Due to the diverse diagnostic imaging techniques available
(x-ray/CT, Magnetic Resonance, Nuclear Medicine, Ultrasonography)
radiologic examinations are made of an enormous amount of images,
which means that the elements to be described and interpreted by
the radiologist are sometimes exorbitant. Furthermore, the
expectations of the population and the ones of the physicians
requiring examinations are growing, so that besides patients, also
so-called clients (i.e., supposed healthy people) flow into
everyday clinical practice of a radiology department, based on
disease prevention/screening programs.
Registration and interpretation/reporting modules of a
computer-assisted radiologic reporting system were created to help
the radiologist in his task. However, the radiologist is also
expected to write a report with a diversified language, according
to diagnostic technique(s), population type (client vs. patient;
pediatric, adult, geriatric), pathology, and across all body
areas.
The authors wish to suggest a shared methodology to uniform as
much as possible the way of writing a radiologic report, how to
most effectively communicate the results of an examination. The
important role played by language also from a legal-forensic point
of view is also considered.
General
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