia and RALE) were used in 33 studies, with other studies using variations of these methods. Brixia and RALE both use a posteroanterior or supine CXR divided into sections, Brixia with six and RALE with four sections. Each section is scaled numerically depending on the level of infection. The qualitative templates relied on selecting the best descriptor of the presence of COVID-19 radiological appearances. Grey literature from 10 international professional radiology societies were also included in this review. The majority of the radiology societies recommend a qualitative template for reporting COVID-19 CXRs.

Conclusion: Most studies employed quantitative reporting methods which contrasted with the structured qualitative reporting template advocated by most radiological societies. The reasons for this are not entirely clear. There is also a lack of research literature on both the implementation of the templates or comparing both template types, indicating that the use of structured radiology reporting types may be an underdeveloped clinical strategy and research methodology.

Advances in knowledge: This scoping review is unique in that it has undertaken an examination of the utility of the quantitative and qualitative structured reporting templates for COVID-19 CXRs. Moreover, through this review, the material examined has allowed a comparison of both instruments, clearly showing the favoured style of structured reporting by clinicians. At the time of the database interrogation, there were no studies found had undertaken such examinations of both reporting instruments. Moreover, due to the enduring influence of COVID-19 on global health, this scoping review is timely in examining the most innovative structured reporting tools that could be used in the reporting of COVID-19 CXRs. This report could assist clinicians in decision-making regarding templated COVID-19 reports.

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