Style and Content of CT and MR Imaging Lumbar Spine Reports: Radiologist and Clinician Preferences

Abstract

Several studies have examined clinician preferences regarding the style of body sonography and CT reports. Our study is the first to examine clinicians' and radiologists' preferences in lumbar spine CT and MR imaging reports with respect to content and format and specific components such as management suggestions by the radiologist. A spine report survey, which consisted of 3 case scenarios, each with 6 different reports varying in content and format, was mailed to clinicians and radiologists. Their preferences regarding content, format, and management suggestions were gathered. A total of 89 clinicians (49%) and 31 radiologists (53%) responded. Both clinicians and radiologists preferred reports with moderate or detailed instead of limited content (P < .01). Itemized and prose formats were equally acceptable to clinicians and radiologists. Although both groups identified moderate CT technique description as ideal, more clinicians valued the inclusion of the quality of a CT study (P < .001). Specialists preferred reports with greater detail but no recommendations, whereas family physicians preferred less detail but wanted specific management suggestions (P < .01). Neuroradiologists (75%-100%) were more likely to provide management suggestions than non-neuroradiologists (23%-59%). Clinicians favored lumbar spine CT and MR imaging reports with detailed content in either itemized or structured prose formats, irrespective of the modality or the extent of abnormalities reported. Family physicians preferred management suggestions from the radiologists. Specialists, however, preferred a review of the radiologic findings and an opinion without specific recommendations. To optimize patient care, radiologists should be mindful of these preferences and consider tailoring their reports to their audiences.